Lincosamides Flashcards
Mode and mechanism of action:
50S, inhibition of protein synthesis. Bacteriostatic.
Cross reaction:
Macrolides and phenicol
Pharmacokinetics:
Absorption: good
Distribution: good- bones and IC. BM infection S. aureus, osteomyelitis
Metabolism: Liver -> bile -> dysbacteriosis
Excretion: bile and urine (BUT not suitable use for UTI)
Toxicity
severe tissue irritation, dysbacteriosis- use probiotics! STOP treatment if diarrhea- can be lethal!!
Spectrum
Gram+
ANAEROBIC also- foot rot, oral cavity, bite wound
NOT fastidious- not for respiratory tract inf!
Brachyspira hyodysenteriae, Lawsonia intracellularis, Mycoplasma, Campylobacter
Drug names:
Lincomycin, Clindamycin
Lincomycin:
For food producers. Foot rot, mastitis, metritis, bite wound, swine dysentery, proliferative eneteropathy,
mycoplasmosis= lincomycin+ spectinomycin= good for respiratory.
Clindamycin:
Favourite of dentists. More active, mainly companion animals. Oral cavity, gram + and gram- Abcess, dermatitis- stap/strept =gram+ gram-= oral cavity, osteomyelitis, anal sacculitis- dog ORAL SE: dysbacteriosis and vomiting
Forbidden?
Horse and herbivore rodents