Tetracyclines Flashcards
Pharmacokinetics of tetracycline
Oral
Impaired by food and cations
ENTEROhepatic recycling
Doxycycline is not hepatically metabolised excreted in feces so it and tigecycline can be given in renal patients.
MOA
Bind 30s ribosomes
Prevents binding of aminoacids tRNA to ribosome and mrna complex
Primary use
Mycoplasma pneumonia in adults
Chlamydia, rickettsiae, vibrios
CAP
Secondary use
Syphilis
Prophylaxis against chronic bronchitis
Resp infection
Uses
H pylori
Lyme disease =doxycycline
Meningo coccal carrier= minocycline
Prevents malaria
Amebiasis
Demecocycline inhibits ADH
TIGECYCLINE = oral, IV
Toxicity
Nausea, diarhea,
Enterocolitis
Candidiasis
Enamel dysplasia
Hepatotoxic
Renal toxic
Photosensitive
Vestibular toxicity