(QUIZ) bacteriostatic Flashcards
Tetracyclines (4) T D D M
Gram (+) & (-)
Tetracycline
Demeclocycline
Doxycycline
Minocycline
Tetracycline MOA
broad spectrum
Inhibits tRNA binding to mRNA =inhibits growing peptide chain (protein synthesis)
Tetracycline uses
ear infection/URI Rocky Mountain/typhus/Q fever Chlamydia Cholera Mycoplasma pneumoniae Lyme disease Anthrax H.pylori Acne
Tetracycline AE
Stained/hypoplasia teeth Photosensitivity Superinfection Hepatotoxicity (doxy/mino) Renal toxicity (tetra/Deme)
Tetracycline reduced absorption with
Take 1 hr before/2 hrs after
Metal ions-
Ca/iron/mag supps, antacids, milk
Food
Macrolides (inhibit protein synthesis) C A C E
Clarithromycin
Azithromycin
Clindamycin- c.diff, CAMRSA
Erythromycin -(^1/2 warfarin/carbamazepine/theophylline)
Macrolides uses
Anaerobic (+/-) outside CNS PNA MAC Chlamydia H.flu Whooping cough, diphtheria, group A strep
All macrolides cause _______
QT prolongation
Avoid ___use w macrolides= Myopathies and ^QT
Avoid statin use w macrolides
simvastatin =^QT
Linezolid use reserved for
____/___
Also susceptible
____
____
MRSA/VRE
Also susceptible:
MRSE
Streptococcus pneumoniae (PCN sens/res)
Linezolid & Tesizolid AE
(oxazolidinones)
(bacteriostatic, protein synth inhibitor)
Myelosuppression (weekly cbc)
Rare neuropathies
Linezolid Interactions
2
MAOI
SSRI
Telithromycin
Use:
(ketolide)
Strep pneumoniae
Telithromycin SE
4
^QT
Liver injury
Visual
GI
Telithromycin BB Warning
Worsening muscle weakness w myasthenia gravis