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Drugs Affecting the Immune System
Pharm Exam 2: Vallerand/Falahee
127
Pharmacology
Undergraduate 3
10/05/2009

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Term
ampicilin
Definition
T: Anti-infective
P: Aminopenicillin
Act: binds to bacterial cell wall, bactericidal
ADR: promotes suprainfection C. difficile growth (antibiotic-associated colitis), seizures, anaphylaxis
Term
cephalosporins
Definition
T: Anti-infective
P: cephalosporins
Act: binds to cell wall, bactericidal
ADR: promotes C. difficile growth (antibiotic-associated colitis), seizures, anaphylaxis, serum sickness
Term
clindamycin (Cleocin)
Definition
T: anti-infective

Act: inhibits protein synthesis in bacteria at 50 s ribosome
ADR: promotes C. difficile growth (antibiotic-associated colitis)
Term
metronidazole (Flagyl)
Definition
T: anti-infective, antiprotozoal

Act: disrupts DNA synthesis in susceptible organisms
Ind: Tx C.difficile
ADRs: seizures
Term
vancomycin (Vancocin)
Definition
T: anti-infective

Act: binds to bacterial cell wall, bactericidal Ind: Tx C. difficile, useful when less toxic drugs are contra-indicated, for life-threatening infections

ADRs: Anaphylaxis
Term
clavulanic acid
Definition
Beta lactamase inhibitor
Term
Tazobactam
Definition
Beta lactamase inhibitor
Term
Sulfabactam
Definition
Beta lactamase inhibitor
Term
potassium penicillin (Pen Vee K)*
Definition
T: anti-infective
P: Penicillins Penicillin G (Benzylpenicillin)
Act: binds to bact cell wall, bactericidal
ADR: penicillin most common cause of drug allergy, seizures, serum sickness
Term
procaine penicillin (Wycillin)
Definition
T: anti-infective
P: Penicillins -Procaine Penicillin G

ADR: penicillin most common cause of drug allergy
Term
benzathine penicillin (Bicillin L-A)
Definition
T: anti-infective
P: penicillins, benzathine peenicillin G (Benzylpenicillin) ADR: penicillin most common cause of drug allergy
Term
nafcillin (Unipen)*
Definition
T; anti-infective
P: Penicillinase-Resistant Penicillins
Act: bind to cell wall, bactericidal, not inactivated by penicillinase enzymes
ADRs: seizures, pseudomembranous colitis, anaphylaxis, serum sickness
Term
.. oxacillin (Bactocil)
Definition
T; anti-infectives
P: Penicillinase-Resistant Penicillins
Term
.. cloxacillin (Cloxapen)
Definition
T: anti-infectives
P:Penicillinase-Resistant Penicillins
Term
.. dicloxacillin (Dynapen)
Definition
T: anti--infectives
P: Penicillinase-Resistant Penicillins
Term
ampicillin (Omnipen)
Definition
Broad Spectrum Penicillins (Aminopenicillins)
Term
.. amoxicillin (Amoxil)*
Definition
T: anti-infectives
P: aminopenicillins
Broad Spectrum Penicillins (Aminopenicillins)

