Macrolides Flashcards

1
Q

Macrolides

A

Erythromycin
Clarythromycin
azythromycin

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2
Q

mechanism of Macrolides

A

bind to 50s ribosome SU and inhibit aminoacyl translocation

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3
Q

Resistance of Macrolides*

A

depends of type of bacteria
Gram + : altered target site
Gram -: Enzymatic inactivation via plasmid esterase

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4
Q

Administration

macrolides

A

Erythromycin: NO FOOD
Clarythromycin : Y
Azythromycin : Y

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5
Q

distribution of macrolides
where do they accumulate
also concentration

A

everywhere except CSF
they accumulate in macrophages
at normal concentrations: Bacteriostatic
at higher concentrations (IV) Bactericidal

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6
Q

Metabolism of Erythromycin

A

p450 liver

can affect metabolism of other drugs

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7
Q

Metabolism of Clarythromycin

A

p450 kidney

can affect metabolism of other drugs

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8
Q

Metabolism of Azithromycin

A

liver

NO drug interactions

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9
Q

which macrolides safe to use in Renal Failure patient

A

Erythromycin

Azithromycin

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10
Q

which macrolides are safe to use in hepatic failure pt

A

clarithromycin

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11
Q

which Macrolides have potential drug interactions

A

Erythromycin

Clarythromycin

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12
Q

which macrolides are contraindicated in someone with hepatic damage

A

Erythromycin

Azythromycin

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13
Q

all macrolides are first life for

A

C. Diphtheria

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14
Q

Chlarythro and azythro tx

A

MAI

chlamydia pneumonia

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15
Q

Erythromycin first line for

A

C. diptheria

Chanchroid

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16
Q

erythromycin back up for

A

legionaire
mycoplasma
lyme disease ( Doxy-> Pnc)

17
Q

Clarythromycin first line for

A

diptheria
MAI complex
Mycobacterium Pneumoniae

18
Q

Azythromycin Drug of Choice for

A

Chlamydia Trachomatis 1 dose!

19
Q

azytrhomycin first line for

A

diptheria
MAI complex
mycobacterium pneumonia

20
Q

Telithromycin

Mechanism of Action

A

binds to 50s and inhibits amino acyl transfer but at two sites

21
Q

telithromycin

use

A

tx community acquired pneumonia*

MDRSP

22
Q

telithromycin

contraindications

A

Hepatotoxicity

  • C/i under 18 ( jaundice and liver failure)
  • in presence of hepatic disease
  • long QT interval