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8 Cards in this Set
- Front
- Back
What is the mechanism of antimicrobial activity of Metronidazole?
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Activation via bacterial pyruvate ferrodoxin oxidoreductase
Double-stranded breaks in bacterial DNA Bacteriacidal |
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What determines the selectivity of Metronidazole?
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It needs to be reduced by pyruvate: ferredoxin oxxidoreductase.
So whatever bugs have this enzyme, will be KILLED by the drug |
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What is the absorption of metronidazole?
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Orally
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Where does the metabolism of Metrondiazole take place?
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The liver via P450 enzymes (think side effects here to clue in to where the metabolism takes place)
The half life is 8 hr. |
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What component of the body does Metronidazole penetrate particularly well?
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The CSF
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How is Metronidazole excreted?
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Renally
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What are the five adverse effects of Metronidazole?
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GI irritation
Metallic taste Disulfiram-like effect with alcohol CNS effects Drug interactions: can potentiate the anticoagulant effect of warfarin (P450) |
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What are the clinical uses of Metronidazole?
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Anaerobic infections
Protozoal infections H. pylori Orally for C. difficile |