TB Drugs Flashcards

1
Q

MOA of rifamycins

A

inhibit DNA dependent RNA polymerase

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2
Q

what is rifamycins used for

A
  • TB

- HFLU and all meningitis prophylaxis

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3
Q

What are the four Rs of rifamycins

A
  1. RNA polymerase inhibitor
  2. ramps up P450
  3. red orange body fluids
  4. rapid resistance if used alone
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4
Q

MOA of isoniazid

A

dec synthesis of mycolic acids

bacterial catalase - KatG - needs to convert to active

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5
Q

describe the toxicity of Isoniazid

A

INH = Neuro and hepato

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6
Q

how can you prevent neurotoxicity with isoniazid

A

pyrimidine

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7
Q

What is the MOA and s/e of ethambutol?

A

MOA: dec carb polym - inhibit arabinosyltransferase

s/e: optic neuropathy

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8
Q

What is ceftriaxone used for

A
  • meningitis
  • gonorrhea
  • disseminated lyme disease
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9
Q

What would you use for a STD infection with presumed gonorrhea

A

ceftriaxone + azithromycin or doxy for chlamydia

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10
Q

What does chloramphenicol treat

A

all meningitis causes

rocky mountain fever

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11
Q

What are the s/e of chloramphenicol

A

gray baby syndrome

anemia -dose dependent

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12
Q

What drug do you use for high risk endocarditis

A

amoxicillin

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13
Q

What are the prophylactic drugs for HIV and what/ when are they used?

A
  1. <50 azithromycin or clarithromycin for MAC
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14
Q

What is the MOA of terbinafine, what is it used for

A

inhibits squalene epoxidase

treats dermatophytoses

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15
Q

MOA and use of griseofulvin

A

interferes with MT function

treats dermatophytes

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16
Q

MOA of chloroquine

A

blocks detox of heme into hemozoin - heme accumulates and is toxic to plasmodia

17
Q

chloroquine is used to treat plasmodia other than falciparum, what should you treat falciparum with

A

artemether / lumefantrine or
atovaquone/proguanil

life threatening: quinidine or artesunate

18
Q

What drug prevents relapse of vivax or ovale

A

primaquine

19
Q

What are the intererons used for

A

alpha - hep B and C
Beta - MS
gamma - chronic granulomatous disease