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Chapter 20
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Synthetic drugs Isoniazid – inhibits mycolic acid synthesis. Effective against mycobacterium tuberculosis. Ethambutol – inhibits mycolic acid. Sulfanilamide inhibits folic acid synthesis. PABA - enzyme – folic acid Fluroquinolones inhibits DNA synthesis. Typhoid fever, shigellosis
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penicillin Mold – Penicillium notatum – inhibits peptidoglycan synthesis Bacitracin – Bacillus – peptidoglycan – topical applications. Polymyxin – Bacillus – damages plasma membrane – topical treatment. Rifampin – Streptomyces – inhibits RNA synthesis – tuberculosis.
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Antifungal drugs Amphotericin B – Streptomyces – damages plasma membrane – systemic mycosis – Histoplasmosis. Nystatin – Streptomyces – damages plasma membrane – Candida infections.
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Antiviral drugs Acyclovir – inhibits the synthesis of viral DNA. Effective against herpes virus. Zidovudine – inactivates the reverse transcriptase – can cause anemia in some cases. Used to treat HIV infection.
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Antiprotozoan drugs Chloroquine – malaria
Metronidazole – inhibits metabolism in an anaerobic environment. Giardiasis, amoebic dysentery.
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Antihelminthic drugs Niclosomide – inhibits ATP synthesis in mitochondria – treat tapeworm infestations. Praziquantel – damages plasma membrane – treat fluke infestations. Mebendazole – inhibits microtubule formation – roundworm infestations.
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Some bacteria develop resistance.
Plasmids – antibiotic resistance. Mutations can result in the overproduction of the enzyme that is being inactivated by the drug.
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