Pharma Antibiotics Flashcards
CHON synthesis inhibitor at 50s subunit used in meningitis because it crosses BBB
Chloramphenicol
Only macrolide that doesn’t inhibit CYP450
Azithromycin
Also has highest Vd and slowest elimination
Bacteriostatic drug that binds to 50s subunit that causes serotonin syndrome as an adverse effect
Linezolid
Most important drug in TB; inbihit mycolic acid synthesis
Isoniazid
Bactericidal antibiotics
Vancomycin Fluoroquinolones Penicillins Aminoglycosides Metronidazole
Most vestibulotoxic and nephrotoxic aminoglycosides
Tobramycin
Gentamycin
Aminoglycoside for drug redistant gonorrhea
Spectinomycin
Antimycobacterial that inhibit arabinosyl transferase
Ethambutol
3rd gen cephalosporins with disulfiram reaction
Cefoperazone
Most ototoxic aminoglycoside
Kanamycin
Amikacin
Ototoxicity in aminoglycosides is aggravated when used with?
Loop diuretics
Cisplatin
Bacteriostatic inhibitors of folic acid synthesis by competitively inhibiting dihydropteroate synthase
Sulfonamides
Cardiotoxic 3rd gen fluoroquinolone
Grepafloxacin
Action of rifampicin
Inhibit DNA dependent RNA polymerase
Fluoroquinolones block bacterial DNA synthesis by inhibiting ____________ in gram negative organisms and _____________ in gram positive organisms
Topoisomerase II (DNA gyrase)
Topoisomerase IV
Antimetabolite class of drug that blocks D-Ala incorporation into the pentapeptide chain of Peptidoglycan
Cycloserine
2nd line drug for MDR TB
Aminoglycosides with the narrowest therapeutuc window
Amikacin
Penicillin class for staph infection that is resistant to B-lactamase inhibition
Methicillin
Nafcillin
Oxacillin
Cloxacillin
Most hepatotoxic anti-TB drug? cidal or static?
Pyrazinamide
Bacteriostatic but can be bactericidal on actively dividing mycobacteria
Drug MOA is inhibition by binding to thr D-Ala-D-Ala terminus of nascent peptidoglycan
Vancomycin
Used in sulfone resistant leprosy? MOA?
Clofazimine
Binds to guanine bases in bacterial DNA
MOA of Flucytosine
Inhibit thimidylate synthase
Antifungal that inhibit B-glucan synthase decreasing fungal cell wall synthesis
Caspofungin
Anidulafungin
Micafungin
MOA of Terbinafine
Interfere with ergosterol synthesis by inhibiting fungal squalene oxidase
Antiviral that inhibit neuraminidase that is causes bronchospasm in asthmatics
Zanamivir
DOC for African sleeping sickness
Melarsoprol
Antiviral that doesn’t require thymidine kinase to become active again strains of HSV
Cifodovir
Foscarnet
Electrolyte abnormality in patients taking Foscarnet
Hypocalcemia
Nucleoside reverse transcriptase inhibitor that causes bone marrow suppresion as an adverse effect
Zidovudine
Non nucleoside reverse transcriptase inhibitor that is both a inducer and inhibitor of CYP 450
Etravirine
Inhibit HBV DNA polymerase
Lamivudine Adefovir Dipovoxil Entecavir Telbivudine Tenofovir
Antiviral that blocks RNA dependent RNA polymerase
Ribavirin
Antimalarial DOC pregnant patients
Quinine
DOC for Trichinosis
Thiabendazole
Treatment and prophylaxis for chloroquine resistant P. Falciparum
Atovaquone-Proguanil
Atovaquone- disrupt mitchodrial electron transport. Blood and tissue schizonticide
Proguanil- inhibit folate synthesis. Sporonticide
Antiviral that inhibit neuraminidase
Oseltamivir
Zanamivir
DOC for uncomplicated falciparum malaria in Philippines
Artemether-Lumentabtine
Antiprotozoal DOC for asymptomatic cyst carried of E. histolytica
Diloxanide Furoate
Ivermectin DOC for
Strongyloidiasis
Antiprotozoal used only for situation where metronidazole cant be used
Emetine
Albendazole is the DOC for
Hydatid disease
DOC for severe intestinal and extraintestinal amoebiasis
Metronidazole
DOC for hookworm and roundworm infections
Pyrantel pamoate
Depolarization induced paralysis
Enterobius
DOC for prophylaxis and treatment of toxoplasmosis. MOA?
Pyrimethamine-sulfadiazine
Sequential blockade lf dihydropteroate synthase(sulfadiazine) and dihydrofolate reductase(pyrimethamine)
DOC of Cryptosporidiosis
Nitazoxanide
DOC for prophylaxis and treatment of Pneumocystosis
Co-trimoxazole
Antiprotozoal used in the hemolymphatic stage of African sleeping sickness
Suramin
DOC of Chagas disease
Nifurtimox
DOC for trematodes
Praziquantel
DOC of Advance West African sleeping sickness
Eflornithine
Suicide inhibitor of ornithine decarboxylase
Crosses BBB
DOC of Leishmaniasis? Except in what country?
Sodium stibogluconate
India
2nd gen cephalosporins with disulfiram reaction
Cefamandole
Cefotetan
DOC for Filariasis
Diethylcarbamazine
DOC for whipworm infections
Mebendazole
Contraindicated in pregnancy
Trichuris
Only antibiotic with nasal spray route of administration
Pentamidine
Antihelminthic that kills scolices and cestode segments but has no effect on ova
Niclosamide
aka IRIS JON
If you were a cactus why?
If not why not?
Breaktime! ?