Micro- Anti TB Therapy Flashcards
4 reasons for combo therapy
subpopulations are resistant
different environments
different MOAs are better
different bug replication rate
first line TB drugs
isoniazid
rifampin
pyrazinamide
ethambutol OR streptomycin
isoniazid
PO or IV cidal give pyridoxine hepatotoxicity neurotoxicity
rifampin
PO, IM cidal hepatotoxicity drug interactions red secretions
pyrazinamide
PO cidal shortens treatment hepatotoxicity hyperuricemia
ethambutol
PO
static
requires dose reduction in renal insufficiency
optic neuritis
streptomycin
IM cidal dose reduction in renal insufficiency ototoxicity nephrotoxic
drugs for cavities
iso
rif
ethambutol
drugs for extracellular
iso rif ethambutol strepto quinolones
drugs for intracellular
iso
rif
quinolones
which is better ethambutol or streptomycin and why
eth- less toxic and given PO
how long do you treat active TB
6 months or 3 months after negative cultures
MDR-TB
resistant to iso and rif
XDR-TB
resistant to iso and rif AND quinolones and an injectable (amikacin)
second line drugs (7)
quinolones aminoglycosides para-amino salicylic acid cycloserine ethionamide bedaquiline linezolid