Pharm randoms Flashcards
Is gentamicin compatible with breastfeeding?
Yes. Low transfer and low oral availability
If a woman has a UTI and is pregnant, what abx?
amoxicillin
Are macrolides safe in pregnancy?
Erythromycin and Azithromycin are considered safe, but may alter bowel flora
Are fluoroquinolone safe in lactation?
Avoid them!
Cephalosporins safe in lactation?
Safe with low milk transfer. 3rd gens like ceftriaxone May alter bowel flora
Penicillins are safe in lactation?
yes
Are tetracyclines safe in breastfeeding?
Definitely not. May cause dental staining and weird bone development
Is fluconazole safe while breastfeeding?
Might accumulate and cause harm
Is Nitrofurantoin safe in breastfeeding?
Avoid in G6PD infants due to risk of hemolysis
Is TMP-SMX safe in breastfeeding?
Avoid in infants with hyperbilirubinaemia and G6PD deficiency
What abx are safe in pregnancy
Most are except for nitrofuran derivatives and sulfonamides.. but these are sometimes used in 2nd and 3rd trimesters to tx and prevent uti
Tetracyclines are contraindicated
Macrolides aren’t always safe
(erythromycin CI in pregnancy,
clarithromycin is Cat-C in PG, azithromycin is Cat-B)
What abx target cell wall
penicillins and cephalosporins
your patient has a penicillin allergy and you want good gram +/- coverage… what do?
Well… don’t use a cephalosporin if they have a hx of anaphylaxis. If they just had a rash, it’s probably safe if necessary
What abx interfere with bacterial enzymes
quinolones, sulfonamides
Which abx are bacteriostatic
ahminoglycosides, macrolides, tetracyclines.