Tuberculosis Tx Flashcards
Tx for M. tuberculosis?
RIPE: Rifampin (Rifadin), Isoniazid, Pyrazinamide, Ethambutol (Myambutol)
MOA INH?
Decrease synth of mycolic acid
INH toxicity?
Neuro, hepato
How to prevent INH neurotox?
Vit B6
What are the Rifamycins?
Rifampin, rifabutin
MOA Rifamycins?
Inhib DNA-dependent RNA polymerase
SE of Rifamycins?
Orange body fluids, hepatotox, drug interaction (CP450 stimulation)
What are the 4 Rs of Rifampin?
RNA pol inhib, Ramp up CP450 (rifAMPin only), Red/orange body fluids, Rapid resistance if monoTx
SE of pyrazinamide?
Hyperuricemia, hepatotox
Ethambutol MOA?
Decreased carb polymerizatin of mycobac cell wall by blocking arabinosyltransferase
SE of Ethambutol?
Optic neuropathy (red-green color blindness)