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CHEMOTHERPY
Prepared by: Sindhoora D
Assistant Professor
Dept.Of.Pharmacology
• Chemotherapy:
chemo + therapy
Chemotherapy is defined as the treatment of specific infection
with chemical agents. In the broad sense includes therapy
with antibiotics and also condition where infection is not
involved eg: maligancy
• The use of drug (chemical entity/ substance derived form
microorganisms) with selective toxicity against infections/
viruses, bacteria, protozoa, fungi and helminthes is called as
chemotherapy.
• This agent may be:
*Bacteriostatic
*Bactericidal
• Broad-spectrum antibiotics :
• are active against a wider number of bacterial types and, thus,
may be used to treat a variety of infectious diseases.
• Gram-positive and Gram-negative, or any antibiotic that acts
against a wide range of disease-causing bacteria
• Narrow-spectrum antibiotics
• are active against a select group of bacterial types.
SULFONAMIDES
• Sulfonamide is a functional group (a part of a molecule) that
is the basis of several groups of drugs, which are
called sulphonamides, sulfa drugs or sulpha drugs.
• Antimicrobial activity:
1. Gram positive and gram negative bacteria
2. Actinomyces and nocardia
3. Chlamydial organisms.
Resistance :
• Increased amount of PABA
• Folate synthase has low affinity
• Alternate pathway for folate metabolism
Pharmacokinetics:
• Absorbed in g.i.t
• Cross placenta
• Distributed all the body fluids
• Not CSF, but in meningeal inflammation high con in CSF
• Acetylation
• Excreted in urine
• Radical causes adverse effect
Adverse effect:
• Nausea,vomiting and epigastric pain
• Crystalluria
• Hypersensitivity rarely
• Haemopoietics toxicities agranulocytosis and
thrombocytopenia.
Uses:
• Acute bacillary dysentry
• Ulcerative colitis
• Meningococcal meningitis
• Prophylaxis of streptococcal tonsillitis
Cotrimaxazole
• The fixed dose of combination of trimethoprim and
sulfamethoxazole is called cotrimaxazole.
• Inhibits DHFRase enzyme.
Adverse effect:
• Nausea ,vomiting and skin rashes
• Anaemia, leucopenia and thrmobcytopenia
• Stomatitis,glossitis and crysllauria.
Uses:
• Urinary infection due to E.coli and Proteus
• Respiratory infection, gonorrhea and typhoid fever.

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Chemotherpy

  • 1. CHEMOTHERPY Prepared by: Sindhoora D Assistant Professor Dept.Of.Pharmacology
  • 2. • Chemotherapy: chemo + therapy Chemotherapy is defined as the treatment of specific infection with chemical agents. In the broad sense includes therapy with antibiotics and also condition where infection is not involved eg: maligancy • The use of drug (chemical entity/ substance derived form microorganisms) with selective toxicity against infections/ viruses, bacteria, protozoa, fungi and helminthes is called as chemotherapy.
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  • 4. • This agent may be: *Bacteriostatic *Bactericidal
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  • 6. • Broad-spectrum antibiotics : • are active against a wider number of bacterial types and, thus, may be used to treat a variety of infectious diseases. • Gram-positive and Gram-negative, or any antibiotic that acts against a wide range of disease-causing bacteria • Narrow-spectrum antibiotics • are active against a select group of bacterial types.
  • 7. SULFONAMIDES • Sulfonamide is a functional group (a part of a molecule) that is the basis of several groups of drugs, which are called sulphonamides, sulfa drugs or sulpha drugs. • Antimicrobial activity: 1. Gram positive and gram negative bacteria 2. Actinomyces and nocardia 3. Chlamydial organisms. Resistance : • Increased amount of PABA • Folate synthase has low affinity • Alternate pathway for folate metabolism
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  • 10. Pharmacokinetics: • Absorbed in g.i.t • Cross placenta • Distributed all the body fluids • Not CSF, but in meningeal inflammation high con in CSF • Acetylation • Excreted in urine • Radical causes adverse effect
  • 11. Adverse effect: • Nausea,vomiting and epigastric pain • Crystalluria • Hypersensitivity rarely • Haemopoietics toxicities agranulocytosis and thrombocytopenia. Uses: • Acute bacillary dysentry • Ulcerative colitis • Meningococcal meningitis • Prophylaxis of streptococcal tonsillitis
  • 12. Cotrimaxazole • The fixed dose of combination of trimethoprim and sulfamethoxazole is called cotrimaxazole. • Inhibits DHFRase enzyme. Adverse effect: • Nausea ,vomiting and skin rashes • Anaemia, leucopenia and thrmobcytopenia • Stomatitis,glossitis and crysllauria. Uses: • Urinary infection due to E.coli and Proteus • Respiratory infection, gonorrhea and typhoid fever.