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Details

Quinolones etc
IUSOM Spring 2012
9
Pharmacology
Graduate
04/21/2012

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Cards

Term
Ciprofloxacin
Definition
Penetrates CNS
Pseudomonas, ETEC. G- rod UTIs
Gonorrhea (now use Ceftriaxone)
Anthrax
Pulmonary G- aerobes
Also legionella (alt to azithromycin)
Mycoplasma pneumo
Term
Levofloxacin
Definition
Pulmonary G- aerobes
Comm acq pneumo, strep pneumo w/ penicillin resistance
Term
TMP-SMX
Definition
DHPS, DHFR inhibitor combo.
Use: Recurrent UTI, exacerbation of chronic bronchitis.
Quite wide spectrum.
Adverse: megaloblastic anemia, leukopenia. Use leucovorin.
Resistance to TMP: reduced permeability, overexpress DHFR, mutate DHFR
Term
Sulfamethoxazole (SMX)
Definition
DHPS inhibitor, reversible
Uses: UTIs (with TMP)
Pharm: Oral
Adverse: preggos, infants, bilirubin displacement. G6PD deficiency causes allergy and hemolytic anemia.
Term
Why are quinolones well tolerated?
Definition
Bacteria actively growing
Affinity difference
Term
G- topo?
G+topo?
Definition
2- relaxes supercoiling
4- decatenation
Term
Mech. resistance?
Definition
Efflux
Target mutation
Bacteria CANNOT chemically alter the drug
Term
Interactions
Definition
Metal ions chelate, antacids
Alter theophylline met
QTc interval prolongation
Term
Contraindications
Definition
not in children, preggos. cartilage damage
Tendon damage.rupture, phototox
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