Antimycobacterials Flashcards
is an acid-fast aerobic rod that grows slowly and is
sensitive to heat and ultraviolet light
Mycobacterium tuberculosis
less toxic and are used to treat drug-susceptible tuberculosis
FLD (first-line drugs)
FLD drugs
rifampicin (R), isoniazid (H), pyrazinamide (Z)
enthambutol (E)
are more toxic which are reserved for the treatment of drug-resistant tuberculosis (DR-TB)
SLD (second-line drugs)
SLD drugs
streptomycin (S)
amikacin
delamanid (Dlm)
levofloxacin (Lfx)
Clofazamine (Cfz)
linezolid (Lzd)
prothionamide (Pto)
cycloserine
alters RNA and DNA synthesis resulting to the blockage of key
metabolic pathways needed for mycobacterium cell growth and
replication
Rifampicin (Rifampin, Rifadin)
- inhibits synthesis of mycolic acid, an important component of
bacterial cell wall - mainstay in the prevention and treatment of tuberculosis
Isoniazid, INH (Laniazid, Nydrazid)
inhibits nucleic acid synthesis
Pyrazinamide, PZA
alters cellular RNA synthesis and phosphate metabolism
Ethambutol (Myambutol)
Ethambutol (Myambutol)
Delamanid (Deltyba)
inhibits synthesis of mycolic acid
Prothionamide (Protomid, Prothiocid)
inhibits bacterial cell wall synthesis
inhibits synthesis of ATP