TB Drugs Flashcards

0
Q

This is not given to children below 6

A

Ethambutol

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1
Q

What drug/s is/are used for prophylaxis on AIDS patient to prevent TB

A

Azithro or clarithro

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2
Q

Among RIPES which must have no dose adjustment in cases of renal insuff

A

RIP

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3
Q

Anti TB DRUGS are effective at what phase of the bacteria

A

Replication

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4
Q

What virulence factor of TB decreases the permeability of drug

A

Mycolic Acid

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5
Q

This drug’s MOA is the inhibition of mycolic acid

A

INH

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6
Q

Among all anti TB drug which is considered a prodrug

A

INH and PZA

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7
Q

For INH to be active what must activate it

A

KatG which is a mycobacterial catalase-peroxidase by the bacteria

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8
Q

If the KatG gene is lost what type of resistance happen

A

High

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9
Q

What drug must be looked into when giving INH since this might increase its conx

A

Phenytoin and carbamazepine

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10
Q

Common side effect of INH

A

Hepatitis - age dependent
Peripheral neuritis
SLE - rare

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11
Q

With high level of resistance, is there cross resistance with ethionamide

A

None.

Low - YES.

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12
Q

What type of resistance is there when there is a change in inhA gene

A

Low type. Resistance present.

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13
Q

Other drugs causing SLE

A

Hydralazine
Pyrazinamide
Isoniazid

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14
Q

MOA of rifampicin

A

Inhibits RNA synthesis

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15
Q

Can be used for meningitis together with azithro and vancomycin

A

Rifampin

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16
Q

Can be used for leprosy

A

Rifampin

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17
Q

Used as prophylaxis for influenza

A

Rifampin

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18
Q

Common side effects of rifampin

A

Anemia. Thrombocytopenia. Red orange secretions. FLU LIKE s/sx

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19
Q

Among TB drugs which are enzyme inducers

A

Rifampin

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20
Q

Prevents binding to RNA polymerase is who’s MOA

A

Rifampin

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21
Q

What drug must be protected from light

A

Rip

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22
Q

Induces cyp450

A

Rif

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23
Q

Relatie of nicotinamaide

24
Disrupts mycobcterial cell membrane metab and cell transport
Pza
25
Pza is Converted to pyrazinoic acid by
Pyrazinamidase
26
It is known as a sterilizing agent
Pza
27
Must not be given to pts with gout
Pza
28
Must not be given to pts with porphyria
Pza
29
Must not be given to pts with arthralgia
Pza
30
This drug is important because it inhibits the formation of an essential component needed for the mycobcterial cell wall
Ethambutol. Arabinoglycan. Arabinosyl transferase
31
It causes retrobulbar neuritis
Ethambutol. Dose dependent
32
What drug must have reduced dose for pts with renal insuff
Ethambutol and Streptomycin
33
When emb gene is mutated, what drug is affected
Ethambutol
34
Irreversible inhibitor of protein synthesis
Stre
35
Among Ripes, which acts both intra and extra
IE R- not mentioned P- intra S - extra
36
IRE is only available to lactating and pregnant moms
True
37
Para aminosalicyclic acid cannot be used to pregnant
False. Sfe but poorly tolerated
38
Doc for MAC
Ethambutol PLUS rifam OR cipro PLUS azithro or clarithro
39
Used for MAC propy
Azithro OR clarithro
40
For m. Kansaii
IRE
41
Effective for lepromatous leprosy
Rifampin
42
Doc for leprosy
Dapsone
43
In cases of sulfone resistance what can be given
Clofazimine
44
What can be used as a clue that the patient is having clofazimine
Skin discoloration from res brown to black
45
2 drugs that can be given for erythema nodosum leprosum
Prednisone and Thalidomide
46
This anti leprosy drug causes erythema nodosum
Dapaone
47
Skin rash as major SE
Any drug esp strep
48
Causes ototox
Strep
49
Causes jaundice due to hepatitis
RIP
50
Causes psychosis and convulsion
Isoniazid
51
Thrombocytopenia and anemia
Rifamp
52
Oliguttia or albuminuria
RS
53
If patient drinking P had arthralgia due to hyperuricemia what must be done
Give nsaid
54
For pts havin flu lile symptoms with rifam should the drug be dc
No
55
If patient had GI intolerance what must be done
Give at bedtime
56
Regimen 1 - new patient
2 RIPE | 4 RI
57
Regimen 2 - relapse
2 RIPES 1 RIPE 5 IRE