Nitrofuran Antibiotics Flashcards

1
Q

Examples

A

Nitrofurantoin

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2
Q

MoA

A

Poorly understood
Inhibit a number of bacterial enzymes including those involved in protein synthesis
DNA toxic

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3
Q

Indications

A

UTIs (not if pseudomonal or proteus)

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4
Q

ADR

A
GI upset
Peripheral neuropathy
Pulmonary fibrosis
Hypersensitivity reactions (Skin + BM)
Haemolytic anaemia
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5
Q

Prescribing Advice

A
X Septicaemic (poor serum levels)
X Renal Impairment (less effective + increased risk peripheral neuropathy)
Caution in: 
Anaemia
Diabetes mellitus
Vitamin B12 and folate deficiency
Pulmonary disease
Hepatic and renal impairment
Any condition associated with peripheral neuropathy (severe and irreversible neuronal damage may result)
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