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PROTEIN SYNTHESIS INHIBITORS Cheat Sheet

by olkimmilo via cheatography.com/42456/cs/12777/

TETRAC​YCLINES MACROL​IDE​S/K​ETO​LIDES (cont)

Indications Ricket​tsial infections (rocky mountain spotted fever), TELITH​R Effective against macrol​ide​-re​sistant organisms
chlamydia, lyme disease, mycopl​asmal infect​ions, chronic OMYCIN
severe acne, cholera, gastri​c/d​uodenal ulcer caused by H. Indi​cat​ions: respir​atory tract infect​ions, including
pylori commun​ity​-ac​quired bacteria pneumonia, acute

PK Excreted in bile, urine, breast milk, undergo entero​hepatic exacer​bations of chronic bronch​itis, sinusitis and strepto
circul​ation pharyn​gitis

GI GI, deposition of drug in bones and teeth, liver failure, Indi​cat​ions: community acquired pneumonia (mycop​lasma, legion​ella,
photot​oxi​city, vertigo, avoid in pregnant chlamy​dia), pertussis, campyl​obacter jejuni gastro​ent​eritis, MAC
(azalides)
TETRAC​YCLINES
PK: Well distri​buted, CNS penetr​ation limited except with inflam​mation.
SHORT CHLORTETRACYCLINE
Most of drug is concen​trated in the liver and excreted in the bile, some
TETRAC​YCLINE inacti​vated in the liver by demeth​yla​tion.

OXYTETRACYCLINE
AE: GI, jaundice, ototox​icity
INTERM​ DEMECLOCYCLINE treats SIADH
EDIATE
Bacter​ios​tatic, bacter​icidal at high doses
METHAC​YCLINE

LONG DOXYCY​CLINE treat infections in pts with anuria OTHERS


(elimi​nates via bile, feces)
CLINDA​MYCIN Indi​cat​ions: pencil​lin​-re​sistant anaerobic
MINOCY​CLINE achieves high CNS concen​tra​tions in
infections
the absence of inflam​mation,
Clinical use: SSTI
metabo​lized in liver
Phar​mac​olo​gy: high bone concen​tra​tions
Toxi​city: diarrhea, allergy, skin rashes,
MACROL​IDE​S/K​ETO​LIDES
pseudo​mem​branous colitis caused by
AZITHROMYCIN show cross-​res​istance with erythr​omycin overgrowth of C. diff
longest t1/2 CHLORAMPHENICOL Indi​cat​ions: Ricket​tsiae (typhus and Rocky
Mountain spotted fever); bacterial meningitis
Adva​nta​ges: less GI distur​bances
Clinical use: eye infections
CLARITHROMYCIN show cross-​res​istance with erythr​omycin AE: GI distur​bances, gray baby syndrome,
aplastic anemia
Adva​nta​ge: lower incidence of GI distur​bances, PEARL: Because of its toxicity and resist​ance,
less frequent dosing its use is restricted to life-t​hre​atening infections

ERYTHR​OMYCIN MOA: Interferes with aminoacyl transl​oca​tion, for which no altern​ative exists

preventing the transfer of the tRNA bound at the A


site of the 50S rRNA complex to the P site of the STREPT​OGR​AMINS
rRNA complex
QUINUP​RIS​TIN​- AE: venous irrita​tion, athralgia and myalgia,
DA​LFO​PRISTIN hyperb​ili​rub​inemia
Destroyed by gastric acid and must be enteric
coated
OXAZOL​IDI​NONES
shortest t1/2
LINEZOLIDE PK: completely absorbed, widely distri​buted throughout
the body, excreted renally and non-re​nally
AE: GI upset

By olkimmilo Published 11th September, 2017. Sponsored by Readability-Score.com


cheatography.com/olkimmilo/ Last updated 11th September, 2017. Measure your website readability!
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PROTEIN SYNTHESIS INHIBITORS Cheat Sheet
by olkimmilo via cheatography.com/42456/cs/12777/

AMINOG​LYC​OSIDES AMINOG​LYC​OSIDES (cont)

STREPTOMYCIN 2nd line agent for the treatment of tuberc​ulosis in SPECTI​N Indi​cat​ions: altern​ative treatment for drug-r​esi​stant
combin​ation with other agents to prevent emergence OMYCIN gonorrhea or gonorrhea in pcn-al​lergic pts
of resistance No cross-​res​istance with other drugs used in gonorrhea
AE: vestibular distur​bances AE: pain at injection site, fever, nausea

GENTAMICIN Intrat​hecal AE: Otot​oxi​city (rever​sible), neph​rot​oxi​city (rever​sible),


Indi​cat​ions: mainly used in combo for severe neurom​uscular blockade
infections (sepsis and pneumonia) caused by
resistant strains of gram negative bacteria, infected PK: Levels in most tissue are low. No CNS penetr​ation. High
burns/​wou​lds​/le​sions, prevention of catheter accumu​lation in renal cortex and lymph of inner ear. Excreted into the
infections urine by glomerular filtra​tion. Accumu​lation occurs in patients with renal
GENT+B​- Synerg​istic effect against pseudo​monas, proteus, failure, not metabo​lized
LACTAM entero​bacter, klebsi​ella, serratia, stenot​rop​hom​onas,
and other gram negative rods that are resistant to Used against aerobic gram negative bacilli
multiple antibi​otics Exhibit concen​tra​tio​n-d​epe​ndent killing
Postan​tib​iotic effect
TOBRAMYCIN Inhalation
Cautioned in pts with preexi​sting renal, vestibular or
hearing disorders

STREPTO+PCN Used for tuleremia and entero​coccal carditis

KANAMYCIN Kanamy​cin​-re​sistant strains may be cross-​res​istant to


(topical only) amikacin

AMIKACIN Semisy​nthetic derivative of kanamycin, less toxic


Indi​cat​ions: tx microo​rga​nisms resistant to
gentamicin and tobramycin

NEOMYCIN Indi​cat​ions: reduce the risk of infections during


(topical only) bowel surgery

By olkimmilo Published 11th September, 2017. Sponsored by Readability-Score.com


cheatography.com/olkimmilo/ Last updated 11th September, 2017. Measure your website readability!
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