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Sulphonamides
| Question | Answer |
|---|---|
| Examples | 1.Cotrimoxazole= sulfamethoxazole+trimethoprim 2.sulfadiazine 3.silver sulphadiazin 4.sulfasalazine |
| Mode of action | Inhibits nucleic acid synthesis . Sulphonamides structurally simillar to para amino benzoic acid….. |
| Antibacterial activity | Can inhibit gram - and + bacteria. Nocardia, chlamydia trachomatis n some protozoa. |
| Pharmacokinetics | Absorbed rapidly from gut. Excreted by kidneys. |
| Resistance | Occur as a result of mutation causing over production of PABA. Structural change in the folic acid synthesizing enzymes witha a lowered affinity for Sulphonamides. |
| Interactions | Sulphonamides bind to plasma albumin and may displace other drugs such as warfarin, phenytoin, tolbutamide |
| Contraindications | Pregnancy , Infants under 6 weeks, Renal failure, Hepatic failure, Jaundice, Blood disorder, Porphyria |
| Classification | 1.drugs for systemic use 2.drugs for topical use 3.miscellaneous |
| Drugs for systemic use | Cotrimoxazole , Sulphadiazine |
| Cotrimoxazole | Half life 10 hours. 80% excreted by the kidneys. |
| Uses | Prevention and treatment of pneumocystis carinii pneumonia. Prevention and treatment of toxoplasmosis and nocardiasis. |