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Antibiotics III & IV
BBD Lec Berline
29
Medical
Professional
04/09/2010

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Cards

Term
inhibitors of RNA polymerase?
Definition
Rifampin and Clofazimine
Term
side effects of Rifampin?
Definition
induces P450 enzymes, orange body fluids.
Term
indications for Rifampin?
Definition
Leprosy and TB
Term
indications for Clofazimine?
Definition
Leprosy
Term
Topoisomerase II and IV inhibitor?
Definition
Quinolones
Term
side effects of Fluoroquinolones?
Definition
cartilage function and prolong QTc
Term
when do you use fluoroquinolones?
Definition
reserved for serious infections and heavily resistant bugs
Term
drug that blocks DNA synthesis?
Definition
Metronidazole
Term
Inhibits a.a. tRNA synthetase?
Definition
Linezolid (inhibits formation of fMET tRNA) and Mupirocin (gram+, MRSA, VREF, 50S subunit)
Term
Inhibitors of Initiation complex?
Definition
aminglycosides (30S subunit, gram-, endocarditis, "ear-reversible" toxicity) and tetracyclines (acne, lyme, bone chelation, phototoxicity)
Term
inhibitors of peptide bond formation and elongation?
Definition
chloramphenicol (peptidyl synthetase), clindamycin (dissociates tRNA from ribosome, gram+) and macrolides (pseudomembranous colitis)
Term
what suffix do all fluoroquinolones have in common?
Definition
"-floxacin" (cipro-, nor-,o-,levo-)
Term
what does erythromycin inhibit?
Definition
translocase (movement of growing peptide from A to P site in ribosome)
Term
major side effect of erythromycin?
Definition
potentiation of other drugs (blocks P450 enzymes)
Term
what is the 1/2 life of azithromycin?
Definition
70 friggn hours!
Term
what is another macrolide P450 inhibtor (aside from erythromycin)?
Definition
telithromycin (Ketek)
Term
Quinipristin and Dalfopristin (synercid) bind on which ribosomal subunit?
Definition
50s, just like the macrolides
Term
does synercid treat VREF ?
Definition
yessir.
Term
what are the 4 goals of TB treatment?
Definition
1) eradicate disease entirely, 2) allow no emergence of resistant strains, 3) minimize drug toxicity, 4) investigate all possible contact; its a social disease
Term
what are the 1st line group of drugs for TB treatment?
Definition
isoniazid + rifampin (and ethambutol and pyrazinamide)
Term
how is the metabolism of isoniazid different between people?
Definition
its metabolism is genetically controlled
Term
what drug is common to all 4 types of leprosy treatment?
Definition
rifampin
Term
what is the history of thalidomide?
Definition
1960s, a single tablet taken during 1st trimester of pregnancy caused caused congenital abnormalities.
Term
is the Dapsone 1/2 life long or short? what is it used for?
Definition
long. used for folic acid synthesis (blocks that PABA thing)
Term
what is one of the most important ways of avoiding resistance?
Definition
wash your hands!
Term
what causes Grey Baby Syndrome?
Definition
Chloramphenicol
Term
What causes Red Man Syndrome?
Definition
Vancomycin
Term
what causes Steven Johnson Syndrome?
Definition
Sulfamethoxazole + Trimethoprim
Term
what causes Kernicterus?
Definition
Sulfamethoxazole + Trimethoprim
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