Antimycobacterials Flashcards
Moa of cycloserine: inhibits
d- alanine racemase
D- alanyl- D- alanine synthetase
Adverse effects of cycloserine
CNS dysfunction
peripheral neuropathy
Para-aminosalicylic acid moa: inhibits
Folate synthesis
para-aminosalicylic acid generates __________ which inhibits dihydrogolate reductase
Hydroxyl dihydrofolate antimetabolite
Adverse effects of PAS
GI symptoms
Peptic ulceration and bleeding
Hypersensitivit
Treatment of TB caused b streptomycin resistant strains
Amikacin and Kanamycin
Tx for typical Mycobacteria
Ofloxacin- 600-800 mg PO
Tx for atypical Mycobacteria
Ciprofloxacin- 750 mg PO 2x a day
CIprofloxacin and Ofloxacin inhibits
Topoisomerase II
Topoisomerase IV
Relaxes the supercoiled DNA strands as preparation for normal replication
Topoisomerase II
Participates in the separation of replicated DNA chromosomes into 2 daughter cells during cell division
Topoisomerase IV
Used as last resort for multi drug resistant TB
Clofazimine
M. Leprae»_space;> M. Tuberculosis
clofazimine
Only anti-TB that has teratogenic effect
Streptomycin
Teratogenic effect of streptomycin
congenital deafness