SlideShare a Scribd company logo
AMINOGLYCOSIDES
- DR. JERIN
Aminoglycosides
Aerobic, gram
negative bacilli
E.Coli, Salmonella,
Shigella
V.cholerae,
Pseudomonas
Streptomycin
Gentamicin
Amikacin
Kanamycin
Tobramycin
NeomycinOtotoxicity
Nephrotoxicity30s ribosomes
Bactericidal
Not absorbed
orally
INTRODUCTION
• Antibiotics of amino sugars joined by glycosidic linkages
• 2 types based on the source
• Soil actinomycetes
Genus Streptomyces
Streptomycin
Kanamycin
Tobramycin
Neomycin
Genus Micromonospora
Gentamicin
Netilmicin
Amikacin
ANTIBACTERIAL SPECTRUM :
• Narrow spectrum
• Aerobic gram negative bacilli
• E.coli
• Salmonella
• Shigella
• V. cholerae
• klebsiella
MECHANISM OF ACTION :
Penetrates the bacterial cell membrane through
aqueous pores
Reaches the periplasmic
spaces
Binds to 30s
ribosomes
Block initiation of protein
synthesis
Cause misreading of
mRNA & terminate
protein synthesis
Addition of
incorrect amino
acids
Inhibition of protein synthesis
BACTERICIDAL
EFFECT
RESISTANCE :
• Aminoglycoside inactivating enzyme
• Low affinity of ribosomes
• Decrease in permeability
Pharmacokinetics :
• Not absorbed from GIT
• Peak level is seen in 60min following IM administration
• Excreted through kidneys
• T
𝟏
𝟐
is 2-3hrs.
Adverse Effects :
• Ototoxicity :
 Both vestibular & auditory dysfunction
 The drug concentrates on the labyrinthine fluid of the inner ear & damages both
the cochlear hair cells & vestibular sensory cells
 Causes progressive & permanent deafness
 Vestibular symptoms : headache, nausea, vomiting, dizziness, vertigo, nystagmus,
ataxia
 Neomycin, Amikacin, Kanamycin – deafness
 Streptomycin, Gentamicin – vestibular toxicity
• Nephrotoxicity :
 Drug attains high concentration in the renal cortex & damages renal tubules
 These effects are reversible.
 Gentamicin, Neomycin, Tobramycin – Nephrotoxic
• Neuromuscular blockade
 Curare like effect.
Uses :
• Infections of gram negative bacteria
• Streptococcal & enterococcal endocarditis along with penicillin
• Tuberculosis – streptomycin, kanamycin, amikacin
Streptomycin :
• Least nephrotoxic among aminoglycosides.
• Uses :
• Tuberculosis
• Subacute bacterial endocarditis : along with
penicillin
• Plague, tularaemia & brucellosis : along with
tetracycline
Gentamicin :
• More potent & broader spectrum of action
• More nephrotoxic & vestibulotoxic
• Uses :
• UTI
• Pneumonia
• Meningitis
• SBE
• Topical : cream for burns & infected wounds.
Amikacin :
• Semisynthetic derivative
• Widest antibacterial spectrum
• RESISTANT TO AMINOGLYCOSIDE INACTIVATING ENZYME
• Uses :
• Nosocomial infection
• Tuberculosis
Neomycin :
• Both gram positive & negative spectrum
• Highly ototoxic
• Not given systemically
• Used topically
• Also used orally for action on gut
Thank you …

More Related Content

What's hot

Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
Sindhu Y
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
IqraMalik83
 
Aminoglycosides antibiotics
Aminoglycosides antibiotics Aminoglycosides antibiotics
Aminoglycosides antibiotics
RuchithaRao2
 
Aminoglycosides and streptomycin- pharmaceutical Chemistry
Aminoglycosides and streptomycin- pharmaceutical ChemistryAminoglycosides and streptomycin- pharmaceutical Chemistry
Aminoglycosides and streptomycin- pharmaceutical Chemistry
HumnaMehmood
 
Aminoglycosides Used in Veterinary Practice
Aminoglycosides Used in Veterinary PracticeAminoglycosides Used in Veterinary Practice
Aminoglycosides Used in Veterinary Practice
Abdullah Al Mubin
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
Kiran Niure
 
