methenamine, nitrofurantoin, sulfasalazine
Which drugs are Prodrugs? (3)
inhibits tetrahydrofolate synthesis by inhibiting dihydropteroate synthase; acts as PABA analogue
What is the MOA for Sulfonamides?
inhibits dihydrofolate reductase; needed to synthesize tetrahydrofolate
What is the MOA for Trimethoprim?
strep, pneumococcal, mssa
What Gm (+) bacteria are Sulfa drugs active against?
uti, pneumocystis pneumonia, sinusitis, otitis media
What conditions do we use Sulfa drugs to treat?
steven johnson's syndrome, crystalluria
What general SE's do we see with Sulfa drugs?
Pseudomonas
Which Gm (-) are these NOT active against?
anaerobes
Which group of bacteria are these NOT active against?
rickettsia
Sulfa drugs can stimulate the growth of
e.coli, shiegella, chlamydia, h.flu
What Gm (-) species are these active against?
toxoplasma, pneumocystis
Patients with aids are susceptible to ______ & _______. Using Sulfa drugs are helpful with infections caused by these organisms.
prodrug that generates superoxide anion that destroys DNA and proteins; cidal
Metronidazole MOA?
N&V, disulfiram-like activity, furry tongue
What are SE's associated with Metronidazole?
1st line: anaerobic infections, c.diff, PMC
Metronidazole Tx?
coumarin anticoagulants, increased lithium levels, avoid alcohol
CI's associated with Metronidazole?
bacterial vaginosis
Secnidaozle Tx?
no disulfiram reaction
How is Secnidazole different from Metronidazole?