tetracyclins Flashcards

1
Q

1st gen. chloro floro carbons damage o2 and dermis

A

tetracycline
oxytetracycline
chlortetracycline
demeclocycline

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2
Q

2nd gen. mini metha maar rahi ha k oxy se doxy hu giya ha

A

minocycline
methacycline
doxycycline

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3
Q

3rd generation

A

glycylcyclin
syn gylcyl amido der. of minocycline
not available

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4
Q

MOA

A
entry through porins g- bact.
entry in g+ bact. unknown
energy dependent 
bind reversibly to 30S subunit of ribosome 
prevent attachment of t- RNA
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5
Q

resistance

A

efflux pump
dec. penetration
enzymatic deactivation of drug
dec. access due to ribosome protecting proteins

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6
Q

absorption

A

incomplete

best absorbed on empty stomach

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7
Q
on empty stomach
chlortetracycline
oxy
demeclo
tetra
doxy
mino
A

30%
60-80% (D)
95 -100%

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8
Q

impaired absorption

A

dairy products
al hydro oxide gel
ca mg iron zn salts
bismuth subsalicylates

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9
Q

widely distributed

A

throughout body

found in secretion; prostate and urine

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10
Q

accumulated in

A

reticuloendothelial cells; liver + spleen + bone marrow
bones
dentin + enamel - unerupted teeth

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11
Q

can cross

A

placental barrier

found in breast milk

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12
Q

exretion

A

primarily by kidney

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13
Q

liver met.

A

minocycline

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14
Q

g+ organisms
SHY FIPPi Bought a Cute Little Vallet
(anaerobes + aerobes)

A

s. pneumonia
h. ducreyi
helicobacter pylori
yersenia; pestis + eneterocolitica
francisella tularensis
h. influenza
p. multocida
pseudomonas pseudomallie
brucella
compylobacter jejuni
liogenella pneumophilla
vibrio cholera

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15
Q

rickettsia

A

rocky mountain spotted fever
q fever
scrub typhus
typhus

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16
Q

miscellaneous

SuB TuM sa ha

A
spirochetes 
borellia 
treponema pallidum
treponema pertenue
mycobacterium marinum
17
Q

effect on intestinal flora

A
incomplete absorption
high lvls reach bowel
effect intestinal flora
yellow greenish discoloration to stool
soft consistency
pseudomem. colitis - c. dificile
18
Q

rickettsia

A

rocky mountain spotted fever
typhus
rickettisial pox
q fver

19
Q

mycoplasmal inf.

A

mycoplasma pneumonia

20
Q

chlamydia

A

lymphogranuloma venerum -doxy
pnuemonia + bronchitis + sinusitis -c. pneumonia
trachoma
non specific urithritis - c. trachomatis

21
Q

sexualy transmitted diseases

A

uncomplicated gonococcal inf.

3rd gen. cephalosporins gen. prescribed

22
Q

bacilary inf.

A

brucellosis
tularemia
cholera

23
Q

acne

A

propioni bact.

24
Q

toxicities

KAPIL DeV G

A

kidney disorder - fanconi syn.
anabolic effects
phototoxicity
inc. intracranial hypertension - until drug use
liver toxicity - oxy + tetra less toxic
dental discoloration/ hypoplasia /hypersensitivity
vesitubuler dysfunc. - minocycline + ataxia
GI disturbances + pseudomem. colitis

25
Q

contraindications

A

pregnant ladies

children under 8 yrs