Antibiotic Administration! Flashcards Preview

PRE-REG HUDI > Antibiotic Administration! > Flashcards

Flashcards in Antibiotic Administration! Deck (11)
Loading flashcards...
1

Which antibiotics should be taken WITH OR JUST AFTER FOOD

(extra warning label)??

Metronidazole

Nitrofurantoin

Clarithromycin MR

2

Which antibiotics should be taken ON AN EMPTY STOMACH i.e. 2 hours before or 2 hours after food

(extra warning label)

Penicillin (Penicillin V- Phenoxymethylpenicillin)

Ampicillin

Flucloxacillin

Rifampicin

 

3

Which antibiotics should MILK be avoided 2 hours before or 2 hours after taking, as MILK DECREASES THEIR ABSORPTION?

Ciprofloxacin

Tetracyclines:

Oxytetracycline

Tetracycline

Demeclocycline

As MILK contains CALCIUM- chelate to this forming a complex that cannot be absorbed

4

Which antibiotics SHOULD BE TAKEN WITH A FULL GLASS OF WATER (extra warning label)?

Certain Tetracyclines:

Doxycycline

Minocycline

Tetracycline

also

CLINDAMYCIN

METRONIDAZOLE

To avoid irritation of the oesophagus

5

Antacids contain calcium, magnesium and aluminium metal ions. Medicines containing IRON/ ZINC can also affect absorption.  What antibiotics need to be taken 1 hour before or 2 hours after antacids/ iron or zinc products, and why?

NB: There is a cautionary label that incorporates both antacids and iron/zinc products: this is needed

Antibiotics can chelate with the metal ions and this will reduce the antibiotics absorption:

Tetracycline, oxytetracycline, doxycycline- remember these are contra-indicated in children under 12 years due to deposition in bones/ teeth (calcium binding- also avoided with milk)

Quinolones: Ciprofloxacin, levofloxacin, moxifloxacin

Nitrofurantoin- Magnesium only

6

What are the counselling points/ extra warning labels with Metronidazole?

Take WITH or just after FOOD

WITH A FULL GLASS OF WATER

Do NOT drink ALCOHOL

7

What are the counselling points/ extra warning labels with DOXYCYCLINE?

Do not take indigestion remedies (antacids)/ med's containing iron or zinc 2 hours before/ after

Drink with a full glass of water

Protect skin from sunlight- even on cloudy day

Space evenly throughout day

8

What extra warning label do

Ciprofloxacin

Oxytetracycline

Tetracycline

Demeclocycline

All share?

Do not take milk, indigestion remedies or med's contaning iron/ zinc 2 hours before or after

9

What are the extra warning labels for Isoniazid (used in TB)?

Take 30 to 60 mins before food

Do not stop taking unless doctor says (as its for TB- needed for long time!)

10

What are the extra warning labels for azithromycin?

DO not take indigestion remedies/ antacids at same time

Space doses evenly

 

NB: here the mention of zinc/iron products not needed

11

What are the extra warning labels for Nitrofurantoin?

May colour the urine (yellow/ brown)

 

Take with or just after food

 

Space doses evenly, don't stop taking unless told to