Tetracyclines Flashcards

1
Q

Naturally occuring TTC and fungi

A

Streptomyces spp

  • oxytetracyclines
  • chlortetracyclines
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2
Q

semisynthetic TTC

A

doxycyclines

minocyclines

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3
Q

short half life TTC

A

Tetracyclines
oxytetracyclines
chlortetracyclines

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4
Q

intermediat TTC

A

demeclocycline

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5
Q

long acting TTC

A

Doxycyclines

minocyclines

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6
Q

TTC: mechanism of action

A

30 s – inhibition of protein synthesis

Bacteriostatic – high concentration turns cidal

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7
Q

Antimicrobial spectrum of TTC

A

Bacteria
• mycoplasma haemofelis: resp infections
• rickettsia
• chlamydia: first choice
• Wolbachia spp
• Bordetella bronchiseptica: kennel cough, atrophic rhinits
• Borrelia: lyme disease, anaplasma phagocytophilum

Protozoae
•	Plasmodium spp
•	Entamoeba histolycia
•	Babesia spp
•	Theileria spp
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8
Q

Mechanism of resistance against TTC

A

Active efflux
AB degrading enzymes – destroys antibiotics
Multiresistance is common

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9
Q

Bacterias resistance towards TTC

A

Ab ovo
• Pseudomonas aeriguinosa

Aquired
•	Pathogenic E.coli
•	Salmonella spp
•	Pasteruella multocida
•	Mannheimia haemolytica
•	Staphylococcus aureus, streptococcus – 50% resistant
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10
Q

Pharmacokinetic features of classic TTC

A

Absorption: moderate, impaired by food (Ca, Mg)

Distribution: good - penetrates bone (yellow discolouration)

metabolism: low degree

Excretion: mainly urine . better

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11
Q

Pharmacokinetic features of long acting TTC

A

absorption: excellent

Distribution: excellent (bone)

Metabolism: low degree

Excretion: mainly large intestine, bile

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12
Q

Which type of TTC should not be given to farm animals?

A

Classic TTC

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13
Q

what is the excretion route of TTC in dogs

A

20% Urine
5% Bile
75% large intestine, secretion

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14
Q

indications for TTC

A

Lyme disease and ehrlichiosis (especially doxycyclines)

Chlamydiophilosos

Feline mycoplasmosis (formerly haemobartonellosis)
Infectious 

keratoconjunctivitis in cattle
• Moraxella bovis

Proliferative enteropathy in horses - lawsonian intracellularis
• Also important in swine
• Horses: doxyciclines - only drug, lethal if it goes untreated

Nocardiosis

Heartwater

Anaplasmosis

Heartworm – dirofilaris
• give for 30 days and then wait for 30 days, treat again for the heart worm in 30 days

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15
Q

Side effects of TTC

A
Tissue irritant
Oral application - Fe + small dogs
•	Will cause irritation of oesophagus
•	Wash the esophagus with water or give food to try and get rid of them
•	Can caus necrosis of the wall
GI disturbances
•	Vomit
•	Diarrhea
Dysbacteriosis
•	Rabbits, horses herbivore rodents
Rapid intravenous injection: collapse
•	TTC will bind Ca in the blood
•	Leads to hypocalcemia that causes the collapse
•	Decreases the contractility of the heart
Tissue necrosis
•	IM or SC
Yellow discolourixation of teeth: growing animals
Heptatoxicity
•	Infrequent, can be very severe 1-2%
•	Long time + hepatoprotective (Silimarine, deoxycholic acid)
Nephrotoxicity
•	Mild
Photosensitivity
•	50 factor applied to dog
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