SlideShare a Scribd company logo
Asraful Islam Rayhan Rafiqul Islam
Shaharul Islam Assistant professor
Sadikur Rahman Dept. of pharmacy
Sohel Rana JUST
Arman Ahmed
Dept. of pharmacy
JUST
presented by, presented to,
CONTENT
 Definition
 Source
 Chemistry
 Structure activity relationship
 Physical & chemical properties
 Mechanism of action
 Types of macrolide
 Pharmacokinetics
 Macrolide resistance
 Spectrum of activity
 Indication
 Contraindication
 Side effect
 Market preparation
Macrolides
The macrolides are a group of antibiotics produced by
various strains of Streptomyces and having a macrolide
ring structure linked to one or more sugars. They act by
inhibiting protein synthesis, specifically by blocking the
50S ribosomal subunit. They are broad spectrum
antibiotics.
Examples: Erythromycin, Azithromycin, Clarithromycin,
Roxithromycin etc……………
SOURCE:
These Are Produced By Streptomyces species.
CHEMISTRY:
 A macro cyclic lactone, usually having 12 to 17 atoms.
 A ketone group.
 One or two amino sugars linked to the nucleus.
 A neutral sugar linked either to amino sugar or to
lactone ring.
 The presence of the dimethyl amino moiety on the
sugar residue, which explains the basicity of these
compounds and consequently formation salts.
General structure of macrolide
 As macrolide are unstable in acidic pH, a no. of strategies have been
utilized to improve the acidic stability of erythromycin.
 The addition of hydroxylamine
to the ketone to form oxime
e.g. roxithromycin
Alteration of c-6 hydroxyl
group: nucleophilic
functionality which
initiates erythromycin degradation.
 The azalides (azithromycin)are
semi- synthetic 15 -membered
congeners in which a nitrogen atom
has been introduced to expand a
14-membered precursor-leads to an extended spectrum of action.
Physical & Chemical properties
Water insoluble molecules.
Occurs as crystalline powders.
Stable in aqueous solutions at or bellow
room temperature.
 Unstable in acidic conditions and forms
internal cyclic ketal.
Macrolide is a protein synthesis inhibitor:
Macrolide bind to 50S ribosomal subunit
Inhibit polypeptide chain elongation &
protein synthesis inhibition
Result in inhibition of growth &
multiplication
Erythromycin
Physical properties:
Yellow to white crystalline powder.
Soluble in alcohol, slightly soluble in water.
Stable at neutral pH.
Dosage forms:
Oral and topical dosage forms.
Enteric coted and delayed realese dosage forms.
Drug interactions:
Anticoagulants
Benzodiazepines
Antihistaminic drugs
It is used in,
Streptococcal pharyngitis
Tonsillitis
Respiratory infection
Diphtheria
Tetanus
Syphilis & gonorrhoea
Whooping cough
Abdominal cramps
Epigastric distress
Jaundice
Transient deafness
Hypersensitivity rashes
Hearing impairment
Therapeutic agents of erythromycin
Erythromycin ethylsuccinate
Erythromycin estolate
Erythromycin gluceptate
Erythromycin lactobionate
Advantages
Cannot undergo cyclic ketal formation, so doesn’t
cause cramp in GI
 Higher blood concentrations.
More lipophyl.
Lower doses with less intervals.
Uses:
Atypical mycobacterial infection
Resistant leprosy
Toxoplasmosis
H.Pylori induced peptic ulcers
In the treatment of Urogenital infections caused by
N.gonorrhoeae and Chlamydia trachomatis.
For the treatment of respiratory tract infections.
Pregnant women infected with scrub typhus:
Azithromycin can suitable for doxycyclin.
properties:
Semi-synthetic 14–membered ring macrolide
antibiotic in which the erythronolide lactone ring has
been altered to prevent inactivation in the milieu.
Uses:
 Active against both gram (+) & gram (-).
Treatment of skin ,dental & genital infections.
Treatment of upper & lower respiratory tract
infections.
Absorption:
Erythromycin-variable
absorption ,food may decrease
the absorption.
Clarithromycin-acid stable
& well absorbed regardless
of presence of food.
Azithromycin-acid stable,
food decreases absorption of capsules.
Distribution:
Extensive tissue & cellular distribution.
Clarithromycin & azithromycin with extensive
penetration.
Minimal CSF penetration.
Metabolism:
 Via liver
Elimination:
Clarithromycin is the only macrolide partially
eliminated by the kidney.
Hepatically eliminated:(All)
None of the macrolides are removed during
hemodialysis.
Gram Positive Aerobes
Erythromycin & Clarithromycin
display the best activity…........
Clarithro>Erythro>Azithro
Example:
• Stayphyloccous aureus
• Streptococcus pneumoniae
• Corynebacterium sp.
Gram negative Aerobes
Newer macrolides such as-
Azithromycin has enhanced
activity.
Azithro>Clarithro>Erythro
Example:
• H. influenzae
• Neisseria sp.
• Bordetella pertusis.
Sinusitis
Pharyngitis
Skin & soft tissue infection
Whooping cough
Tonsillitis
Pneumonia
Respiratory tract infection
Eradication of H.Pylori
Diphtheria
Gonorrhoea & Syphilis
Typhoid & malaria
Hepatic dysfunction
Hypersensitivity
pregnancy
Hypersensitivity
Headache
Taste disturbances
Stomatitis
Jaundice
Hepatitis
Mild gastric upset
Abdominal pain
Dizziness
Glossitis
Cholestasis
Hearing problem
Erythromycin:
Brand Name:
 Eromycin(Square pharmaceuticals)
Erocin(Acme pharmaceuticals)
Ero(Hudson pharmaceuticals)
Strength:
250mg,500mg; tablet
125mg/5ml suspension
Azithromycin:
Brand name:
AZICIN(Opsonin)
AZIN(Acme)
AZYTH(Sandoz)
ZMAX (Square)
Strength:
250mg,500mg; tablet
200mg/5ml suspension
500mg/5ml vial injection
Clarithromycin:
Brand name:
BINOCLAR(Sandoz)
CLARICIN(Acme)
CLARIN(Drug Inter)
Strength:
250mg,500mg;tablet
500mg/5ml vial injection
 An introduction to medicinal chemistry; Graham L.
Patrick
Essentials of MEDICINAL PHARMACOLOGY; KD
Tripathy.
Foyel’s Principle of MEDICINAL CHEMISTRY.
Lippincott’s Pharmacology.
Qimp index of medicinal products & problem.
Basic & clinical pharmacology; katzumg, masters &
Trevor.
Macroloid antibiotics

