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Amantadine
Influenza A tx|Inhibits viral uncoating
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Oseltamivir (Tamiflu)
Influenza tx|Oral nuraminidase inhibitor (sialic acid analog, inhibits virion release)
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Zanamivir
Influenza tx|Inhaled nuraminidase inhibitor (sialic acid analog)
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Acyclovir
Herpesvirus tx|Nucleoside analog
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Valacyclovir
Herpesvirus tx|Acyclovir prodrug (nucleoside analog for viral thymidine kinase)
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Famciclovir
Herpesvirus tx|Penciclovir prodrug (nucleoside analog)
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Ganciclovir
Herpesvirus, CMV tx|IV nucleoside analog for viral thymidine kinase
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Valganciclovir
Herpesvirus, CMV tx|Oral, ganciclovir prodrug (nucleoside analog for viral thymidine kinase)
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Ribavirin
Hep C, RSV tx, experimental RNA virus tx|Sythetic guanosine analogue (interferes w/ txn)
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Penicillin G
Strep, Syphilis, Spirochete tx|Natural penicillin, highly susceptible to Beta lactams
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Penicillin V
Strep, Syphilis, Spirochete tx (gram +)|Natural penicillin, highly susceptible to Beta lactams
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Ampicillin
Enhanced gram (-) coverage, listeria/H. influenzae tx
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Ampicillin/Sulbactam
GI & resp tract gram (-) tx|IV formulation
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Amoxicillin
Enhanced gram (-) coverage, Group A strep tx
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Amoxicillin/Clavulanate
Active against most respiratory and some GI gram (-), staph|PO
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Methicillin
Gram (+) tx|More stable to Beta-lactamases (IV)
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Oxicillin
Gram (+) tx|More stable to Beta-lactamases (IV)
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Dicloxacillin
Gram (+) tx|More stable to Beta-lactamases (PO)
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Piperacillin
Enhanced gram (-) coverage|(IV)
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Piperacillin/Tazobactam
GI & resp tract gram (-), pesudomonas aeruginosa tx|(IV)
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Imipenem
Very broad specturm (MSSA, pseudomonas, anaerobics)|Seizure risk
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Ertapenem
Broad spectrum, no pseudomonas activity|(IV qd)
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Cefazolin
Good gram (+), limited gram (-), MRSA tx|(IV)
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Cephalexin
Good gram (+), limited gram (-), MRSA tx|(PO)
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Cefuroxime
Good gram (+), moderate gram (-), CA-pneumococcus/H. influenzae tx|(PO)
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Cefoxitin
Good gram (+), moderate gram (-), some anaerobic |(IV)
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Ceftriaxone
S. aureus, gonorrhea, gram (-) tx|(IV/IM)
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Ceftazidime
No gram (+), Pseudomonas tx|(IV)
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Cefixime
Gonorrhea, tonsilitis, pharyngitis tx|(PO)
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Cefdinir
Broad-spectrum, good-tasting (used for peds)
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Cefepime
Very good gram (+), S. aureus, good gram (-), P. aeruginosa tx|(IV)
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Trimethoprim/ Sulfamethoxazole
Gram (+) & gram (-) tx|Trimethoprim inhibits bacteria dyhydrofolate reductase|Sulfonamides inhibits PABA & pteridine
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Vancomycin
Broad activity vs gram (+), 1st line tx vs MRSA|Interrupts cell wall crosslinking|Tox: Red Man Syndrome
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Tetracycline
Very broad spectrum (STD, pneumonia, malaria prophylaxis)|Bind to 30s subunit to inhibit tRNA binding to A site|Not used in children (stains teeth)
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Doxycycline
Broad spectrum, good Gm (-)|Billiary excretion
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Gentamicin
Aerobic gram (-) tx, some staph/strep|Disrupts electrochem gradient (aerobic only)
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Tobramycin
Aerobic gram (-) tx, some staph/strep|Disrupts electrochem gradient (aerobic only)
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Amikacin
Aerobic gram (-) tx, some staph/strep|Disrupts electrochem gradient (aerobic only)
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Erythromycin
Active vs chlamydia, rickettsia, mycoplasma, legionella gram (+)|Bacteriostatic (bind 50s subunit)|More GI upset, more freq dosing, lesser spectrum than other macrolides, (IV & PO)
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Clarithromycin
Active vs chlamydia, rickettsia, gram (+), highly active vs mycoplasma,|Bacteriostatic (bind 50s subunit)|Only PO
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Azithromycin
Active vs chlamydia, rickettsia, gram (+), highly active vs mycoplasma|Bacteriostatic (bind 50s subunit)|Longer t1/2, no hepatic metabolism, compared to other macrolides, (IV & PO)