ADRs: seizures, pseudomembranous colitis, anaphylaxis, serum sickness
Term
Ampicillin/sulbactam (Unasyn)
Definition
T: anti-infectives
P: aminopenicillins/ beta-lactamase inhibitors Broad Spectrum Penicillins (Aminopenicillins) Beta-Lactamase
ADR: rash, diarrhea
Term
.. Amoxicillin/clavulanate (Augmentin)
Definition
T: anti-infectives
P: aminopenicillins/beta lactamase inhibitors Broad Spectrum Penicillins (Aminopenicillins) Beta-Lactamase
ADR: rash, diarrhea
Term
ticarcillin (Ticar) – no longer available alone
Definition
T: anti-infectives
P: (with clavulanate)Extended Spectrum Penicillins (Antipseudomonal Penicillins)
Term
.. piperacillin (Pipracil) - no longer available alone
Definition
T; anti-infectives
P: (with tazabactum)Extended Spectrum Penicillins (Antipseudomonal Penicillins)
Term
ticarcillin clavulanate (Timentin)*
Definition
T; anti-infectives
P: Extended Spectrum Penicillins (Antipseudomonal Penicillins) Beta-Lactamase
ACT: binds to cell wall
ADRs: diarrhea, rash, phlebitis, seizures, pseudomembranous colitis, anaphylaxis
Term
.. piperacillin tazobactam (Zosyn)
Definition
Extended Spectrum Penicillins (Antipseudomonal Penicillins) Beta-Lactamase
Term
Penicillin ADRs
Definition
Allergy (anaphylaxis), Diarrhea (Pseudomembranous colitis)-Tx vancomycin, Rash
Term
Cephalosporin ADRs
Definition
Allergy, bleeding, thrombophlebitis
Term
cephalexin (Keflex)*
Definition
T: anti-infectives
P: First generation Cephalosporin-
Act: increasing activity against Gm (-) bacteria and anaerobes
ADRs: diarrhea, rashes, N.V, phlebitis, seizures, pseudomembranous colitis, anaphylaxis, serum sickness
Term
Cefoxitin (Mefoxin)*
Definition
T: anti-infectives
P: Second Generation Cephalosporin
Act:increasing resistance to destruction by betalactamases
ADRs: diarrhea, rashses, phlebitis, seizures, pseudomembranous colitis, anaphylaxis, serum sickness
Term
Cefotaxime (Claforan)*
Definition
T: anti-infectives
P: Third generation Cephalosporin- Act: increasing ability to reach Central Spinal Fluid
Term
.. Cefepime (Maxipime)*
Definition
T; anti-infectives
P: Fourth Generation Cephalosporin- increasing CSF action
Term
imipenem or imipenem/cilastatin (Primaxin)*
Definition
T: anti-infectives
P: Carbapanem/beta lactam antibiotics with very broad spectrum
(combined with cilastatin, prevents renal inactivation of imipenim) resists enzymes that degrade most other penicillins

