Chloramphenicol Flashcards
Reversibly binds 50s subunit
Chloramphenicol
Must be __________ in ___________ for active chloramphenicol
hydrolyzed
intestines
__________ form has incomplete hydrolysis
IV or oral?
IV
Good or bad CSF conc?
Excellent
30-50% without inflammed meninges
Metabolism via _________ in ____________
Glucuronidation
Liver
Causes reversible bone marrow depression due to directly inhibiting ___________
mitochondrial protein synthesis
Can cause __________ weeks to months after completion of therapy
Idiosyncratic aplastic anemia
Can cause _____________ syndrome
Gray baby
Abdominal distention, vomiting, cyanosis, circulatory collapse.
Caused by inhibition of mitochodrial protein synthesis
Gray baby syndrome
Newborns lack effective _________ that degrades and detoxifies system of chloramphenicol
glucuronic acid conjugation
Gray baby syndrome w/ conc higher than _______
50mcg/ml
Good coverage. Bad side effects.
Chloramphenicol