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INHIBIT
CLASSIFICATION
ANTIBIOTICS
Beta-lactamase sensitive
Natural Penicillins
(narrow spectrum)
Aminopenicillins (broad
spectrum)
Ampicillin (IM/IV - poorly absorbed orally; hence, risk for C. Difficile) Amoxicillin (PO)
Positively charged amino group enhances their uptake through bacterial porin (G -ve) channels.
Change in Porin Structure -> Pseudomonas becoming resistant.
Beta-lactamase resistant (very narrow spectrum) Staphylococcus aureus change in PBPs -> MRSA
Penicillins
Methicillin (no longer made)
Nafcillin
Oxacillin
Dicloxacillin
Flucloxacillin
Cell
Wall
S
y
n
t
h
e
s
i
s
Ticarcillin
Carbenicillin
Carboxypenicillins
Piperacillin
Azlocillin
Mezlocillin
Ureidopenicillins
Beta Lactams
Cefazolin
1/2
Cephalosporins
Not effective for the LAME
bacterias
Listeria (Amoxicillin often in combination w/
Aminoglycosides)
BC
3rd
Generation (Empirical Rx of
Sepsis & Meningitis, except
Cefoperazone)
w/ Aminoglycosides)
Glycopeptides
Cephalexin
Cefadroxil
Cephalotin
Cefoxitin
Cefotetan
Cefaclor
Cefonicid
Cefamandole
Cefmetazole
Cefprozil
Cefoperazone
Ceftriaxone
Ceftazidime
Cefpodoxime
Ceftizoxime
Cefotaxime
Cefixime
Ceftibuten
Cefdinir
Cefditoren
Ertapenem
Doripenem
surgical prophylaxis)
Cephadrine
Cefuroxime (1
st
to cross BBB)
4th Generation
5th Generation
Ceftaroline
Meropenem
Aztreonam (alternative for persons allergic to cephalosporins and infected with a G -ve rod) (Beta-lactamase resistant)
Sulbactam
Tazobactam
Clavulonic Acid
Bacitracin
Teicoplanin
Polymyxin B
Amikacin
Tobramycin
Aminoglycosides BC
30S
Gentamycin
Streptomycin
(DOC for Bubonic
plague, Tularemia)
Tetracyclin
Demeclocyclin Blocks
Minocyclin Dentistry
Tigecyclin
Chloramphenicol Phenyl group; lipid soluble. Neonates; Grey baby syndrome, Kernicterus. Dose-dependent bone marrow suppression
Protein Synthesis
Erythromycin
Azithromycin
Clarithromycin
50S
Lincosamides
Telithromycin Ketolide:
macrolide-resistant Strep.
pneumonia
Clindamycin S. Aureus,
Lincomycin
Norfloxacin (2nd)
Ofloxacin (2nd)
Enofloxacin (2nd)
Levofloxacin (3rd)
Sparfloxacin (3rd)
Moxifloxacin (4th)
Gemifloxacin (4th)
Ag Sulfadiazine (burns)
Sulfisoxazole
Pirymethamine-sulfadiazine: Cerebral
Toxoplasmosis
Quinolones
Sulfonamides Dihydropteroate
Sulfamethoxazole (SMX)
Sulfone
Dapsone (Diaminodiphenyl sufone, DDS) Competitive inhibitor of Dihydropteroate synthetase. SLE-like syndrome w/ slow acetylators. Used in combination with CLOFAZIMINE (binds to the
guanine bases of bacterial DNA, thereby blocking the template function of the DNA and inhibiting bacterial proliferation) &/or RIFAMPIN for Leprosy Rx. DERMATITIS HERPETIFORMIS Rx.
DHFR inhibitors
Trimethoprim (TMP)
Pirymethamine
DNA (damage) BC
Metronidazole (free radicals) DOC: C. Difficile; Pseudo. Colitis. Anaerobes. Antiprotozoal: Giardia, Trichomonas, Entamoeba.
mRNA synthesis BC
Rifampin