Sulfamethoxazole-Trimethoprim Flashcards
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Sulfamethoxazole-Trimethoprim Flashcards

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Questions and Answers

What is the drug class of Sulfamethoxazole-Trimethoprim?

  • Analgesic
  • Antifungal
  • Antibacterial sulfonamide (correct)
  • Antiviral
  • What is the pregnancy category of Sulfamethoxazole-Trimethoprim?

    D

    The therapeutic uses of Sulfamethoxazole-Trimethoprim include treatment for ______.

    UTI, otitis media, bronchitis, pneumonia, Pneumocystis carinii infection, rheumatic fever, burns

    What is the mode of action of Sulfamethoxazole-Trimethoprim?

    <p>Inhibition of protein synthesis of nucleic acids; bactericidal effect</p> Signup and view all the answers

    List some common side effects of Sulfamethoxazole-Trimethoprim.

    <p>Anorexia, nausea, vomiting, diarrhea, rash, stomatitis, fatigue, depression, headache, vertigo, photosensitivity</p> Signup and view all the answers

    What are some life-threatening adverse reactions associated with Sulfamethoxazole-Trimethoprim?

    <p>Leukopenia, thrombocytopenia, increased bone marrow depression, hemolytic anemia, aplastic anemia, agranulocytosis, Stevens-Johnson syndrome, renal failure</p> Signup and view all the answers

    What are the contraindications for using Sulfamethoxazole-Trimethoprim?

    <p>Both A and B</p> Signup and view all the answers

    Sulfamethoxazole-Trimethoprim can increase the anticoagulant effect with ______.

    <p>warfarin</p> Signup and view all the answers

    What lab interactions can occur with Sulfamethoxazole-Trimethoprim?

    <p>May increase BUN, serum creatinine, AST, ALT, ALP</p> Signup and view all the answers

    Describe the pharmacokinetics of Sulfamethoxazole-Trimethoprim.

    <p>Absorption: PO: well absorbed; Distribution: PB: 50-65%; crosses placenta; Metabolism: t1/2: 8-12 hrs; Excretion: in urine as metabolites</p> Signup and view all the answers

    What are the pharmacodynamics of Sulfamethoxazole-Trimethoprim when taken orally?

    <p>Onset: 0.5-1hr; Peak: 2-4hr; Duration: unknown</p> Signup and view all the answers

    What is the onset and peak for IV administration of Sulfamethoxazole-Trimethoprim?

    <p>Onset: immediate; Peak: 0.5-1hr; Duration: unknown</p> Signup and view all the answers

    Study Notes

    Drug Information

    • Sulfamethoxazole-Trimethoprim is classified as an antibacterial sulfonamide.
    • It is categorized as Pregnancy Category D, indicating potential risks to the fetus.

    Therapeutic Uses

    • Effective in treating urinary tract infections (UTIs).
    • Used for otitis media, bronchitis, and pneumonia.
    • Treats Pneumocystis carinii infections and rheumatic fever.
    • Can be applied in the management of burns.

    Mode of Action

    • Functions by inhibiting protein synthesis of nucleic acids.
    • Exhibits a bactericidal effect, effectively killing bacteria.

    Side Effects

    • Common side effects include anorexia, nausea, vomiting, and diarrhea.
    • May cause skin rash, stomatitis, fatigue, and depression.
    • Neurological effects like headache, vertigo, and photosensitivity are also possible.

    Adverse Reactions

    • Life-threatening adverse reactions can occur, including leukopenia and thrombocytopenia.
    • Risk of increased bone marrow depression, hemolytic anemia, aplastic anemia, and agranulocytosis.
    • Severe skin reactions such as Stevens-Johnson syndrome and renal failure may arise.

    Contraindications

    • Not recommended for individuals with severe renal or hepatic disease.
    • Contraindicated for patients with a known hypersensitivity to sulfonamides.

    Drug Interactions

    • Enhances the anticoagulant effect when used with warfarin.
    • May amplify the hypoglycemic effect in conjunction with oral hypoglycemic drugs.

    Lab Interactions

    • Can lead to increased levels of BUN, serum creatinine, AST, ALT, and ALP in lab results.

    Pharmacokinetics

    • Well absorbed orally, with a protein binding range of 50-65%.
    • Crosses the placenta, which is crucial for potential maternal-fetal risks.
    • Half-life is approximately 8-12 hours, with excretion occurring in urine as metabolites.

    Pharmacodynamics

    • Oral administration onset occurs within 0.5-1 hour, reaching peak effect at 2-4 hours, while duration is undetermined.
    • Intravenous administration has an immediate onset, with peak effect occurring within 0.5-1 hour, and duration remains undetermined.

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    Description

    Test your knowledge on Sulfamethoxazole-Trimethoprim, also known as Bactrim, through these helpful flashcards. Each card covers essential aspects including drug class, pregnancy category, therapeutic uses, and mode of action. Perfect for students in pharmacology or healthcare fields.

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