More Related Content

What's hot

Penicillins by Dr. Panchumarthy Ravisankar M.Pharm., Ph.D.
Penicillins by Dr. Panchumarthy Ravisankar M.Pharm., Ph.D.Penicillins by Dr. Panchumarthy Ravisankar M.Pharm., Ph.D.
Penicillins by Dr. Panchumarthy Ravisankar M.Pharm., Ph.D.
Dr. Ravi Sankar
 
Medicinal Chemistry of Hetrocyclic Compound
Medicinal Chemistry of Hetrocyclic CompoundMedicinal Chemistry of Hetrocyclic Compound
Medicinal Chemistry of Hetrocyclic Compound
Puja Ramu Basule
 
Sulphonamide
SulphonamideSulphonamide
Sulphonamide
Mr.S.SEETARAM SWAMY
 
Tetracycline sar
Tetracycline sarTetracycline sar
Tetracycline sar
naseefa
 
ANTI-MALARIAL DRUGS AND ANALOGUES
ANTI-MALARIAL DRUGS AND ANALOGUESANTI-MALARIAL DRUGS AND ANALOGUES
ANTI-MALARIAL DRUGS AND ANALOGUES
Shikha Popali
 
Antibiotics - Medicinal chemistry
Antibiotics - Medicinal chemistry Antibiotics - Medicinal chemistry
Antibiotics - Medicinal chemistry
kencha swathi
 
