Drug by Use Flashcards
Penicillin G
gram - cocci
Penicillin V
gram + rods, anaerobes (but not bacteroides)
Penicillinase-resistant
penicillinase MSSA, skin infections
may want to combine with clavulanate
Amoxicillin
gram - rods (H. flu, E. coli)
gram + cocci
Antipseudomonal
Pseudomonas
Bacteroides + other anaerobes
Cephalexin
gram + cocci
gram - rods (proteus, diarrhea E. coli)
Ceflacor, Cefuroxime
good gram - rods (H. flu)
Bacteroides
Cefdinir Ceftriaxone
expanded gram - rods
good gram + cocci (for ceftriaxone)
some antipseudomonal
Vancomycin
narrow spectrum gram + cocci
MRSA, enterococci,C. diff
Carbapenems
widespread (reserved for multi-drug-resistant organisms)
Azythromycin
extended gram + rods/cocci
some gram - bacilli
atypical: mycoplasma/chlamydia
Doxycyclin
broad spectrum (many now resistant)
CA-MRSA
Atypical: chlamydia, mycoplasma
Minocycline
broad spectrum (many now resistant)
CA-MRSA
Atypical: chlamydia, mycoplasma
Clindamycin
narrow spectrum gram + cocci
anaerobes (not C. diff)
CA-MRSA
Aminoglycoside
narrow spectrum gram - aerobes (E.coli, Pseudomonas)
Chloramphenicol
broad spectrum gram -/+ cocci
Neisseria (meningitis) H. flu, Rickettsia
Oxazolidinones
excellent gram + (staph, strep, entero)
reserve for multi-drug resistant cases
Streptogamins
excellent gram +
reserve for multi-drug resistant cases
Ciprofloxacin
excellent gram - (Pseudomonas, UTI’s)
Levofloxacin
excellent gram -/+ (“respiratory,” UTI’s)
Nitrofurantoin
1st line against UTI’s if SMX-TMP resistant E. coli
Metronidazole
anaerobic bacteria (C. diff) protozoa
Sulfamethoxazole/Trimethoprim
broad spectrum gram -/+
chlamydia, CA-MRSA
some protozoa, UTI
Isoniazid
TB
Rifampin
TB and numerous -/+ anaerobes
Ethambutol
TB
Pyrazinamide
TB
Streptomycin
TB
Amphoteracin
broad spectrum
choice for life-threatening systemic conditions
Nystatin
superficial Candidal Infections
Caspofungin
aspergillosis
Fluconazole
oropharangeal/esophageal candidiasis
vulvovaginal candidiasis
Terbinafine
onychomycosis of finger/toe nails
Flucytosine
serious infections of cryptococcosis and candidiasis
Griseofulvin
severe dermophytosis of skin, hair, finger/toe nails
Acyclovir
HSV-1/HSV-2 [Herpes]
Valacyclovir
HSV-1/HSV-2 [Herpes]
Entecavir
Hepatitis B (first line Tx)
Tenofovir
Hepatitis B (first line TX with other resistance)
Interferon-α
Hepatitis B/C
Ribavirin
respiratory syncitial virus (RSV)
Hepatitis C
Telaprevir, Boceprevir
Hepatitis C
Sufosbuvir
Hepatits C
Emtricitabine
HIV backbone therapy
also Hepatitis B
Tenofovir
HIV backbone therapy
also Hepatitis B
Efavirenz
always used in combo HIV therapy
Atazanavir
HIV protease inhibitor
base therapy with 2 NRTI’s
Darunavir
HIV protease inhibitor
base therapy with 2 NRTI’s
Ritonavir
HIV protease inhibitor
base therapy with 2 NRTI’s
Raltegravir
HIV protease inhibitor
base therapy with 2 NRTI’s
Enfuviritide
HIV option w/ multi-drug resistance
Maraviroc
HIV option w/ multi-drug resistance