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4 Cards in this Set

  • Front
  • Back
Macrolides.
MOA
What is it at higher doses?
What is its spectrum?
What gram negative bacteria does it treat?
What does it treat?
MOA: Binds to ribosome and inhibit protein synthesis
 Bacteriostatic
 can be time-dependent bactericidal at higher concentrations
• Not a very specific target in bacterial protein synthesis (will do this to a eukaryotic mitochondrional ribosome)
• In mammals, macrolides cannot cross the mitochondrial membrane.
Gram +ves
 Also Gram -ves eg Pasteurella spp.
 Basic pKa traps the macrolides in acidic environments eg abscesses, necrotic tissue, lungs, mastitis, metritis, foot rot.
lung concentrations often exceed blood concentrations
 Bovine Respiratory Disease (BRD)
 Rhodococcus equi (equine respiratory infection)
Name two macrolides
Tilmicosin and Tylosin
Tylosin
Concentrates in milk. (bad WHP)
Tilmicosin
SC only, never IV or IM
Poisonous to humans