Protein synthesis inhibitors Flashcards

1
Q

protein synthesis inhibitors

A
macrolides
ketolides
tetracyclines
glycylcyclines
anaerobic agents
linezoid
streptogramins
aminoglycosides
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2
Q

ECSTaTic about bacteriostatic

A
Erythromycin
Clindamycin
Sulfamethoxazole
Trimethoprim
Tetracyclines
Chloramphenicol
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3
Q

inhibitors of 30s

A

aminoglycosides

tetracyclines

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4
Q

inhibitors of 50s

A
Clindamycin, Chloramphenicol
Erythromycin
Lincomycin
Linezolid
Streptogramins
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5
Q

Mnemonic of protein synthesis inhibitors

A

Buy at 30, CCELL for 50 dollarS

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6
Q

protein synthesis binds to bacterial ribosomes and prevent protein synthesis

A

MOA of protein synthesis inhibitors

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7
Q

inhibit protein synthesis by binding to domain II and V on the 50s ribosomal unit blocking the ability to synthesize polypeptides
-bacteriostatic

A

MOA of macrolides

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8
Q

what are some uses of macrolides

A

otitis media, pharyngitis, URI/LRI

CAP, PID, exacerbations of COPD, h.plyori, MAC

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9
Q

3 Macrolides drugs

A

azithromycin
clarithromycin
erythromycin

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10
Q

inhibits protein synthesis by binding to domain II & V on the 23s rRNA of the 50s ribosome

A

MOA of Ketolide

-Telithromycin

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11
Q

Telithromycin

A

adults and oral only
major cyp450 inhibitor/ weak 2D6 inhibitor
Hepatoxicity, QT prolongation, CI in myasthenia gravis, $$$

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12
Q

inhibit protein synthesis by binding to the 30s ribosomal unit therefore interfering with translocation reaction

A

MOA of tetracyclines

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13
Q

uses for tetracycline

A

anthrax,
CAP and tick born illness use doxycline
Acne-minocycline
PCN alternative for syphilis/gonorrhea

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14
Q

SE of tetracycline

A

yellowing teeth in children <8yrs & decrease bone growth
phototoxicity, esophageal ulceration in pill gets stuck-drink with 8oz water
expired meds causes fanconi syndrome
Preg Cat D/ Lact L2
PCN alternative for syphilis & gono

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15
Q

SE of minocycline

A
coverage against CAP-MRSA
take on empty stomach
Soldyn for acne
blue-grey stain on teeth and hard palate
phototoxic
Preg Cat D/ Lact L2
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16
Q

Coverage for tetracyclines

A

gram neg, I.influenza, klebsiella, e.coli, n.meningitidis,
anaerobes: actinomyces, B. fragilis, peptostreptococcus
anthrax

17
Q

doxycycline ( Vibramycin, Dorynx)

A

MRSA coverage

Preg Cat D/ Lat L3-4

18
Q

democlocycline

A

used for SIADH or for SCLCA

19
Q

azitromycin (Z-pack)

A

half life 68 hrs

not a CYP3A4 interation

20
Q

Clarithromycin (Biaxin) issues

A

needs renal adjustment
CYP3A4 inhibitor
h.pylori
SE: bad tase, GI upset, QT prolongation

21
Q

erythromycin (Ery-tab, E-mycin)

A

CYP3A4 inhibitor

SE: diarrhea, GI upset, QT prolongation

22
Q

dosage for clarithromycin

A

adults: 250-500 mg Q6hrs

peds7. 5-15 mg/kg/d x 2 divided doses

23
Q

inhibit protein synthesis by binding to 50s ribosome

A

MOA of anaerobic agents

24
Q

coverage for Clinda and Lincomycin

A

gram positive, GABHS, anaerobes

alterative for PCn allergies

25
Q

inhibits the assembly of bacterial 23s ribosomal unit of 50s subunit preventing the formation of a functional 70s initiation complex that is needed for translational process of bacterial protein synthesis
-MAOI inhibitors

A

MOA of Oxazolidinone: Linezolid

26
Q

Se of CLinda/Lincomycin

A

C. diff, fever, rash, hepato

27
Q

coverage of linezolid

A

VRE, MRSA, MDRSP