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Antimicrobial Drugs
Nucleic Acid Disruptors
29
Veterinary Medicine
Graduate
03/07/2012

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Cards

Term
Different Types of Nucleic Acid Disruptors
Definition
-DNA replication inhibitors
- RNA synthesis inhibitors
-DNA damaging agents
Term
DNA replication inhibitors
Definition
Quinolones
Term
RNA synthesis inhibitors
Definition
Rifamycins
Term
DNA Damaging agents
Definition
Nitroimidazoles
Term
Examples of Quinolones
Definition
Fluoroquinolones
Term
Approved Fluoroquinolones
Definition
Enrofloxacin
Ciprofloxacin
Marbofloxacin
Term
Fluoroquinolones mechanism of action
Definition
Prevent DNA replication
Term
FQ Activity
Definition
Bactericidal, concentration dependent;

CAN LOSE EFFICACY if too high a concentration!!
Term
FQ spectrum of action
Definition
Aerobic Gram - ; Extra and intracellular bacteria; variable against Gram + (terrible against strep)
Term
FQ Combinations
Definition
No antagonism
Term
FQ pharmacokinetics
Definition
mainly renal elimination (some liver)
Term
ciprofloxacin
Definition
FQ - DNA replication inhibitor.

The active form of enrofloxacin

Only FQ with liver metabolism
Term
Enrofloxacin
Definition
FQ- DNA Synthesis Inhibitor

The active form is ciprofloxacin
Term
Marbofloxacin
Definition
FQ- DNA synthesis inhibitor
Term
FQ Pharmacokinetics
Definition
well absorbed orally in monogastrics (esp. dogs and cats). Oral absorption is decreased by di and trivelent cations.
--extra and intracellular. Good penetration into fluids and deep tissues.
Term
FQ Adverse Effects
Definition
Relatively Safe drugs; mild GI distrurbances; articular damage in growing juveniles. Tendon/ligament toxicity.
--Dose Dependent reactions. Retinal degenration, neurotoxicity (decrease seizure threshold). Avoid in epileptic animals. Rapid resistance reaction.
Term
FQ clinical uses
Definition
Appropriate Use of the Drug range.
Too low: resistance and failure of tx.
Too high: lowered efficacy
Concentration dependent: requires a relatively high Cmax: MIC ratio.
--off label use banned in food animal!
Term
Rifamycins
Definition
RNA transcription inhibitors
Term
Nitroimidazoles
Definition
Causes DNA damage
Term
Example of Nitroimadazole
Definition
Metronidazole
Term
Example of Rifamycins
Definition
Rifampin
Term
Rifampin Activity
Definition
Bactericidal; concentration dependent.
--mostly aerobic Gram +; extra and intracellular. Obligate anaerobes are resistant.
Term
Rifampin Combinations
Definition
Antagonism with other bacteriostatics

Liver enzyme inducer. will modify PK of various drugs
Term
Rifampin Adverse Effects
Definition
Relatively safe; teratogenic (banned in food animals pregnant animals!)
--Hepatotoxicity---reported in dogs
Term
Teratogenic
Definition
causes birth defects
Term
Metronidazole
Definition
DNA damage; Bactericidal; time or concentration dependent (depends on microbe). Only in anaerobic conditions
Term
Metronidazole spectrum of action
Definition
most obligate anaerobics

Extra and intracellular bacteria
Term
Metronidazole pharmacokinetics
Definition
well absorbed orally (not palatable).
VERY GOOD fluid and tissue penetration. Mixed hepatic and renal elimination
Term
metronidazole Adverse effects
Definition
relatively safe drug. Very unpalatable; alteration GI flora. Neurotoxicity at high doses. drug interactions due/to liver metabolism. Banned in food animals/pregnant animals/avoid long term use. Carcinogenic/Teratogenic.
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