Protein synthesis inhibitors Flashcards
action on 30s ribosomal subunit ?
aminoglycosides
tetracycline
action on 50s ribosomal subunit ?
chloramphenicol
macrolides
clindamycin
systemic aminoglycosides name ?
STK-GA
Streptyomycin
tobramycin
kanamycin
amikacin
gentamiciin
oral aminoglycoside ?
neomycin
common properties of aminoglycosides ?
777
M/A of aminoglycoside one line ?
protein synthesis I
Physical properties ?
hexose ring
& amino sugar
attched by glycosidic linkage
M/A of Aminoglycosides ?
778
aminoglycoside + penicillin ?
synergistic effect
A/E of aminoglycosides ?
ototoxicity
nephrotoxicity
neuromuscular bloackade
hypersensitivity
ototoxicity by which drug ? vestibular ?
GS
streptomycin
gentamicin
auditory damage by which drug a?
NAK
neomycin
kanamycin
amikacin
A + Frusemide >
pharmacological potentiation
+++++++ ototoxicity
A + neuromuscular blockade ?
PP
enhance paralysis
selective activity of aminoglycoside >
782
A + cephalosporins = ?
PP
nephrotoxicity ++++++++++
A + vancomycin ???
PP
+++++++++++=nephrotoxicity
contraindications of tetracycline ? children ?
fetal teeth - fluroscence + discoloration + enamal dysplasia
fetal bone = defromity / growth inhibition
natural tetracycline ?
chlor-oxy T
T
semisynthetic T ?
Doxycycline
minocyclinne
demeclocycline
A/E of tetracycline ?
N-V-D
Fetal teeth + bone
hepatotoxicity
nephrotoxicity
photosensitization
IM- local irritation
IV - venous thrombi
indication of chloramphenicol >
eye infection - tropical use
rickettsial infection
meningococcal meningitis
bacterial meningitis
why cholamphenicol used in eye infection <
broad spectrum
penetration of ocular tissues and aqueous humor
oxyT vs Doxycycline ?
788
A/E of chloramphenicol?
N-V-D
Superinfection
oral and vaginal candiditis
gray baby syndrome
when gray baby syndrome occur >
chloramphenicol
>50 mg/kg
common macrolides ?
ACE\
azithromycin
clarithromycin
erythromycin
alternative of penicillin allergic patient >
M,acrolides
macrolides use ?
Upper RTI
community acquire P
atypical P
acne
cholera
triple therapy in PUD
diptheria
SSTI
WHOOPING COUGH
Use of aminoglysides ?
779
12-2-2025
3.55PM
aminoglycoside soubiliuty ?
WATER SOLUBLE
Old ekjon pt ke drug deyar age ki ki dekhba ?
renal & hepatic function
how to assess renal function ?
Creatinine dekhbo
RTI e P drug hiseve kon fluroquinolone ?
levofloxacillin
RTI e P drug huseve kon penicillin ?
ampicillin
corrected
16-2-2025
12.16AM
which macrolides in PUD >
clarithromycin
why clarithromycin in PUD ?
acid stable macrolides
with broad spectrum of anti-bacterial activity
others macrolides PUD te na keno ????
higher resistance by H pylori
lower gastric penetration
less synergy with PPI
shorter intracellular effect
16.2.2025
12.19AM
why doxycycline in=s better than tetracycline ?
more potent
less frerquncy of dosing
longer duration of action
less incidence of diarrhea’
can be used in renal failure
treatment of abscess anf boil e ??
cefuroxime
clavulanic acid
why aminoglycoside not given orally >?
Aminoglycosides are not given orally because they are poorly absorbed from the gastrointestinal tract and must be administered parenterally (IV/IM) to achieve effective systemic concentrations.
M/A of chloramphenicol ?
50s ribosomal subunit bind
inhibit peptidyl transferases’
inhibit peptide bond formation
protein synthesis inhibites
indication of neomycin ?
preparation for elective bowel surgery
hepatic encephalopathy
pre-operartive gut sterilization
dosing schedule of azithromycin ?
daily dosing
indication of carbapenam ?
pneumococcal infection
enterobacter infection
mixed aerobic and anerobic
choice of drug - serious infections caused by extended sprectrum of extended beta lactamase producing gram - bacteria
oculotoxic drug name ?
ethambutol
chloroquine
use of nalidixic acid ?
bacillary dysentry
UTI
Drugs - ENteric fever + Pregnancy
811
amoxicillin
cephalosporins
cefuroxime
cefixime
ceftriaxone
name beta lactum drugs ?>
756
1st G cephalosporins indication ?
cellulitis
SSTI
Sinusitis
UTI
Skin infection
768
long acting tetracycline name >
doxyxycline
minocylcine
short actiing T ?
Oxy T
t
auditory damage what happening ?
tinnitus
hearing loss
vestibular damage what happening >
vertigo
ataxia
loss of balance
12-2-2025
5.45PM
oto-toxicity what type of damage ?
sensory
oto-toxicity which nerve ?
vestibulocochelar nerve / 8th nerve
tetracycline is contraindicated upto which age ?
8 yrs
INFECTIVE diarrheas which drugs
813 ??
ciprofloxacillin
ampicillin
3 + 4 cephalosporins
co-trimoxazole
12.51AM
16.2.25