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18 Cards in this Set

  • Front
  • Back
What is the mechanism for Sulfonamides?
PABA antimetabolites inhibit dihydropteroate synthase
Are sulfonamides bactericidal or bacteriostatic?
Bacteriostatic
What are the uses for sulfonamides?
G+, G-, Nocardia, Chlamydia, UTI
What are the toxicities of sulfonamides?
Hypersensitivity reactions, hemolysis if G6PD deficient, nephrotoxicity, photosensitivity
What is the mechanism for Trimethoprim?
Inhibits bacterial dihydrofolate reductase
Is Trimethoprim bactericidal or bacteriostatic?
Bacteriostatic
What is the use for Trimethoprim?
Used in combo with sulfonamides, used for UTI's, Shigella, Salmonella, Pneumocystis jirovecii, MRSA
What are the toxicities for Trimethoprim?
Megaloblastic anemia, leukopenia, granulocytopenia
Inhibit cell growth in bone marrow
What is the mechanism for Fluoroquinolones?
Inhibits DNA gyrase
Are Fluoroquinolones bactericidal or bacteriostatic?
Bactericidal
What can Fluoroquinolones NEVER be taken with?
Antacids
What are the 9 Fluoroquinolones?
Ciprofloxacin
Norfloxacin
Levofloxacin
Ofloxacin
Sparfloxacin
Moxifloxacin
Gatifloxacin
Enoxacin
Lecofloxacin
What is the clinical use of Fluoroquinolones?
G- rods of urinary and GI tracts, strep pneumo
What are the toxicities of Fluoroquinolones?
Contraindicated in pregnancy and kids
May cause tendon rupture in people over 60yo
Cartilage damage shown
What is the mechanism for Metronidazole?
Forms free radical toxic metabolites in bacterial cell that damages DNA
Is Metronidazole bactericidal or bacteriostatic?
Bactericidal
What does Metronidazole treat?
GET GAP on the Metro
Giardia
Entamoeba
Trichomonas
Gardnerella vaginalis
Anaerobes (Bacteriodes, C. Diff) BELOW THE DIAPHRAGM
h. Pylori
What is the reaction with Metronidazole and alcohol?
Disulfiram-like reaction, HA, metallic taste