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Paul Ehrlich?
Magic bullet, coined the term chemotherapeutic
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Alexander Flemming?
Antibiosis --> antibiotic; discovered pencillin
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Gerhard Domagk?
1st sulfer drug
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Chemotherapeutic Drugs?
any drugs used in treatment of porphylaxis of disease.
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What is prophylaxis?
preventing risk of infection.
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Antimircobials?
All antimircobal drugs regardless of origin
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Antibiotic?
microbe made substances again other microbes
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Semisynthetic drugs?
Lab modified drugs after being ioslatd from natural sources
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Synthetic drugs?
completely made in the lab
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What are narrow spectrum drugs?
Natural penicillin
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Broad spectrum drugs?
Effect against gram + and gram - ; may be against some fungi and protozoan.
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What is an ideal antimircobial drug?
Selectively toxic, mircobicidal rather than microbistatic, not metabolized too quickley, doesnt lead to dev. of resistance and easily souble.
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Antibacterial drugs?
- Affect the bacterial cell wall
- ex. penicillin, bacitracin and vancomycin
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what is a antibacterial drug that disrupts the cell membrane function?
Polymixin B- causes leakgae of cell contents
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What do the drugs that block Protein synthesis do?
- Target the ribosmal messenger RNA complex.
- Most effective against gram - bacteria
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Tetracylcines?
- Block proetin synth.
- bacteristatic
- prevents the attachment of tRNA
- broad spect.
- toxicity- GIT problems, staining of teeth and photo senstive.
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Chloramphenicol?
- Bactristatic
- prevents peptide bond formation
- broad spect
- highly toxic- irrevisable bone marrow damage.
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Erythromycin?
- A marcolide
- narrow spect
- bacteristatic
- attaches to 50S ribosome (prevent movement of ribosome on mRNA)
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Fluoroquinolones?
- Bactericidal
- broad spect
- inhibit DNA synthesis
- ex. norfloxacin and ciprofloxacin
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Rifampin?
- Inhibits RNA synth
- Narrow spect
- effective against tuberculosis
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Drugs that block metabolic pathways?
- They are bacteriostatic
- Sulfonamides (sulfa drugs)
- block syth of folic acid in bacteria
- most are narrow spect
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Amphotericin B and Nystatin?
- Antifungal drug
- An Antiboiotic
- binds sterol in PM cause leakage of contents
- toxic to human cells
- used on surface and systemic infections
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Griseofulvin?
- interferes w/ mitosis
- fungistatic
- used agaisnt ringworm and athletes foot
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Antifungal : Synthetics
Azoles?
- Broad spect
- fungicidal
- ex clotrimazole and miconazole
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flucytoncine?
- fungicidal
- analog of cytocine
- inhibits RNA syth
- used in combination w/ other antifungals
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Antiprotazoan drugs ; Antimalaria
Natural?
- 1) Quinine from cinchona tree
- 2) Doxycycline from prophylaxis
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Antiprotazoan; antimalaria
Synthetics?
- Chloroquine- inhibits DNA syth
- Mefloquine- semisythetic; used to treat chloroquine resistant form
- Malarone- for prophylaxis
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Challenges to treatment w/ Antihelmintic drugs?
- Size and similarity to human physiology
- Helminthes include: tapeworm, fluke and roundworms
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Membendazole and thiabendazole?
- effective against round worms
- interfere w/ glucose metabolism in the intestines
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Niclosamide?
- destorys scolex and attatched to proglottids
- effective against tapeworms
- may cause serve ab cramps
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Praziquantel?
- Used for tapeworm and fluke infections
- disrupt plamsa membrane
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What is a major problem with antiviral drugs?
Selective toxicity
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Antiviral drugs; Non-nucloside agents
Amantadine & Rimantidine?
- Against type influeneza A virus
- block the H spikes
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Relenza And Tamiflu?
- effective against both influenza a and b
- block the N spikes
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What are the nucleoside angalogs?
- Purine (a or g)
- Pyrimdines (t, c and u)
- Block DNA and RNA syth
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Purine analogs?
- Antiherpes drugs- used orally or locally
- blocks DNA syth
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Pyrimdine angalogs?
- Anti HIV
- Dideoxyinosine
- Dideoxycytidine
- ^^ prevent syth of DNA from RNA
- HIV is retro virus
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Enzyme inhibitors?
- Anti HIV
- viral protease inhibitors: indinavir, saquinavir, nelfinavir, and crixivan
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What is drug resistance?
mircobes tolerate drug amounts that usually inhibit them
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How does resistance occur?
intermicrobial gene transfer in form or plasmids called resistance (r) factors or through mutations
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What are the mechanisms of drug resistance?
- Activation of enzymes
- alteration of binding sites for drugs
- an affected metabolic pathway is shut down or alternated pathway is used
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How to lower drug resistance?
- Use drugs only when necessary
- follow instructions for intake
- use combination therapy - for synergistic effect and to decrease toxicity
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New drugs?
target mostly resistance microbes
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What are the sources of new drugs?
plants, animals and sythetic cmpds such as: Synth DNA called triplex agent and antisense agent- those neutrilize genes and mRNAs that code for mircobial pathogenic proteins
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Lantibiotics?
- short peptides produced by bacteria against other bacteria
- used in food preservation
- have potential in chemotherapy
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Probiotics and prebiotics?
Replace lost mircobes and add to those already there
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