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dental pharm 5
Question | Answer |
---|---|
quinolones | Antimicrobial-cidal, interfere and destroy DNA, gram +/- microbes, urinary tract and lower resp. infections |
Ciprofloxacin | Cipro= quinolones |
vancomycin | Antimicrobial-cidal, cell wall inhibitor, given IV except when needed in GI (tx P.colitis) |
Aminoglycosides | The "Mycin" Family=antimicrobial-broad spectrum, cidal, interfere w/ cell wall synthesis; parenteral in hospital for serious gram (-) infections |
streptomycin | Aminoglycosides (mycin)- antimicrobial |
gentomycin | Aminoglycosides (mycin)- antimicrobial |
Nystatin | Antifungal- for candidiasis, c.albicans; macrolide from streptomyces; binds to sterols in fungal cell membrane=leakage; not absorbed through skin; soak prostheses in benzylconium chloride nightly |
nystatin: oral suspension rinse | 10,000 units/mL- 5mL for 2min 10-14d or 2 days once gone |
nystatin: pastilles | dissolve in mouth qid |
nystatin: vaginal tablets | no sugar, last longer |
Imidazoles | Antifungal-stronger, used for bad infections or immunocompromised pts, inhibit cell membrane function, more expensive |
clotrimazole | Mycelex= imidazole |
ketoconozole | Nizoral= imidazole |
fluconazole | Diflucan= imidazole |
oseltamivir | Tamiflu=antiviral |
amantadine | Symmetrel=antiviral |
rimantidine | Flumadine=antiviral |
acyclovir | Zovirax=antiviral-purine agent, gets phosphorylated in viral cells to triphosphate form and interferes in DNA replication. Used in immunocomp. pts in initial infections w/ HSV/VZV, no recurrent outbreaks, prophylactic |
valacyclovir | Valtrex=antiviral;prodrug=acyclovir. Used in immunocomp. pts in initial infections w/ HSV/VZV, no recurrent outbreaks, prophylactic |
peniciclovir | Denavir=antiviral. Guanine nucleoside inhibits DNA synthesis, shorten duration & extent of recurrent outbreaks, topical, ease cold sore pain used from prodromal stage. |
famiciclovir | Famvir-Prodrug=penciclovir, tx VZV lesions (antiviral) |
Retrovirus tx | tx w/ "cocktail" drug |
NRTI-zidovudine | AZT-inhibit enzyme that allows retrovirus to replicate DNA |
NNRTI-Nevirapine | Virumune (part of "cocktail" drug to tx retrovirus) |
Protease I-Sanquinavir | Portion of "cocktail" drug to tx retrovirus that interferes w/ already infected cells |