UTI Agents
UTI AgentsUTI Agents
UTI Agents
kencha swathi
 
Tetracyclines
TetracyclinesTetracyclines
Tetracyclines
kencha swathi
 
Medicinal chemistry of Anti viral agents
 Medicinal chemistry of Anti viral agents  Medicinal chemistry of Anti viral agents
Medicinal chemistry of Anti viral agents
Soujanya Pharm.D
 
Chemotherapy of malignancy
Chemotherapy of malignancyChemotherapy of malignancy
Chemotherapy of malignancy
Atul Prajapati
 
Basic concepts and application of prodrug design
Basic concepts and application of prodrug designBasic concepts and application of prodrug design
Basic concepts and application of prodrug design
Prof. Aejaz Ahmed Boraji
 
ANTI-TB AND ANTI LEPROTIC DRUGS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR.
ANTI-TB AND ANTI LEPROTIC DRUGS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR.ANTI-TB AND ANTI LEPROTIC DRUGS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR.
ANTI-TB AND ANTI LEPROTIC DRUGS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR.
Dr. Ravi Sankar
 
Urinary tract anti infective agents
Urinary tract anti infective agentsUrinary tract anti infective agents
Urinary tract anti infective agents
Akash Saxena
 
Macrolide antibiotics
Macrolide antibioticsMacrolide antibiotics
Macrolide antibiotics
LakshayGupta67
 
Anti-Virals Drugs (Medicinal Chemistry)
Anti-Virals Drugs (Medicinal Chemistry)Anti-Virals Drugs (Medicinal Chemistry)
Anti-Virals Drugs (Medicinal Chemistry)
Faizan Akram
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
Narasimha Kumar G V
 
Quinolones
QuinolonesQuinolones
Quinolones
Zulcaif Ahmad
 
Tetracyclines- Ravisankar- Medicinal chemistry, Definition,classification,S...
Tetracyclines-  Ravisankar-  Medicinal chemistry, Definition,classification,S...Tetracyclines-  Ravisankar-  Medicinal chemistry, Definition,classification,S...
Tetracyclines- Ravisankar- Medicinal chemistry, Definition,classification,S...
Dr. Ravi Sankar
 
Anti-tubercular agents
Anti-tubercular agentsAnti-tubercular agents
Anti-tubercular agents
Mr.S.SEETARAM SWAMY
 
Med.chem sulfonamides
Med.chem  sulfonamidesMed.chem  sulfonamides
Med.chem sulfonamides
DHARMENDRA BARIA
 

What's hot (20)

Penicillins by Dr. Panchumarthy Ravisankar M.Pharm., Ph.D.
Penicillins by Dr. Panchumarthy Ravisankar M.Pharm., Ph.D.Penicillins by Dr. Panchumarthy Ravisankar M.Pharm., Ph.D.
Penicillins by Dr. Panchumarthy Ravisankar M.Pharm., Ph.D.
 
Medicinal Chemistry of Hetrocyclic Compound
Medicinal Chemistry of Hetrocyclic CompoundMedicinal Chemistry of Hetrocyclic Compound
Medicinal Chemistry of Hetrocyclic Compound
 
Sulphonamide
SulphonamideSulphonamide
Sulphonamide
 
Tetracycline sar
Tetracycline sarTetracycline sar
Tetracycline sar
 
ANTI-MALARIAL DRUGS AND ANALOGUES
ANTI-MALARIAL DRUGS AND ANALOGUESANTI-MALARIAL DRUGS AND ANALOGUES
ANTI-MALARIAL DRUGS AND ANALOGUES
 
Antibiotics - Medicinal chemistry
Antibiotics - Medicinal chemistry Antibiotics - Medicinal chemistry
Antibiotics - Medicinal chemistry
 
UTI Agents
UTI AgentsUTI Agents
UTI Agents
 
Tetracyclines
TetracyclinesTetracyclines
Tetracyclines
 
Medicinal chemistry of Anti viral agents
 Medicinal chemistry of Anti viral agents  Medicinal chemistry of Anti viral agents
Medicinal chemistry of Anti viral agents
 
