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Quinolones/Fluroquinolones
Sindhoora D
Assistant Professor
Dept.of.Pharmacology
Quinolones
• Synthetic
• Quinolone structure
• Primarily against gram negative bacteria
• Newer fluorinated are gram positive also
• First member are Nalidixic acid
Adverse effect:
 G.i upset and rashes frequent
 Headache, drowsiness, vertigo, visula disturbance
• Contraindicated in childrens
Fluroquinolones
• Containing fluorine in their structure.
• Classification:
Ciprofloxacin:
• Aerobic gram negative bacilli
• Rapidly absorbed in orally
Adverse effect:
• Tendinitis and tendon rupture
• Headache, dizziness and restlessness
• Skin hypersensitivity
• G.i disturbances
Uses:
• Gonorrhoea, conjunctivitis, bone,soft tissue and wound
infection, Gynaecological infection, respiratory infection,
typhoid and Bacterial gastroenteritis.
Norfloxacin:
• Primarily used for urinary and genital infection.
• Effective in bacterial diarrhoea.
Ofloxacin:
• Active against chlamydia and mycoplasma.
• Effective against Tuberculosis and M.leprae
• Chronic bronchitis, respiratory and ENT infection
Levofloxacin: levo isomer
• 100% bioavailibility
• Both oral and IV
• Acquired community pneumonia and exacerbation of chronic bronchitis
Gatifloxacin:
• Strep.penumoniae
Moxifloxacin:
• M.tuberculosis
• Bronchitis,sinusitis and ENT infection

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Quinolones

  • 2. Quinolones • Synthetic • Quinolone structure • Primarily against gram negative bacteria • Newer fluorinated are gram positive also • First member are Nalidixic acid Adverse effect:  G.i upset and rashes frequent  Headache, drowsiness, vertigo, visula disturbance • Contraindicated in childrens
  • 3. Fluroquinolones • Containing fluorine in their structure. • Classification:
  • 4.
  • 5. Ciprofloxacin: • Aerobic gram negative bacilli • Rapidly absorbed in orally Adverse effect: • Tendinitis and tendon rupture • Headache, dizziness and restlessness • Skin hypersensitivity • G.i disturbances Uses: • Gonorrhoea, conjunctivitis, bone,soft tissue and wound infection, Gynaecological infection, respiratory infection, typhoid and Bacterial gastroenteritis.
  • 6. Norfloxacin: • Primarily used for urinary and genital infection. • Effective in bacterial diarrhoea. Ofloxacin: • Active against chlamydia and mycoplasma. • Effective against Tuberculosis and M.leprae • Chronic bronchitis, respiratory and ENT infection Levofloxacin: levo isomer • 100% bioavailibility • Both oral and IV • Acquired community pneumonia and exacerbation of chronic bronchitis Gatifloxacin: • Strep.penumoniae Moxifloxacin: • M.tuberculosis • Bronchitis,sinusitis and ENT infection