5 aminoglycosides,macrolides, anti tb dental
5 aminoglycosides,macrolides, anti tb dental5 aminoglycosides,macrolides, anti tb dental
5 aminoglycosides,macrolides, anti tb dental
IAU Dent
 
30.aminoglycosides
30.aminoglycosides30.aminoglycosides
30.aminoglycosides
Dr.Manish Kumar
 
Aminoglycoside
AminoglycosideAminoglycoside
Aminoglycoside
Riya Garg
 
Aminoglycoside
AminoglycosideAminoglycoside
Aminoglycoside
SANDEEP MEWADA
 
Aminoglycoside
AminoglycosideAminoglycoside
Gentamicin
GentamicinGentamicin
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
Piyalee Rakesh
 
Aminoglycosides antibiotics
Aminoglycosides antibioticsAminoglycosides antibiotics
Aminoglycosides antibiotics
Swornim Gyawali
 
Neomycin
NeomycinNeomycin
Neomycin
SANDEEP MEWADA
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
DrSahilKumar
 
Aminoglycosides Antibiotic
Aminoglycosides AntibioticAminoglycosides Antibiotic
Aminoglycosides Antibiotic
Asraful Islam Rayhan
 
6. aminoglycosides
6. aminoglycosides6. aminoglycosides
6. aminoglycosides
Vijay Prasad Sangisetti
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
osamaDR
 
Aminoglycosides
AminoglycosidesAminoglycosides

What's hot (20)

Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 
Aminoglycosides antibiotics
Aminoglycosides antibiotics Aminoglycosides antibiotics
Aminoglycosides antibiotics
 
Aminoglycosides and streptomycin- pharmaceutical Chemistry
Aminoglycosides and streptomycin- pharmaceutical ChemistryAminoglycosides and streptomycin- pharmaceutical Chemistry
Aminoglycosides and streptomycin- pharmaceutical Chemistry
 
Aminoglycosides Used in Veterinary Practice
Aminoglycosides Used in Veterinary PracticeAminoglycosides Used in Veterinary Practice
Aminoglycosides Used in Veterinary Practice
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 
5 aminoglycosides,macrolides, anti tb dental
5 aminoglycosides,macrolides, anti tb dental5 aminoglycosides,macrolides, anti tb dental
5 aminoglycosides,macrolides, anti tb dental
 
30.aminoglycosides
30.aminoglycosides30.aminoglycosides
30.aminoglycosides
 
Aminoglycoside
AminoglycosideAminoglycoside
Aminoglycoside
 
Aminoglycoside
AminoglycosideAminoglycoside
Aminoglycoside
 
Aminoglycoside
AminoglycosideAminoglycoside
Aminoglycoside
 
Gentamicin
GentamicinGentamicin
Gentamicin
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 
Aminoglycosides antibiotics
Aminoglycosides antibioticsAminoglycosides antibiotics
Aminoglycosides antibiotics
 
Neomycin
NeomycinNeomycin
Neomycin
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 
Aminoglycosides Antibiotic
Aminoglycosides AntibioticAminoglycosides Antibiotic
Aminoglycosides Antibiotic
 
6. aminoglycosides
6. aminoglycosides6. aminoglycosides
6. aminoglycosides
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 

Similar to Aminoglycosides

45 aminoglycosides
45 aminoglycosides45 aminoglycosides
45 aminoglycosides
sijo28
 
Aminoglycoside and it's uses , side effect
Aminoglycoside and it's uses , side effectAminoglycoside and it's uses , side effect
Aminoglycoside and it's uses , side effect
TharikJack
 
AMINO FOR BDS.pptx
AMINO FOR BDS.pptxAMINO FOR BDS.pptx
AMINO FOR BDS.pptx
TharikJack
 
Aminoglycosides Antibiotics
Aminoglycosides AntibioticsAminoglycosides Antibiotics
Aminoglycosides Antibiotics
Dinesh Kumar
 
Aminoglycoside by sumit
Aminoglycoside by sumitAminoglycoside by sumit
Aminoglycoside by sumit
Sumit Kumar
 
Amino glycosides and streptomycin pharmac
Amino glycosides and streptomycin pharmacAmino glycosides and streptomycin pharmac
Amino glycosides and streptomycin pharmac
KeyaArere
 
AMA-Aminoglycosides.pdf
AMA-Aminoglycosides.pdfAMA-Aminoglycosides.pdf
AMA-Aminoglycosides.pdf
SanjayaManiDixit
 
aminoglycosides.pptx
aminoglycosides.pptxaminoglycosides.pptx
aminoglycosides.pptx
Sri Lakshmi
 