Chemotherapy of malignancy
Chemotherapy of malignancyChemotherapy of malignancy
Chemotherapy of malignancy
 
Basic concepts and application of prodrug design
Basic concepts and application of prodrug designBasic concepts and application of prodrug design
Basic concepts and application of prodrug design
 
ANTI-TB AND ANTI LEPROTIC DRUGS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR.
ANTI-TB AND ANTI LEPROTIC DRUGS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR.ANTI-TB AND ANTI LEPROTIC DRUGS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR.
ANTI-TB AND ANTI LEPROTIC DRUGS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR.
 
Urinary tract anti infective agents
Urinary tract anti infective agentsUrinary tract anti infective agents
Urinary tract anti infective agents
 
Macrolide antibiotics
Macrolide antibioticsMacrolide antibiotics
Macrolide antibiotics
 
Anti-Virals Drugs (Medicinal Chemistry)
Anti-Virals Drugs (Medicinal Chemistry)Anti-Virals Drugs (Medicinal Chemistry)
Anti-Virals Drugs (Medicinal Chemistry)
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 
Quinolones
QuinolonesQuinolones
Quinolones
 
Tetracyclines- Ravisankar- Medicinal chemistry, Definition,classification,S...
Tetracyclines-  Ravisankar-  Medicinal chemistry, Definition,classification,S...Tetracyclines-  Ravisankar-  Medicinal chemistry, Definition,classification,S...
Tetracyclines- Ravisankar- Medicinal chemistry, Definition,classification,S...
 
Anti-tubercular agents
Anti-tubercular agentsAnti-tubercular agents
Anti-tubercular agents
 
Med.chem sulfonamides
Med.chem  sulfonamidesMed.chem  sulfonamides
Med.chem sulfonamides
 

Similar to Macroloid antibiotics

Chemistry of macrolide antibiotics M Pharm Pharmaceutical Chemistry .pptx
Chemistry of macrolide antibiotics M Pharm Pharmaceutical Chemistry .pptxChemistry of macrolide antibiotics M Pharm Pharmaceutical Chemistry .pptx
Chemistry of macrolide antibiotics M Pharm Pharmaceutical Chemistry .pptx
Diwakar Mishra
 
Lead Optimization of Macrolide drug
Lead Optimization of Macrolide drugLead Optimization of Macrolide drug
Lead Optimization of Macrolide drug
saurabh gupta
 
Macrolides and lincosamide
Macrolides and lincosamideMacrolides and lincosamide
Macrolides and lincosamide
Zulcaif Ahmad
 
Macrolidele 4_2018_01_21!11_32_36_Pjawjfalkwfa;lsjsfisM.pptx
Macrolidele 4_2018_01_21!11_32_36_Pjawjfalkwfa;lsjsfisM.pptxMacrolidele 4_2018_01_21!11_32_36_Pjawjfalkwfa;lsjsfisM.pptx
Macrolidele 4_2018_01_21!11_32_36_Pjawjfalkwfa;lsjsfisM.pptx
ARINAGAINA2
 
Macrolides by Mohammed Zamir Mirza
Macrolides by  Mohammed Zamir Mirza Macrolides by  Mohammed Zamir Mirza
Macrolides by Mohammed Zamir Mirza
MOHAMMED ZAMIR MIRZA
 
Medicinal chemistry of MACROLIDES
Medicinal chemistry of MACROLIDESMedicinal chemistry of MACROLIDES
Medicinal chemistry of MACROLIDES
ssuserd2970a
 
Medicinal chemistry of Macrolide.pptx
Medicinal chemistry of Macrolide.pptxMedicinal chemistry of Macrolide.pptx
Medicinal chemistry of Macrolide.pptx
RAJ K. MAURYA
 
Macrolide antibiotics
Macrolide antibioticsMacrolide antibiotics
Macrolide antibiotics
Monika Lokesh
 
Macrolide antibiotics
Macrolide antibioticsMacrolide antibiotics
Macrolide antibiotics
andhra university
 