ADRs: diarrhea, N/V, rash, seizures, pseudomembranous coliis, anaphylaxis
Term
.. meropenem (Merrem)
Definition
T; anti-infectives
P: Carbapanem- beta lactam antibiotics with very broad spectrum
Term
.. ertapenem (Invanz)
Definition
T: anti-infectives
P: Carbapanem- beta lactam antibiotics with very broad spectrum
Term
.. doripenem (Doribax)
Definition
T: anti-infectives
P: Carbapanem- beta lactam antibiotics with very broad spectrum
Term
Vancomycin
Definition
Vancomycin- action against cell wall synthesis..severe infections
Term
Vancomycin ADRS
Definition
Thrombophlebitis, Allergy, Ototoxicity
Term
tetracycline*
Definition
T: anti-infectives
P: Penicillins Tetracyclines- broad spectrum,
Act: inhibit protein synthesis
(Unusual organism infections: mycoplasma, chlamydia, rickettsia, borellia)
Term
.. doxycycline (Vibramycin)
Definition
T: anti-infectives
P: Penicillins-Tetracyclines- broad spectrum, inhibit protein synthesis
Term
.. minocycline (Minocin)
Definition
T: anti-infectives
P; Penicillins- Tetracyclines- broad spectrum, inhibit protein synthesis
Term
Tetracycline ADRs
Definition
GI, effects bone, teeth, superinfection, Hepatoxicity, Renal toxicity, Photosensitivity NOT to young children- Ca issues, BROWN TEETH
Term
erythromycin (E-Mycin)*
Definition
T: anti-infectives
P: Macrolides
Act: suppresses protein synthesis at 50s bact ribosome
ADRs: n/v, phlebitis, ventricular arrythmias
Term
.. clarithromycin (Biaxin)
Definition
T; agents for atypical mycobacterium, anti-infectives
P: Macrolides
Term
.. azithromycin (Zithromax
Definition
T: anti-infectives
P: Macrolides
Term
Macrolides ADRs
Definition
GI distress, Hepatoxicity, Hypersensitivity... use if allergic to penicillin, effective against H. influenzae, BROAD Spectrum
Term
Clindamycin (Cleocin)
Definition
T: anti-infecives
P: Miscellaneous
Act: Inhibits protein synthesis,
ADRs: can induce pseudo colitis, only for anaerobic infections outside of CNS
Term
linezolid (Zyvox)
Definition
T: anti-infectives
P: oxaolidinones
Act: inactivates bact protein synthesis at 23s and 50s subunit
Term
.. telithromycin (Ketek)
Definition
MT: anti-infectives
P: ketolides
Act: blocks bact protein synth at 50s subunit
Term
.. quinapristin/dalfopristin (Synercid)
Definition
T: anti-infectives
P: streptogramins
ACT: vanco-mycin-resistant enterococcus faecium, S. aureus, S pyogenes
Term
.. drotrecogin (Xigris)
Definition
T: anti-infectives
P: activated protein C, human
Ind: to reduce mortality in adult patients with sepsis
Term
gentamicin (Garamycin)
Definition
T: anti-infectives
P: Aminoglycoside- for AERobic gram (-) bacilli, Anaerobes are resistant...good concentrations of aerobic in peritoneal fluid
Term
.. tobramycin (Nebcin)*
Definition
T: anti-infectives
P; Aminoglycoside
Act: protein synthesis at 30s ribosome, used in serious infections when other less toxic drugs are contraindicated
ADRs: ataxia, ototoxicity, neprotoxicity
Term
.. amikacin (Amikin)
Definition
T: anti-infectives
P:Aminoglycoside
Term
.. neomycin (Mycifradin)
Definition
T: anti-infectives
P: Aminoglycoside
Term
.. kanamycin (Kantrex)
Definition
T: anti-infectives
P: Aminoglycoside
Term
.. streptomycin
Definition
T: anti-infectives
P: Aminoglycoside
Term
Aminoglycosides ADRS
Definition
Ototoxicity (may be irreversible) nephrotoxicity, check high creatinine
Term
trimethoprim/sulfamethoxazole* (TMP/SMZ, Bactrim, Septra)
Definition
T: anti-infectives, antiprotozoals
P: folate antagonists, sulfonamides
Act: Sulfonamide- develops resistance, used in combinations, esp for p. carinii, UTI...inhibits the metabolism of folic acid in bacteria at two different points
ADRs: n/v, rashes, pseudomembranous colitis, hepatic necrosis, toxis epidermal necrolysis, agranulocytosis, aplastic anemia, erythema multiforme
Term
Sulfonamide ADRs
Definition
Hypersensitivity, Crystalluria
Term
isoniazid (INH)*
Definition
T: Antitubercular (First-Line, may use 3 drugs for 1-2 years)...
Act: interferes with mycobacterial cell wall synthesis and interferes with metabolism
ADRs: Nephrotoxicity, increased risk with rifampin and ETOH, monitor LFT's monthly, black/hispanic women, post-partum women, patients over 50 increased risk... interferes with actions of Vit B6, essential in nerve
Term
.. ethambutol (Myambutol)
Definition
T: Antitubercular (First-Line, may use 3 drugs for 1-2 years)
Act; inhibits growth of mycobacteria
Term
.. pyrazinamide
Definition
T: Antitubercular (First-Line, may use 3 drugs for 1-2 years)
Term
.. rifampin (Rifadin)*
Definition
T:Antitubercular (First-Line, may use 3 drugs for 1-2 years)...
P: rifamycins
Acts: through body fluids and CSF dist. Causes orange-red urine, saliva, etc., may color lenses ADRs: asymptomatic hepatitis
Term
.. rifapentine (Priftin)
Definition
T:Antitubercular (First-Line, may use 3 drugs for 1-2 years)
Term
norfloxacin (Noroxin)
Definition
T: anti-infectives
P: Fluoroquinolones- spectrum: UTI enterobacter, Staph, Pseudomonas, S. pneumoniae, anthrax (ciprofloxacin) Interacts: antacids, Fe, Zn avoid within 2 hr.

ADRs: pseud colitis, rash, dizziness, headache, insomnia
Term
.. ciprofloxacin (Cipro)*
Definition
T: anti-infectives
P: Fluoroquinolones
Act: spectrum: UTI enterobacter, Staph, Pseudomonas, S. pneumoniae, anthrax (ciprofloxacin) Interacts: antacids, Fe, Zn avoid within 2 hr.

