Shared Flashcard Set

Details

TB, Leprosy, antifungals
Pharm (III) exam 2
31
Pharmacology
Not Applicable
04/15/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
Which drug can be used both for TB and Leprosy?
Definition

Rifampin

"Rif raf"

Term

Isoniazid (INH)

  • MOA
Definition
  • Inhibit mycolic acid biosynthesis
  • Analog of B3

 

Term

Rifampin

  • MOA
Definition
  • Suppress RNA synthesis
  • Drug-enzyme complex

 

Term

Pyrazinamide

  • MOA
Definition
  • converted to POA.  ↓PH = less growth

The pirates make acid

Term
Which drug causes red color excretions?
Definition
Rifampin
Term
Which drug causes optic neuritis? (reversible)
Definition
  • Ethambutol

if you keep drinking all that ethanol, you'll go blind

 

Term
Which TB drug can raise uric acid levels?
Definition
  • Pyrazinamide

making more acid causes buildup of uric acid

pirates make you walk the plank into acid

 

Term

Clofazimine

  • MOA
Definition
  • Binds DNA inhibits growth

throw a cloth over him, so he can't expand

Term
Drug that causes pink/brown skin
Definition
  • Clofazimine

Makes you look like you are wearing colored cloths

 

Term
6-month treatment plan for TB
Definition
  1. Isoniazid + Rifampin + pyrazinamide (X8w)
  2. Isoniazid + Rifampin (X18 weeks)

Oh how I wish I could get rid of my TB IR

(Ethambutol not involved)

Term

Isoniazid

  • Best activity
  • Static effect
Definition
  • Actively multiplying at alveoli
  • extracellular neutral PH

isolated efficacy

Term

Rifampin

  • Best activity
  • Static effect
Definition
  • Actively multiplying at alveoli
  • NONE

Rifampin does it all!

Term

Pyrazinamide

  • Best activity
  • Static effect
Definition
  • At acidic PH intracellular
  • No activity outside cell

the pirates get really nasty when they enter.  outside they are harmless.

Term

Ethambutol

 

  • Best activity
  • Static effect
Definition
  • NONE
  • Actively multiplying alveoli & acidic intracellular

Ethan hawk only does outside reconicense missions

Term
Prevention of TB
Definition
  • Isoniazid + Rifampin

(no Ethambutol, no Pyrazinamide)

Term
Lepromatious
Definition

Host has low CMI

 

Term
tuberculoid
Definition
Host has high CMI
Term

SE of INH

 

Definition
  1. Hepatotoxicity (especially slow metabolizers)
  2. Peripheral neuropathy (treat with B6)
Term
SE of dapsone
Definition
  • Hemolytic anemia
  • Methemoglobinemia
  • Sulfone syndrome

 

Term

Amphoteracin B

MOA

Definition
  • Binds to sterols
Term

_conazoles

MOA

Definition
14-α demethylase
Term

Nystatin

MOA

Definition
Binds to sterols
Term

Tolnaftate

MOA

Definition
Inhibit squaline monooxygenase
Term

Terbinafine Hydrochloride

MOA

Definition
Inhibit squaline monooxygenase
Term

Caspofungin

MOA

Definition

Blocks synthesis of glucan a polysachuride

cell wall biosynthesis

Term
Use for caspofungin
Definition
  1. Systemic: Aspergillosis
  2. Candidiasis: Esophageal
Term
Which antifungal may cause endocrynologic abnormalities?
Definition
  • Ketoconazole

You used your key to open up a can of endocrine side effects

Term

Griseofulvin

  • MOA
Definition
  • Disrupts cell mitotic spindle
  • Deposited n kertain precurser cells

In grease they were spinning their fingers in their hair

Term
Which antifungal may cause nephrotoxicity and anemia?
Definition
Amphoteracin B
Term
Imidazoles
Definition
  1. Ketoconazole
  2. Miconazole
  • KM are small compared to miles
Term
Triazoles
Definition
  1. Fluconazole
  2. Itraconazole
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