Macrolide antibiotics shahare hv
Macrolide antibiotics  shahare hvMacrolide antibiotics  shahare hv
Macrolide antibiotics shahare hv
hvshahare
 
Antibiotics
AntibioticsAntibiotics
Antibiotics
Mr.S.SEETARAM SWAMY
 
Protein synthesis inhibitors
Protein synthesis inhibitorsProtein synthesis inhibitors
Protein synthesis inhibitors
Archita Srivastava
 
Macrolides antibiotics ppt
Macrolides antibiotics pptMacrolides antibiotics ppt
Macrolides antibiotics ppt
Girish Bilagi
 
Macrolides
MacrolidesMacrolides
Macrolides
Gourango Kumar
 
2. MC III UNIT 2.pptx
2. MC III UNIT 2.pptx2. MC III UNIT 2.pptx
2. MC III UNIT 2.pptx
Dhanashri Dupade
 
MACROLIDES ANTIBIOTICS.
MACROLIDES  ANTIBIOTICS.MACROLIDES  ANTIBIOTICS.
MACROLIDES ANTIBIOTICS.
Wafulajkuat
 
Antibiotics
AntibioticsAntibiotics
Antibiotics
BlessonSoujith
 
Chemical products clarithromycin description
Chemical products clarithromycin descriptionChemical products clarithromycin description
Chemical products clarithromycin description
huenumb
 
Antibiotics chloramphenicol and macrolides
Antibiotics   chloramphenicol and macrolidesAntibiotics   chloramphenicol and macrolides
Antibiotics chloramphenicol and macrolides
Grace Felciya
 
Antibiotic Macrolides and lincosamides history,classification,mechanism of ac...
Antibiotic Macrolides and lincosamides history,classification,mechanism of ac...Antibiotic Macrolides and lincosamides history,classification,mechanism of ac...
Antibiotic Macrolides and lincosamides history,classification,mechanism of ac...
Muhammad Amir Sohail
 

Similar to Macroloid antibiotics (20)

Chemistry of macrolide antibiotics M Pharm Pharmaceutical Chemistry .pptx
Chemistry of macrolide antibiotics M Pharm Pharmaceutical Chemistry .pptxChemistry of macrolide antibiotics M Pharm Pharmaceutical Chemistry .pptx
Chemistry of macrolide antibiotics M Pharm Pharmaceutical Chemistry .pptx
 
Lead Optimization of Macrolide drug
Lead Optimization of Macrolide drugLead Optimization of Macrolide drug
Lead Optimization of Macrolide drug
 
Macrolides and lincosamide
Macrolides and lincosamideMacrolides and lincosamide
Macrolides and lincosamide
 
Macrolidele 4_2018_01_21!11_32_36_Pjawjfalkwfa;lsjsfisM.pptx
Macrolidele 4_2018_01_21!11_32_36_Pjawjfalkwfa;lsjsfisM.pptxMacrolidele 4_2018_01_21!11_32_36_Pjawjfalkwfa;lsjsfisM.pptx
Macrolidele 4_2018_01_21!11_32_36_Pjawjfalkwfa;lsjsfisM.pptx
 
Macrolides by Mohammed Zamir Mirza
Macrolides by  Mohammed Zamir Mirza Macrolides by  Mohammed Zamir Mirza
Macrolides by Mohammed Zamir Mirza
 
Medicinal chemistry of MACROLIDES
Medicinal chemistry of MACROLIDESMedicinal chemistry of MACROLIDES
Medicinal chemistry of MACROLIDES
 
Medicinal chemistry of Macrolide.pptx
Medicinal chemistry of Macrolide.pptxMedicinal chemistry of Macrolide.pptx
Medicinal chemistry of Macrolide.pptx
 
Macrolide antibiotics
Macrolide antibioticsMacrolide antibiotics
Macrolide antibiotics
 
Macrolide antibiotics
Macrolide antibioticsMacrolide antibiotics
Macrolide antibiotics
 
Macrolide antibiotics shahare hv
Macrolide antibiotics  shahare hvMacrolide antibiotics  shahare hv
Macrolide antibiotics shahare hv
 
