Hyperhidrosis, Leprosy Flashcards
inhibits pathway involved in neutrophil chemotaxis
dapsone
increases toxicity of dapsone
rifampin
Where are eccrine sweat glands?
feet forehead palm cheek
discolors body fluids
rifampin clofazimine
immunosuppresive leprosy trx
clofazimine
hepatitis and jaundice (leprosy trx)
clofazimine
rifampin MOA
inhibits bacterial DNA-dep-RNA polymerase
clofazimine MOA?
binds mycobacterial guanine in DNA (mycobac have more GC than humans)
anti-angiogenic and teratogenic (leprosy trx)
thalidomide
Dapsone syndrome
hemolysis, methoglobinemia, hepatitis, cholestatic jaundice, periph neuropathy, hypoalbuminemia, psychosis, leukopenia, agranulocystosis
Botulinum s/e?
systemic botulism (rare) dry mouth HA fatigue neck pain eye problems
Botulinum toxin heavy chain binds:
cell membrane
Causes Steven Johnson syndrome
dapsone
rash on upper limbs and forehead (leprosy trx)
dapsone
severe liver toxicity; CYP inducer (leprosy trx)
rifampin
Glycopyrrolate MOA
anticholinergic antimuscarinic
folate antagonist
dapsone
competes for active site of dihydropteroate synthetase
dapsone
Botulinum blocks:
nicotinic R muscarinic R
Where are apocrine sweat glands?
axilla urogenital
hematuria, hemaglobinuria (leprosy trx)
rifampin
Increases serum dapsone
trimethoprin
minocycline MOA
inhibits ribosome 30S subunit
dose-dependent anti-inflammatory action (leprosy trx)
clofazimine
somnolence
thalidomide
thalidomide MOA
blocks TNF-alpha production, thus blocking leukocyte migration (via Nfkb mediated transcriptional regulation)
decreases toxicity of dapsone
cimetidine and omeprazole
Drug that contains albumin
Botulinum toxin
Botulinum toxin light chain:
cleaves SNAP25, which enables fusion of ACh vesicles with cell membrane
Increases HIV viral load
thalidomide