Tetracycline Flashcards

1
Q

DOC for chlamydia

A

tetracycline: doxycycline
macrolide: azithromycin

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2
Q

free forms of tetracycline

A

crystalline amphoteric substances (low lipid solubility)

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3
Q

tetracycline hydrochloride

A

higher lipid solubility

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4
Q

t/f: in the presence of di and trivalent metal ions, they tend to impair the absorption and antibacterial activity of tetracycline

A

true.

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5
Q

t/f: do not give tetracyclines at the same time with preparations containing ions like milk dairy products and antacids

A

true

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6
Q

t/f: tetracyclines have good absorption in local areas like eyes and in mucous membranes and skin

A

true

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7
Q

mechanism in the development of resistance

A

decreased influx
ribosomal protection
enzymatic inactivation

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8
Q

short acting preparations (6-8hrs)

A

chlortetracycline
tetracycline

TetraChlor

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9
Q

intermediate acting preparations (12hrs)

A

demeclocycline
methacycline

DeMet

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10
Q

long acting preparations (16-18hrs)

A

doxycycline
minocycline

DoMino

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11
Q

tetracyclines are impaired by food except

A

doxycycline

minocycline

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12
Q

t/f: tetracycline is impaired by presence of alkaline ph

A

true

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13
Q

t/f: tetracyclines have high concentrations on saliva and tears

A

true

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14
Q

t/f: tetracycline ms can be passed thru placenta and breastmilk

A

true

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15
Q

excretion of tetracycline

A

almost equal: renal and biliary. most are excreted thru renal. exception: doxycycline and tigecycline (biliary)

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16
Q

MC AE requiring discontinuation

A

GI

17
Q

avoided in

A

during pregnancy
below 8 years old
breastfeeding women

18
Q

drug ti drug interactions. induce metabolism of tetracycline therefore shortens half life

A

CYP450 enzyme inducers: carbamazepine, phenytoin, barbiturates, chronic alcohol ingestion

19
Q

enhances nephrotoxicity of tetracyclines

A

diuretics