Antibiotics
AntibioticsAntibiotics
Antibiotics
 
Protein synthesis inhibitors
Protein synthesis inhibitorsProtein synthesis inhibitors
Protein synthesis inhibitors
 
Macrolides antibiotics ppt
Macrolides antibiotics pptMacrolides antibiotics ppt
Macrolides antibiotics ppt
 
Macrolides
MacrolidesMacrolides
Macrolides
 
2. MC III UNIT 2.pptx
2. MC III UNIT 2.pptx2. MC III UNIT 2.pptx
2. MC III UNIT 2.pptx
 
MACROLIDES ANTIBIOTICS.
MACROLIDES  ANTIBIOTICS.MACROLIDES  ANTIBIOTICS.
MACROLIDES ANTIBIOTICS.
 
Antibiotics
AntibioticsAntibiotics
Antibiotics
 
Chemical products clarithromycin description
Chemical products clarithromycin descriptionChemical products clarithromycin description
Chemical products clarithromycin description
 
Antibiotics chloramphenicol and macrolides
Antibiotics   chloramphenicol and macrolidesAntibiotics   chloramphenicol and macrolides
Antibiotics chloramphenicol and macrolides
 
Antibiotic Macrolides and lincosamides history,classification,mechanism of ac...
Antibiotic Macrolides and lincosamides history,classification,mechanism of ac...Antibiotic Macrolides and lincosamides history,classification,mechanism of ac...
Antibiotic Macrolides and lincosamides history,classification,mechanism of ac...
 

More from Asraful Islam Rayhan

Cardiovascular drug Pdf
Cardiovascular drug PdfCardiovascular drug Pdf
Cardiovascular drug Pdf
Asraful Islam Rayhan
 
Special separation technique G.C Pdf
Special separation technique G.C PdfSpecial separation technique G.C Pdf
Special separation technique G.C Pdf
Asraful Islam Rayhan
 
Radio-chemical method Pdf
Radio-chemical method PdfRadio-chemical method Pdf
Radio-chemical method Pdf
Asraful Islam Rayhan
 
Patient compliance Pdf
Patient compliance PdfPatient compliance Pdf
Patient compliance Pdf
Asraful Islam Rayhan
 
Introduction to clinical pharmacy
Introduction to clinical pharmacyIntroduction to clinical pharmacy
Introduction to clinical pharmacy
Asraful Islam Rayhan
 
Disorder of organ system Pdf
Disorder of organ system PdfDisorder of organ system Pdf
Disorder of organ system Pdf
Asraful Islam Rayhan
 
Manifestations and pathophysiology of diseases PDF
Manifestations and pathophysiology of diseases PDFManifestations and pathophysiology of diseases PDF
Manifestations and pathophysiology of diseases PDF
Asraful Islam Rayhan
 
Product PDF
Product PDFProduct PDF
Pricing Pdf
Pricing PdfPricing Pdf
Marketing planning Pdf
Marketing planning PdfMarketing planning Pdf
Marketing planning Pdf
Asraful Islam Rayhan
 
Market promotion Pdf
Market promotion PdfMarket promotion Pdf
Market promotion Pdf
Asraful Islam Rayhan
 
Hospital training ppt
Hospital training ppt Hospital training ppt
Hospital training ppt
Asraful Islam Rayhan
 
Pharmacy practice
Pharmacy practicePharmacy practice
Pharmacy practice
Asraful Islam Rayhan
 
Information resources in pharmacy
Information resources in pharmacyInformation resources in pharmacy
Information resources in pharmacy
Asraful Islam Rayhan
 
Antibody
AntibodyAntibody
Polycyclic aromatic hydrocarbon
Polycyclic aromatic hydrocarbonPolycyclic aromatic hydrocarbon
Polycyclic aromatic hydrocarbon
Asraful Islam Rayhan
 
Clinical pharmacy ( patient compliance)
Clinical pharmacy ( patient compliance)Clinical pharmacy ( patient compliance)
Clinical pharmacy ( patient compliance)
Asraful Islam Rayhan
 