ADRs: pseud colitis, rash, dizziness, headache, insomnia
Term
.. ofloxacin (Floxin)
Definition
T: anti-infectives
P: Fluoroquinolones
Term
..levofloxacin (Levaquin)
Definition
T: anti-infectives
P: Fluoroquinolones
Term
.. moxifloxacin (Avelox)
Definition
T: anti-infectives
P: Fluoroquinolones
Term
.. gemifloxacin (Factive)
Definition
T: anti-infectives
P: Fluoroquinolones
Term
Metronidazole (Flagyl)*
Definition
anti-infective, anti protozoal, obligate anaerobe infections, H. Pylori. ADRs: neurotoxicity, allergy, superinfections. Inter: Disulfiram-like reaction with ETOH
Term
amphotericin B (Fungizone)
Definition
T: antifungals
Amphotericin B Anti-fungal...test dose,
ADRs: thrombophlebitis, fever, HA, chills, anorexia, N/V Add heparin to IV for thrombo. Pretreat withh Benadryl, Tylenol..rigors: Demerol
Term
.. amphotericin B cholesteryl sulfate (Amphotec)
Definition
T: antifungals
Term
.. amphotericin B lipid complex (Abelcet)
Definition
T: antifungals
Term
.. amphotericin B liposome (AmBisome)
Definition
T: antifungals
Term
Ketoconazole (Nizoral)
Definition
T: antifungals (systemic)
P: Azole Anti-fungal agent. Fungistatic, disrupts fungal cell membrane
ADRs: hepatotoxicity, effect on sex hormones, N/V, headache
Term
Clotrimazole- topical
Definition
T: Antifungal for superficial mycoses: ringworm
Term
Griseofulvin- oral
Definition
T: Antifungal for superficial mycoses: ringworm
Term
miconazole (Monistat)*
Definition
Antifungal
Term
.. ketoconazole (Nizoral)
Definition
Antifungal
Term
.. nystatin (Mycostatin)
Definition
T;Antifungal (Topical)
Term
.. clotrimazole (Lotrimin
Definition
T:Antifungal (topical)
Term
.. fluconazole (Diflucan)
Definition
T:Antifungal (systemic)
ADRS: hepatotoxicity, Stevens-Johnson Syndrome, Anaphylaxis
Term
.. itraconazole (Sporanox)
Definition
T:Antifungal (systemic)
Term
Anidulafungin (Eraxis)
Definition
T: Anti-fungals -
P: echinocandins
Act: inhibits synthesis of fungal cell wall
Term
.. Caspofungin (Cancidas)
Definition
T: Anti-fungals (systemic
P: echinocandins
Term
.. Micafungin (Mycamine)
Definition
T; Anti-fungals -
P: echinocandins
Term
acyclovir (Zovirax)*
Definition
T: Anti-viral agents,
P: Purine analogues
Spectrum- H. zoster, H. simplex, does not cure virus, topical q3hr x 7days, PO and IV
ADRs: dizziness, headache, diarrhea, n/v, renal failure, seizures,
Term
.. ganciclovir (Cytovene)
Definition
T: Anti-viral agents

Act: inhibits viral DNA polymerase
Term
.. famciclovir (Famvir)
Definition
T:Anti-viral agents

