Macrolides Flashcards
Macrolides
Erythromycin
Clarythromycin
azythromycin
mechanism of Macrolides
bind to 50s ribosome SU and inhibit aminoacyl translocation
Resistance of Macrolides*
depends of type of bacteria
Gram + : altered target site
Gram -: Enzymatic inactivation via plasmid esterase
Administration
macrolides
Erythromycin: NO FOOD
Clarythromycin : Y
Azythromycin : Y
distribution of macrolides
where do they accumulate
also concentration
everywhere except CSF
they accumulate in macrophages
at normal concentrations: Bacteriostatic
at higher concentrations (IV) Bactericidal
Metabolism of Erythromycin
p450 liver
can affect metabolism of other drugs
Metabolism of Clarythromycin
p450 kidney
can affect metabolism of other drugs
Metabolism of Azithromycin
liver
NO drug interactions
which macrolides safe to use in Renal Failure patient
Erythromycin
Azithromycin
which macrolides are safe to use in hepatic failure pt
clarithromycin
which Macrolides have potential drug interactions
Erythromycin
Clarythromycin
which macrolides are contraindicated in someone with hepatic damage
Erythromycin
Azythromycin
all macrolides are first life for
C. Diphtheria
Chlarythro and azythro tx
MAI
chlamydia pneumonia
Erythromycin first line for
C. diptheria
Chanchroid