Sulfonamides Flashcards
_____________ cofactor in synthesis of thymidine, purines, DNA
Tetrahydrofolic acid
Bacteria permeable or impermeable to folic acid?
impermeable
Bacteria must synthesis folic acid from _______
PABA
Sulfonamides compete with PABA for __________
enzyme dihydropteroate synthetase
Sulfonamides have _________ affinity for dihydropteroate synthetase
increased (more than PABA)
Static or cidal?
Static
Host cells not affected because they require __________ folic acid
preformed
Dihydrofolate reducatase inhibited by
trimethoprim
Excretion?
Renally
Can cause morbilliform rash, steven johnson syndrome, erythema multiforme, and photosensitivity rash
sulfonamides
Can cause _________ with less soluble compounds like sulfadiazine and sulfathiazole
crystalluria
Administer with or without fluids?
With
Can cause _______ when given in last months of pregnancy because it competes for _________ binding sites on plasma albumin
Causes increased or decreased fetal blood levels of unconjugated bilirubin?
Kernicterus
bilirubin
increased
__________ can have structural change in dihydropteroate synthetase
E. coli
Neisseria and staph overproduce _______
PABA