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Bowie's Antibiotics
Antibiotics | M | For: | SE |
---|---|---|---|
Penicillin | Bactericidal M: inhibit bacterial cell wall synthesis ( bind to PBPs -> cross link weaken + death) | / | / |
Beta-lactamase inhibitor | e.g. Clavulanic acid , tazobatam M: inhibit inhibitor inversely | For: protect beta-lactamase sensitive penicillin from enzymatic inhibition Augmentin = amoxicillin + clavulanic acid Timentin = Ticarcillin + clavulanic acid Tazocin = Piperacillin + Tazobactam | / |
Tetracyclines 四環素 | Bacteriostatic (Board spectrum) e.g. Doxylcycline M: inhinbit protein synthesis by inhiting 30S of ribosome **: Al / Ca / Mg anatacids reduce absorpotion of oral tetracyclines ** Fe/ bismuth subsalicylate, ZnSO4 ** milk/ milk produce reduce absorpt | Boared range | 1. damage to liver and kidney 2. permanent discolouration of teeth 3. photosensitization (曬太陽位會rash) **: Al / Ca / Mg anatacids reduce absorpotion of oral tetracyclines ** Fe/ bismuth subsalicylate, ZnSO4 ** milk/ milk produce reduce absorption |
Cephalosporins (Cef- / Ceph-) | e.g. Cefuroxime = Zinacef / Zinnat beta-lactamase sensitive M: inhibit bacterial cell wall synthesis ( bind to PBPs -> cross link weaken + death) | / | / |
Carbapenems (-penem) | e.g. meropenem, Tienam = Imipenem + Cilastatin (protect from acid degration] | / | / |
Macrolides [-thromycin] | e.g. Erythromycin, Clarithromycin Bacteriostatic M: inhibit 50S ribosime | penicillin substitute for allergic patients URI / LRI Genial chlamydial infection | Safe Erythromycin : hepatitis |
Clindamycin | Bacteriostatic inhibit 50S ribosome | Rare infection by Bacteroides fragilis | Fatal Pseudomembranous colitis (by CD)偽膜性大腸炎 |
Vancomycin | Bactericidal G: Glycopeptides M:inhibit cell wall synthesis | Enterocolitis with CD | Red man syndrome (if fast IV) |
Fluroquinones [-floxacin] | Bactericidal M:inhibit DNA replication | URI/LRI/ UTI | Safe. photosensitivity, ruptured tendons!! |
Metronidazole | Flagyl M:inhibit DNA replication | anaerobic infections Protozoal infections | Diarrhea |
Sulphonamides | Bacteriostatic e.g. SMZ M: inhibit synthesis of folic acid | board range | Drug resistance |
Trimethoprim | Bacteriostatic M: inhibit synthesis of folic acid | / | Folic acid deficiency e.g. anemia, leukopenia & graunlocytopenia |
Cotrimoxazole | = trimethoprim + sulphamethoxazole | synergistic bactericidal effect | hypersensitivity |
Chloramphenol | Bacteriostatic inhibit 50S ribosome | / | Grey baby syndrome |
Aminoglycoside 安甘糖 [ -mycin] e.g. Amikacin, Getamycin, Streptomycin | Bactericidal e.g. Streptomycin,Gentamycin,amikacin M: inhibit protein synthesis by inhibiting 30S subunit ribosome | -ve aerobic bacilli ^ effect with: 1. Penicillin ( 佢inhinit cell wall , 幫穿牆) 2. Neuromuscular blocker ( increase NM blockade -> muscle relex + respiratory suppress) | SE: damage to ear + damage to kidney + NM blockage |
Name 4 groups of Penicillin | 1. beta-lactamase-sensitive penicillins 2. beta-lactamase-resistent penicillins 3. Extended spectrum aminopenicillins 4. Extened spectrum antipseudomonal penicillins e.g. in next page | 1. Penicillin G (Benzylpenicillin) , Penicillin V (Phenoxybenzylpenicillin) [Long acting: Benzathine Penicillin G] 2. Cloxacillin 3. Amoxiciliin , Ampicillin 4. Ticarcillin, Pipercillin | 1. Benzathine Penicillin G (IM) 2. bukly chain block beta-lactamase 3. acid stable (PO) 4. for pseudomonas aeraginses |