Macrolides Flashcards
6-methoxy-erythromycin
Clarithomycin
Nitrogen group added to 14-member macrolide ring
Azithromycin
Reversibly binds to 50s. Decreases protein synthesis
Macrolides
Bacteriocidal or static?
Static
Erythomycins can be inactivated by bacteria by ___________
enzymatic degradation
Erythromycin base. Stearate and ethylsuccinate. Emycin estolate
Erythomycin
Rapidly inactivated by gastric acid (enteric and film coated forms __________ this inactivation)
Erythromycin base
Decrease
Absorbed better in fasting state, empty stomach
Base, stearate, and ethylsuccinate
Not affected by food
Emycin estolate
Macrolides distribute in tissues ___________ than in blood
Longer
Very high concentrations in ____________ and __________ compared to extracellular fluids
Alveolar macrophages
Leukocytes
Azithromycin tissue conc. ____________ those in serum
10-100X
Erthromycin excretion?
Biliary mainly.
Small % in urine
Large portion of erthromycin _____ in liver by _________
inactivated
demethylation
Clarithomycin ___________ in liver by ____________ and _____________
metabolized
oxidation
hydrolysis