Protein Synthesis Inhibitors Flashcards
___________ (Tetracyclines/Amphenicols) are derivatives of naphthacene carboxamide
Tetracyclines
Tetracyclines bind reversibly to the ____ (50S/30S) subunit of bacterial ribosomes
30S
Tetracyclines are _________ (bactericial/bacteriostatic) agents.
bacteriostatic
Tetracylines block the attachment of _____ (mRNA/tRNA) on the ribosomes.
tRNA (prevents the binding of aminoacyl tRNA to the acceptor site on the mRNA–ribosome
complex)
Resistance to tetracylines is _________-mediated
plasmid
Absorption of tetracyclines is impaired by ________
(stomach/intestinal) contents, especially milk and antacids.
stomach
___________, (minocycline/tigecycline) an exception, is only administered
IV.
Tigecycline
Therapeutic concentrations in the brain and CSF can be achieved with ______ (demeclocycline/minocycline)
minocycline
The primary route of elimination for most tetracyclines is the __________ (kidney/liver)
kidney
___________ and ___________ do not accumulate and hence are the safest tetracycline to administer to individuals with impaired renal function. (doxycycline/oxytetracycline/tigecycline/demeclocycline)
Doxycycline and tigecycline
Many tetracyclines undergo ___________ recirculation
enterohepatic
Tetracyclines are active against what kind of bacteria?
Both gram-negative and gram-positive organisms
Tetracyclines are used predominantly for the treatment of ___________ infections
Rickettsial
Tetracyclines are used to treat _______ and chlamydia infxns
acne
Minocycline also achieves high concentrations in three places.
Endolymph
Saliva
Tears
________ is preferred in patients with renal dysfunction as it is excreted in feces
Doxycycline
Vertigo and tinitus are more pronounced with the use of ___________
Minocycline
Esophagitis may be minimized by _____________ and with the use of capsules
administration of food
What is pseudotumor cerebri?
Benign intracranial HTN characterized by headache and dizziness.
What are effects of tetracycline depositing in calcified tissues?
Discoloration and hypoplasia of teeth
Temporary stunting of growth
What are effects of tetracycline depositing in calcified tissues?
Discoloration and hypoplasia of teeth
Temporary stunting of growth
What things decrease the absorption of tetracycline?
Dairy products
Iron supplements
Ca, Mg and Al Antaacids
Sunburn is more frequently with the use of ___________ and _____________
Tetracycline
Demeclocycline
Tetracyclines should be taken __________
a. on an empty stomach
b. with food
on an empty stomach