Pharm II: Antibiotics and Warfarin Drug Interaction

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12 Questions

Which class of antibiotics inhibits cell wall synthesis?

Sulfonamides

What is the mechanism of action of vancomycin?

Inhibiting cell wall synthesis

Which antibiotic may have both bactericidal and bacteriostatic activity depending on the dose or specific bacteria?

Tetracyclines

What is a common mechanism of resistance to antibiotics?

Misuse and overuse of antibiotics

Which of the following is a possible hypothesis for the interaction between oral contraceptives (OCs) and antibiotics?

Increased enterohepatic circulation

Which category of antibacterial drugs is associated with a 13 fold increase in the risk of unintended pregnancies when taken with oral contraceptives?

Rifampicin

Which organization does not advise any additional precautions despite the uncertainties regarding the interaction between antibiotics and oral contraceptives?

World Health Organization (WHO)

Which enzyme-inducing drug is mentioned in the text as posing a risk of unintended pregnancies when taken with oral contraceptives?

Carbamazepine

What is a potential mechanism by which fluoroquinolones increase the effect of warfarin?

Inhibition of warfarin metabolism

How do macrolides such as azithromycin and erythromycin affect the metabolism of warfarin?

They inhibit hepatic metabolism of warfarin

What is a consideration for penicillins in relation to warfarin use?

They displace warfarin from protein binding sites

What is a potential effect of sulfonamides on warfarin therapy?

Altered gut flora affecting vitamin K synthesis

This quiz covers the interactions between antibiotics and warfarin, focusing on considerations for cephalosporins and fluoroquinolones. Topics include how these antibiotics might affect warfarin's effectiveness and the importance of monitoring INR levels.

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