Antibiotics Flashcards
Brand name
Amoxicillin
Amoxil
Brand
Amoxicillin/Clavulanic acid
Augmentin
Brand
Cefdinir
Omnicef
Brand name
Cefuroxime
Ceftin
Brand name
Cephalexin
Kaflex
Brand name
Penicillin
Penicillin VK
Beta-Lactams
Drugs in class
Amoxicillin
Amoxicillin/Clavulanic acid
Cefdinir
Cefuroxime
Cephalexin
Penicillin
MOA
Beta-Lactams
Inhibition of penicillin binding proteins t prevent bacterial cell wall growth, maintenance and homeostatsis
Cephalosporin
1st generation
Cephalexin
Cephalosporin
2nd generation
Cefuroxime
Cephalosporin
3rd generation
Cefdinir
Beta-Lactams
Contraindications and ADRs
- Allergy(Anaphylaxis,Serum sickness,SJS,DRESS)
- Altered Microbiome(lead to GI upset/diarrhea)
Beta-Lactam
Counsellling Info
- Beta-Lactams will not affect efficicay of OC
- Ensure to take antibiotics to completion
- Probiotics may help with antibiotic associated with diarrhea but not yeast infection
- Take with food
Fluorquinolones
Drugs in class
- Ciprofloxacin Oral
- Ciprofloxacin Otic
- Levofloxacin
- Gatifloxacin Opthalmic
Brand
Cirpofloxacin Oral
- Cipro
- Cipro XR
Brand
Ciproflaxacin Otic
- Ciprodex Otic
- Cetraxal
- Cipro HC
Brand
Levofloxacin
Levaquin
Brand
Gatifloxacin Opthalmic
- Zymar
- Zymaxid
MOA
Fluoroquinolones
Blocks bacterial DNA synthesis through inhibition of topoisomerase II (DNA) and Topoisomerase IV
BBW
Fluoroquinolones
- Tendon rupture
- Peripheral Neuropathy
- Exacerbations of myasthenia gravis
ADRs
Fluoroquinilones
- QT Prolongation(low)
- C.difficile associated diarrhea
Containdications
Fluoroquinolones
Allergy
Counselling Points
Fluoroquinolones
- Will not affect OC efficacy
- Take to completion
- Probiotica help with associated diarrhea but not yeast infections
- Avoid taking with foods or drinks high in calcium(dairy,vitamins, other medications etc.)
Macrolides
Class
Gram Positive
Macrolides
Drugs in class
Clarithromycin
Erythromycin
Azithromycin
Brand
Clarithromycin
Biaxin
Brand
Erythromycin
Erythrocin
Brand
Azithromycin
Zithromax
MOA
Macrolides
protein synthesis inhibition(binds to rRNA of 50S subunit of bacterial ribosome)
Containdications
Macrolides
- Allergy
- Drug-Drug interactions(inhibition of CYP3A4 metabolism of stains and can lead to significant increase in statin exposure)
ADRs
Macrolides
- GI side effects(N/V)
- QT prolongation
- SJS
- Change in taste
Counselling Points
Macrolides
- This drug will not affect OC efficay
- Do not stop take until completion
- Can beused used for antibiotic associated diarrhea but not for antibiotic related yeast infections
Tetracyclines
Spectrum
Gram positive
Tetracyclines
Drugs in the class
- Doxycycline
- Minocycline
Brand
Doxycycline
Vibramycin
Brand
Minocycline
Minocin
MOA
Tetracyclines
protein synthesis inhibiton(binds to rRNA 30S subunit of bacterial ribosome)
Contraindications
Tetracycline
- Allergy
- Children under 8yo (causes teeth dicoloration and malformation)
- Pregnancy(malformation of bony structures and teeth in fetus)
- Concurrent use with retinoic acid derivatives(can cause intracranial hypertension)
ADRs
Tetracycline
- N/V
- Increased sensitivity to light
Counselling Points
Tetracycline
- Will not affect OC efficay
- Do not stop taking until completion
- Helps with antibiotic associated diarrhea but not for antibiotic related yeast infection
- Avoid taking with foods or drinks high in calcium and magnesium
- Do not use expired tetracycline as it becomes toxic after its expiration date
Micellaneous Antibiotics
- Metronidazole
- Trimethoprim/Sulfamethoxazole
- Nitrofurantoin(UTI’s only)
- Mupirocin(Topical only)
- Chlorhexidine(Topical only)
- Fidaxomicin
- Clindamycin
Brand
Metronidazole
Flagyl
Brand
Trimethoprim/Sulfamethoxazole
- Bactrim
- Septra
Brand
Nitrofurantoin
- Microdantin
- Macrobid
Brand
Mupirocin
Bactroban
Brand
Chlorhexidine
- Paroex
- Peridex
- Hibiclens
Brand
Clindomycin
Cleocin
MOA
Metronidazole
accumulation of toxic by product in bacteria
MOA
Trimethoprim/Sulfamethoxazole
Disprupts synthesis of nucleotide precursors by acting as folate antagonist
MOA
Nitrofurantoin
Accumulation of toxic byproduct in bacteria
MOA
Mupirocin
Protein synthesis inhibitor
MOA
Chlorhexidine
Membrane destabilization of gram positive, gram negative and mycobacteria.Aslo has various functions ong fungi anf viruses
MOA
Fidaxomicin
Protein synthesis inhibitor
MOA
Clindamycin
Protein synthesis inhibition by binding to 50S subunit of ribosome(like macrolides)
ADRs
Metronidazole
Dru-drug interactions warfarin and CY3A4 substrates
ADRs
Trimethoprim/Sulfamethoxazole
- Upset stomach
- Renal failure
- Hyperkalemia
- SJS
ADRs
Nitrofurantoin
- Discolored urine
- Upset stomach
- Pulmonary fibrosis/interstitial lung disease
ADRs
Mupirocin
- Well tolerated/topical
- Pruitis
- local burning/stinging
ADRs
Chlorhexidine
- Well tolerated /topical
- Pruitis
- Local burning/stinging
ADRs
Fidaxomicin
- Nausea
- fever
ADRs
Clindamycin
- Drug induced diarrhea
- Maculopapular rash
- DRESS reaction
Contraindications
Metronidazole
- Allergy
- 1st trimester pregnancy
- Alcohol
Contraindications
Trimethoprim/Sulfamethazole
- Sulfanomide allergy
- History of druf induced thrombocytopenia with sulfanomides
Contrainidactions
Nitrofurantoin
- Allergy
- Hemolytic anemia risk in pregnant women at term(38-42 weeks)
- CrCl <60
Counselling Points
Trimethoprim/Sulfamethoxazole
- Can still cause diarrhea ,but “least bad”
- Weak inhibition of human folate(watch out for use in high risk patients i.e pregnant, on methotrexate)
Counselling Points
Nitrofurantoin
Discolored urine
Counselling Points
Clindamycin
- If patients get diarrhea for more than 3 days or extended after finishing antibiotic should discuss with physician
- Take with food