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15 Cards in this Set
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sulfonamides inhibit:
this enzyme is active in humans/bacteria? |
dihydropteroate synthetase. (comp inhib, mimics PABA)
active in bacteria only |
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sulfonamide - uptake:
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oral.
sulfasalazine - not absorbed. given orally to cure ulcerative colitis. |
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trimethoprim inhibit:
this enzyme is active in humans/bacteria? |
dihyrdofolate reductase
active in bacteria and humans, yet drug has much higher affinity for bacterial form |
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anti-folate cocktail
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TMP-SMZ. trimethoprim-sulfamethoxazole. aka Bactrim
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bactrim uses - long list - TMP-Smz mnemonic
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Tree - resp tree. strep pneu and h influ
Mouth - GI tract: shigella, salmonella, e coli, vibrio cholerae - though quinolone are 1st choice Pee - UTI's from e coli Smz - aidSYNDROME - pneumocystis pneumonia not any anaerobes |
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bactrim main use:
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UTIs
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fluoroquinolone - mechanism:
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interfere with topoisomerase / gyrase
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fluroquinolone mnemonic:
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all have -floxacin suffix. think of "flock of sinners" who "gyrate their hips as they party and dance" as they inhibit DNA gyrase
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fluroquinolone uptake:
inhibitors of uptake: |
absorbed orally.
inhibited by cations that are present in antacids, e.g. Al and Mg |
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fluoroquinolone elimination:
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mostly kidney. some of them are liver, or a combination of kidney/liver.
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fluoroquinolone uses:
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-crotch area: gonorrhea, UTI, prostatitis, PID
-pneumococcal pneumonia, pseudomonas -GI - 1st choice for shigella, salmonella, e coli, cholera, campylobacter |
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fluoroquinolone side effects:
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N/D/V
cartilage damage - especially kids QT interval prolongation tendinitis |
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Metronidazole: trade name and reason
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Flagyl - kills flagellated bugs
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metronidazole uses:
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anaerobics - C Diff
anaerobic protozoa - trichomonas, giardia, entamoeba |
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metronidazole: why won't it work against aerobes?
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drug must be reduced to be activated. aerobes have too low redox potential.
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