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Clindamycin
Active vs gram (+), staph, & anaerobes|Protein synth inhibitor
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Linezolid
S. aureus/MRSA, strep, enerococcus faecium/faecalis,VRE tx|Protein synth inhibitor|Weak MAOI -> serotonin syndrome w/SSRIs
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Daptomycin
Active against many gram (+), MRSA, VRE |Not for pneumonia (inactivated by surfactant)|Inserts K+ channel into gram (+) & disrupts electrochem gradient
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Rifampin
Active vs gram (+), mycobacteria|Inhibits mRNA synth|(PO, IV)
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Metronidazole
Highly bactericidal for anaerobic bact (no activity vs gm +/-, aerobic), protozoan tx|e- acceptor that damages DNA
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Ciprofloxacin
Gram (-), Pseudomonas, GI/UTI infection tx|Interacts with DNA gyrase|(IV,PO)
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Levofloxacin
Active vs gram (+), gram (-) |Pure S isomer of ofloxacin|Interacts w/ DNA gyrase, topoisomerase|(IV, PO)
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Nitrofurantoin
Used only for UTIs (only active in bladder)
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Isoniazid
TB tx|Hepatotoxicity risk in slow acetylators
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Pyrazinamide
TB, TB meningitis tx|Part of multidrug tx
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Ethambutol
Bacteriostatic anti-TB drug|Part of multidrug tx
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Amphotericin B
Most broad-spectrum anti-fungal|Forms channel in fungal membrane -> loss of cations|Nephortoxicity w/ >2wks use, lipid formulation much safer
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Nystatin
Topical polyene antifungal (disrupts cell wall)|Too nephrotoxic for systemic use
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Fuconazole
Active vs most cryptococcus, candida|14 alph-demethylase inhibitor -> prevents ergosterol synth
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Voriconazole
Candida, invasive aspergillosis tx|14 alph-demethylase inhibitor -> prevents ergosterol synth|(PO & IV)
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Posaconazole
Active vs most candida, most aspergillus, many molds|PO only
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Caspofungin
2nd line aspergillus tx|Beta 1,3 D glucan synth inhibitor -> interferes with cell wall synth|(IV)
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Terbinafine
Onychomycosis, tinea tx, adjunctive for severe mold|Inhibits squalene epoxidase step in ergosterol biosynth
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Chloroquine
Malaria tx|Inhibits polymerization of hemozoin in plasmodium food vacuole|PO
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Mefloquine
Later-gen quinacrine malaria tx|Weekly dosing
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Atovaquone/Proguanil (Malarone)
Anti-malarial|Inhibits mitochondial ETC/DHFR
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Artemisinin
Anti-malarial
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Albendazole
Anti-helminthic tx|Inhibits tubuline polymerization/MT formation in worms
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Mebendazole
Anti-helminthic tx|Inhibits tubuline polymerization/MT formation in worms
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Praziquantel
Scistsomiasis, clonorchiasis, & other fluke tx
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Cyclophosphamide
Nitrogen mustard alkylating agent -> cross links DNA|Toxicity: Hemorrhagic cystitis
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Cisplatin
Platinum-containing anti-cancer agent |Toxicity: Neuropathy, hearing loss, kidney damage, emetogenic
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Carboplatin
Platinum-containing anti-cancer agent|Toxicity: neuropathy
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Vincristine
Plant alkyloid used for ALL, Hodgkins, NHL|Severe toxicity to lymphoid cells (blocks MTs)
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Vinblastine
Plant alkyloid used for ALL, Hodgkins, NHL|Severe toxicity to lymphoid cells (blocks MTs)
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Methotrexate
Dihydrofolate reductase inhibitor (anti-folate)|Leucovorin antidote rescues non-cancer marrow cells
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5-fluorouracil
Thymidylate synthase inhibitor used for GI malignancy
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Tamoxifen
Breast cancer tx|Binds estrogen receptor
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Anthracyclines
Antineoplastic antibiotic from Streptomyces|Intercalate between DNA strands, chelation, topoisomerase inhibition|Toxicity: cardio, alopecia, myelosuppression
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Imantinib
CML tx|Bcr-abl tyrosine kinase inhibitor
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All-trans retinoic acid (ATRA)
APL tx|Induces differentiation
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Rituximab
Anti-CD20 chimeric Ab (anti-Bcell) used for leukemia/lymphoma
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Warfarin (Coumadin)
Anticoagulant |Vitamin K antagonist
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Heparin
Anticoagulant|Inactivates thrombin & Fxa
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