ACT: Herpes only
Term
.. valacyclovir (Valtrex)
Definition
T: Anti-viral agents
Term
.. foscarnet (Foscavir)
Definition
T: Anti-viral agents
Term
.. ribavirin (Virazole)
Definition
T; Anti-viral agents
P: nucleoside analogues
Term
.. cidofovir (Vistide)
Definition
T: Anti-viral agents
Act: especially for cytomegalovirus retinitis in HIV patients
Term
interferon alfa-2b (Intron-A)
Definition
T: Anti-viral for Hepatitis B (HBV) (trans: blood, semen)
P: interferons
Term
.. peginterferon alfa-2a (Pegasys)
Definition
T: Anti-viral for Hepatitis B (HBV) (trans: blood, semen)
P: interferons
Term
.. lamivudine (Epivir-HBV)
Definition
T; Anti-viral for Hepatitis B (HBV) (trans: blood, semen)
T: antiretrovirals, antivirals
P: nucleoside reverse transcriptase inhibitors
Term
.. entecavir (Baraclude))
Definition
T: Anti-viral for Hepatitis B (HBV) (trans: blood, semen)
P: nucleoside analogues
Term
Pegylated interferon alfa-2a and 2b combined with ribavirin
Definition
Anti-viral for Hepatitic C (HCV), most common casue of liver transplants, no symptoms initially, trans: blood, semen
Term
Fluarix
Definition
intranasal annual influenza vaccine
Term
Fluzone
Definition
subcutaneous annual influenza vaccine
Term
Fluvirin
Definition
subcutaneous annual influenza vaccine
Term
Flumist
Definition
intranasal annual influenza vaccine, best for children, adults under 50
Term
Zidovudine (Retrovir)
Definition
T: antiretrovirals
P: Nucleoside Reverse Transcriptase Inhibitors (NRTIs) inhibits HIV replication. ADRs: anemia, neutropenia, lactic acidosis, GI- pancreatitis, CNS- peripheral neuropathy
Term
didanosine (Videx)
Definition
T: antiretrovirals
P: Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
Term
.. emtricitabine (Emtriva)
Definition
T: antiretrovirals
P: Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
Term
.. stavudine (Zerit)
Definition
T: antiretrovirals
P: Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
Term
.. lamivudine (Epivir)
Definition
T: antiretrovirals
P: Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
Term
.. abacavir (Ziagen)
Definition
T: antiretrovirals
P: Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
Term
.. tenofovir disoproxil fumarate (Viread)
Definition
T: antiretrovirals
P: Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
Term
.. Trizivir (abacavir
Definition
T: antiretrovirals
P: Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
Term
.. Combivir (lamivudine & zidovudine)
Definition
T: antiretrovirals
P: Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
Term
nevirapine (Viramune)
Definition
T: antiretrovirals
P:Non-nucleoside reverse transcriptase inhibitors (NNRTS) bind to HIV reverse transcriptase. ADRs; N/V, rash, interacts with many other drugs, used in combo Tx
Term
.. efavirenz (Sustiva)*
Definition
T: antiretrovirals
P: Non-nucleoside reverse transcriptase inhibitors (NNRTS)
Act: bind to HIV reverse transcriptase.
ADRs; N/V, rash, interacts with many other drugs, used in combo Tx
Term
.. delavirdine (Rescriptor)
Definition
Non-nucleoside reverse transcriptase inhibitors (NNRTS) bind to HIV reverse transcriptase. ADRs; N/V, rash, interacts with many other drugs, used in combo Tx
Term
.. etravirine (Intelence)
Definition
Non-nucleoside reverse transcriptase inhibitors (NNRTS) bind to HIV reverse transcriptase. ADRs; N/V, rash, interacts with many other drugs, used in combo Tx
Term
saquinavir (Invirase
Definition
T: antiretrovirals
P: Protease Inhibitors-
Act: prevent HIV from being assembled and released from infected CD4 cell, used in combo Tx
ADR: seizures, Stevens-Johnson Syndrom Drug-drug interactions
Term
.. indinavir (Crixivan)
Definition
T: antiretrovirals
P: Protease Inhibitors- prevent HIV from being assembled and released from infected CD4 cell, used in combo Tx
Term
.. ritonavir (Norvir)
Definition
T: antiretrovirals
P: Protease Inhibitors- prevent HIV from being assembled and released from infected CD4 cell, used in combo Tx
Term
.. nelfinavir (Viracept)
Definition
T: antiretrovirals
P: Protease Inhibitors- prevent HIV from being assembled and released from infected CD4 cell, used in combo Tx
Term
.. lopinavir/ritonavir (Kaletra)* - metabolic inhibitor
Definition
T: antiretrovirals
P: Protease Inhibitors- inhibits viral protease...prevent HIV from being assembled and released from infected CD4 cell, used in combo Tx
Term
.. atazanavir (Reyataz)
Definition
T: antiretrovirals
P: Protease Inhibitors- prevent HIV from being assembled and released from infected CD4 cell, used in combo Tx
Term
.. fosamprenavir (Lexiva)
Definition
T: antiretrovirals
P: Protease Inhibitors- prevent HIV from being assembled and released from infected CD4 cell, used in combo Tx
Term
.. tipranavir (Aptivus)
Definition
T: antiretrovirals
P: Protease Inhibitors- prevent HIV from being assembled and released from infected CD4 cell, used in combo Tx
Term
.. darunivir (Prezista)
Definition
Protease Inhibitors- prevent HIV from being assembled and released from infected CD4 cell, used in combo Tx
Term
Protease Inhibitor ADRs
Definition
Hepatoxicity, bone density, bleeding, hyperglycemia, fat redistribution
Term
enfuvirtide (Fuzeon)
Definition
HIV fusion inhibitor- blocks entry of HIV into cd4 T cells, $20,000/ yr, ADR: injection reaction
Term
maraviroc (Selzentry)
Definition
New antiretroviral- CCR5 co-receptor antagonist, only for certain strain
Term
raltegravir (Isentress)
Definition
New antiretroviral- integrase strand transfer inhibitor, only if failing and or has resistance to other treatments
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