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Pharm 32 Bacterial Nuclei Acid
Golan Second Edition
34
Pharmacology
Graduate
04/05/2011

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Term
Topoisomerase Inhibitors
Definition
Quinolones
Term
Quinolone MOA
Definition
Inhibit prokaryotic type II topoisomerase. Bactericidal by dsDNA breaks
Term
Quinolones
Definition
Cipro/Gati/Levo/Moxi/Nor/O-floxacin
Term
Quinolone Information
Definition
Gram-negative {Cartilage/tendon damage, peripheral neuropathy, increased intracranial pressure, seizure, hypersensitivity, GI disturbance} [tizanidine w/ ciprofloxacin] Target or efflux resistance
Term
Transcription inhibitors
Definition
Rifabutin, Rifampin
Term
Menincococci prophylaxis
Definition
Rifampin
Term
Rifabutin, Rifampin
Definition
Mycobacteria {Thrombocytopenia, hepatotoxicity, fluid discoloration, elevated liver function tests, GI disturbance} [Neisseria meningitidis] Quick rifampin resistance. Rifampin reduces cyclosporine. Avoid clarithromycin and rifabutin
Term
16s of 30s antibacterials
Definition
Aminoglycosides, Spectinomycin, Tetracyclines, Glycylcyclines
Term
Aminoglycoside MOA
Definition
Bactericidal due to misread proteins. Synergistic with beta-lactam antibiotics. Resistance: plasmid transferase, inpaired entry, 30s mutation
Term
Aminoglycosides
Definition
Amika/Gentami/Kanamy/Neomy/Netilmi/Paromomy/Streptomy/Tobramy-cin
Term
Aminoglycoside Information
Definition
Serious Gram-negatives {Ototoxicity, acute renal failure, neuromuscular blockade, repiratory paralysis} [hypersensitivity]
Term
Spectinomycin
Definition
Gonorrhea alternative {Injection site pain, nausea, dizziness, insomnia} [Hypersensitivity} 70s forms but translocation is blocked
Term
Tetracyclines
Definition
Chlortetra/Demeclo/Doxy/Metha/Mino/Oxytetra/Tetra-cycline
Term
Tetracycline MOA
Definition
Actively transported, Resistance: plasmid efflux pumps or enzymatic inactivation
Term
Topoisomerase Targets
Definition
C. acnes, H. influenzae, V. cholerae, spirochetes, M. pneumoniae, Chlamydia, rickettsia {Bulging fontanelle, teeth hypoplasia, growth retardation, hepatotoxicity, pseudotumor cerebri, photosensitivity, rash, candidal infection} [Later pregnancy, infancy, child, renal impairment] Take on empty stomach without calcium
Term
Doxycycline
Definition
Malaria prophylaxis. Okay with renal impairment
Term
Minocycline
Definition
{Vestibular disturbance}
Term
Glycylcyclines
Definition
Tigecycline
Term
Tigecycline MOA
Definition
30s
Term
Tigecycline Information
Definition
Skin infection, abdominal infection {GI disturbance} Avoid acitretin causing increased intracranial pressure, similary to tetracyclines
Term
23s of 50s near peptidyl transferase active center
Definition
Macrolides, Ketolides, Chloramphenicol, Lincosamides, Streptogramins, Oxazolidinones
Term
Macrolides
Definition
Azithromycin, Clarithromycin, Erythromycin
Term
Ketolides
Definition
Telithromycin
Term
Macrolide & Ketolide Information
Definition
{Acute cholestatic hepatitis, ototoxicity, GI disturbance} [hepatic dysfunction] Inhibit hepatic metabolism, greater oral digoxin absorption. Resistance: 50s mutation, methylases, esterases
Term
Telithromycin
Definition
{Rare fulminant hepatic necrosis}
Term
Erythromycin
Definition
C. acnes, Legionella, Treponema pallidum, M. pneumoniae, Chlamydia
Term
Clarithromycin
Definition
increased H. influenzae
Term
Azithromycin
Definition
increased H. influenzae and M. catarrhalis
Term
Chloramphenicol
Definition
Broad-spectrum esp. anaerobes and rickettsiae {G6PD hemolytic anemia, aplastic anemia, gray baby} Antagonizes penicillins and aminoglycosides, inhibit mitochonria and hepatic function
Term
Licosamides
Definition
Clindamycin
Term
Clindamycin
Definition
Anaerobes {Pseudomembranous colitis, increased liver tests, jaundice, GI disturbance, rash} C. difficile growth
Term
Streptogramins
Definition
dalfopristin/quinupristin
Term
Dalfopristin/quinupristin
Definition
VRE, skin infection by staph/strep {GI disturbance, hyperbilirubinemia, arthralgia, myalgia, headache} [SSRIs, Pimozide causing cardiotoxicity]
Term
Oxazolidinones
Definition
Linezolid
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