Aminoglycosides & Spectinomycin.pptx
Aminoglycosides & Spectinomycin.pptxAminoglycosides & Spectinomycin.pptx
Aminoglycosides & Spectinomycin.pptx
KeyaArere
 
Ocular therapeutics
Ocular therapeutics Ocular therapeutics
Ocular therapeutics
Bipin Bista
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
Nalini Prabhakar
 
Aminoglycosides.pptx
Aminoglycosides.pptxAminoglycosides.pptx
Aminoglycosides.pptx
Subramani Parasuraman
 
classaminoglycosides2-150525094713-lva1-app6891.pdf
classaminoglycosides2-150525094713-lva1-app6891.pdfclassaminoglycosides2-150525094713-lva1-app6891.pdf
classaminoglycosides2-150525094713-lva1-app6891.pdf
Prof. Dr Pharmacology
 
Class aminoglycosides 2
Class aminoglycosides 2Class aminoglycosides 2
Class aminoglycosides 2
Raghu Prasada
 
Antibiotics
AntibioticsAntibiotics
Antibiotics
mauryaramgopal
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
Santhanakumar21
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
Chintan Doshi
 
Oxazolidinones
OxazolidinonesOxazolidinones
Oxazolidinones
Chintan Doshi
 
Antifungal drugs
Antifungal drugsAntifungal drugs
Antifungal drugs
narendrasinghmeena
 
AMINOGLYCOSIDE.ppt
AMINOGLYCOSIDE.pptAMINOGLYCOSIDE.ppt
AMINOGLYCOSIDE.ppt
terry813845
 

Similar to Aminoglycosides (20)

45 aminoglycosides
45 aminoglycosides45 aminoglycosides
45 aminoglycosides
 
Aminoglycoside and it's uses , side effect
Aminoglycoside and it's uses , side effectAminoglycoside and it's uses , side effect
Aminoglycoside and it's uses , side effect
 
AMINO FOR BDS.pptx
AMINO FOR BDS.pptxAMINO FOR BDS.pptx
AMINO FOR BDS.pptx
 
Aminoglycosides Antibiotics
Aminoglycosides AntibioticsAminoglycosides Antibiotics
Aminoglycosides Antibiotics
 
Aminoglycoside by sumit
Aminoglycoside by sumitAminoglycoside by sumit
Aminoglycoside by sumit
 
Amino glycosides and streptomycin pharmac
Amino glycosides and streptomycin pharmacAmino glycosides and streptomycin pharmac
Amino glycosides and streptomycin pharmac
 
AMA-Aminoglycosides.pdf
AMA-Aminoglycosides.pdfAMA-Aminoglycosides.pdf
AMA-Aminoglycosides.pdf
 
aminoglycosides.pptx
aminoglycosides.pptxaminoglycosides.pptx
aminoglycosides.pptx
 
Aminoglycosides & Spectinomycin.pptx
Aminoglycosides & Spectinomycin.pptxAminoglycosides & Spectinomycin.pptx
Aminoglycosides & Spectinomycin.pptx
 
Ocular therapeutics
Ocular therapeutics Ocular therapeutics
Ocular therapeutics
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 
Aminoglycosides.pptx
Aminoglycosides.pptxAminoglycosides.pptx
Aminoglycosides.pptx
 
classaminoglycosides2-150525094713-lva1-app6891.pdf
classaminoglycosides2-150525094713-lva1-app6891.pdfclassaminoglycosides2-150525094713-lva1-app6891.pdf
classaminoglycosides2-150525094713-lva1-app6891.pdf
 
Class aminoglycosides 2
Class aminoglycosides 2Class aminoglycosides 2
Class aminoglycosides 2
 
Antibiotics
AntibioticsAntibiotics
Antibiotics
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 
Oxazolidinones
OxazolidinonesOxazolidinones
Oxazolidinones
 
Antifungal drugs
Antifungal drugsAntifungal drugs
Antifungal drugs
 
AMINOGLYCOSIDE.ppt
AMINOGLYCOSIDE.pptAMINOGLYCOSIDE.ppt
AMINOGLYCOSIDE.ppt
 

Recently uploaded

Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
SwisschemDerma
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
rishi2789
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
taiba qazi
 
OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1
KafrELShiekh University
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
walterHu5
 
The Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic PrinciplesThe Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic Principles
MedicoseAcademics
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Tina Purnat
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
rishi2789
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
Netter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdfNetter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdf
BrissaOrtiz3
 
Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
shivalingatalekar1
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
FFragrant
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Jim Jacob Roy
 
A Classical Text Review on Basavarajeeyam
A Classical Text Review on BasavarajeeyamA Classical Text Review on Basavarajeeyam
A Classical Text Review on Basavarajeeyam
Dr. Jyothirmai Paindla
 
Adhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.comAdhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.com
reignlana06
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
rishi2789
 
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in DehradunDehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
chandankumarsmartiso
 

Recently uploaded (20)

Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
 
OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
 
The Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic PrinciplesThe Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic Principles
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
Netter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdfNetter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdf
 
Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
 
A Classical Text Review on Basavarajeeyam
A Classical Text Review on BasavarajeeyamA Classical Text Review on Basavarajeeyam
A Classical Text Review on Basavarajeeyam
 
Adhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.comAdhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.com
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
 
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in DehradunDehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
 

Aminoglycosides

  • 2. Aminoglycosides Aerobic, gram negative bacilli E.Coli, Salmonella, Shigella V.cholerae, Pseudomonas Streptomycin Gentamicin Amikacin Kanamycin Tobramycin NeomycinOtotoxicity Nephrotoxicity30s ribosomes Bactericidal Not absorbed orally
  • 3. INTRODUCTION • Antibiotics of amino sugars joined by glycosidic linkages • 2 types based on the source • Soil actinomycetes Genus Streptomyces Streptomycin Kanamycin Tobramycin Neomycin Genus Micromonospora Gentamicin Netilmicin Amikacin
  • 4. ANTIBACTERIAL SPECTRUM : • Narrow spectrum • Aerobic gram negative bacilli • E.coli • Salmonella • Shigella • V. cholerae • klebsiella
  • 5. MECHANISM OF ACTION : Penetrates the bacterial cell membrane through aqueous pores Reaches the periplasmic spaces Binds to 30s ribosomes Block initiation of protein synthesis Cause misreading of mRNA & terminate protein synthesis Addition of incorrect amino acids Inhibition of protein synthesis BACTERICIDAL EFFECT
  • 6. RESISTANCE : • Aminoglycoside inactivating enzyme • Low affinity of ribosomes • Decrease in permeability
  • 7. Pharmacokinetics : • Not absorbed from GIT • Peak level is seen in 60min following IM administration • Excreted through kidneys • T 𝟏 𝟐 is 2-3hrs.
  • 8. Adverse Effects : • Ototoxicity :  Both vestibular & auditory dysfunction  The drug concentrates on the labyrinthine fluid of the inner ear & damages both the cochlear hair cells & vestibular sensory cells  Causes progressive & permanent deafness  Vestibular symptoms : headache, nausea, vomiting, dizziness, vertigo, nystagmus, ataxia  Neomycin, Amikacin, Kanamycin – deafness  Streptomycin, Gentamicin – vestibular toxicity • Nephrotoxicity :  Drug attains high concentration in the renal cortex & damages renal tubules  These effects are reversible.  Gentamicin, Neomycin, Tobramycin – Nephrotoxic • Neuromuscular blockade  Curare like effect.
  • 9. Uses : • Infections of gram negative bacteria • Streptococcal & enterococcal endocarditis along with penicillin • Tuberculosis – streptomycin, kanamycin, amikacin
  • 10. Streptomycin : • Least nephrotoxic among aminoglycosides. • Uses : • Tuberculosis • Subacute bacterial endocarditis : along with penicillin • Plague, tularaemia & brucellosis : along with tetracycline
  • 11. Gentamicin : • More potent & broader spectrum of action • More nephrotoxic & vestibulotoxic • Uses : • UTI • Pneumonia • Meningitis • SBE • Topical : cream for burns & infected wounds.
  • 12. Amikacin : • Semisynthetic derivative • Widest antibacterial spectrum • RESISTANT TO AMINOGLYCOSIDE INACTIVATING ENZYME • Uses : • Nosocomial infection • Tuberculosis
  • 13. Neomycin : • Both gram positive & negative spectrum • Highly ototoxic • Not given systemically • Used topically • Also used orally for action on gut