Market Segmentation ppt
Market Segmentation pptMarket Segmentation ppt
Market Segmentation ppt
Asraful Islam Rayhan
 
Product positioning ppt
Product positioning pptProduct positioning ppt
Product positioning ppt
Asraful Islam Rayhan
 
Pricing (marketing)
Pricing (marketing)Pricing (marketing)
Pricing (marketing)
Asraful Islam Rayhan
 

More from Asraful Islam Rayhan (20)

Cardiovascular drug Pdf
Cardiovascular drug PdfCardiovascular drug Pdf
Cardiovascular drug Pdf
 
Special separation technique G.C Pdf
Special separation technique G.C PdfSpecial separation technique G.C Pdf
Special separation technique G.C Pdf
 
Radio-chemical method Pdf
Radio-chemical method PdfRadio-chemical method Pdf
Radio-chemical method Pdf
 
Patient compliance Pdf
Patient compliance PdfPatient compliance Pdf
Patient compliance Pdf
 
Introduction to clinical pharmacy
Introduction to clinical pharmacyIntroduction to clinical pharmacy
Introduction to clinical pharmacy
 
Disorder of organ system Pdf
Disorder of organ system PdfDisorder of organ system Pdf
Disorder of organ system Pdf
 
Manifestations and pathophysiology of diseases PDF
Manifestations and pathophysiology of diseases PDFManifestations and pathophysiology of diseases PDF
Manifestations and pathophysiology of diseases PDF
 
Product PDF
Product PDFProduct PDF
Product PDF
 
Pricing Pdf
Pricing PdfPricing Pdf
Pricing Pdf
 
Marketing planning Pdf
Marketing planning PdfMarketing planning Pdf
Marketing planning Pdf
 
Market promotion Pdf
Market promotion PdfMarket promotion Pdf
Market promotion Pdf
 
Hospital training ppt
Hospital training ppt Hospital training ppt
Hospital training ppt
 
Pharmacy practice
Pharmacy practicePharmacy practice
Pharmacy practice
 
Information resources in pharmacy
Information resources in pharmacyInformation resources in pharmacy
Information resources in pharmacy
 
Antibody
AntibodyAntibody
Antibody
 
Polycyclic aromatic hydrocarbon
Polycyclic aromatic hydrocarbonPolycyclic aromatic hydrocarbon
Polycyclic aromatic hydrocarbon
 
Clinical pharmacy ( patient compliance)
Clinical pharmacy ( patient compliance)Clinical pharmacy ( patient compliance)
Clinical pharmacy ( patient compliance)
 
Market Segmentation ppt
Market Segmentation pptMarket Segmentation ppt
Market Segmentation ppt
 
Product positioning ppt
Product positioning pptProduct positioning ppt
Product positioning ppt
 
Pricing (marketing)
Pricing (marketing)Pricing (marketing)
Pricing (marketing)
 

Recently uploaded

How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
Jisc
 
678020731-Sumas-y-Restas-Para-Colorear.pdf
678020731-Sumas-y-Restas-Para-Colorear.pdf678020731-Sumas-y-Restas-Para-Colorear.pdf
678020731-Sumas-y-Restas-Para-Colorear.pdf
CarlosHernanMontoyab2
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
TechSoup
 
Supporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptxSupporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptx
Jisc
 
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
Nguyen Thanh Tu Collection
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
Mohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
heathfieldcps1
 
The geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideasThe geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideas
GeoBlogs
 
The Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptxThe Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptx
DhatriParmar
 
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdfAdversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Po-Chuan Chen
 
Francesca Gottschalk - How can education support child empowerment.pptx
Francesca Gottschalk - How can education support child empowerment.pptxFrancesca Gottschalk - How can education support child empowerment.pptx
Francesca Gottschalk - How can education support child empowerment.pptx
EduSkills OECD
 
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXXPhrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
MIRIAMSALINAS13
 
1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx
JosvitaDsouza2
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
Jisc
 
Additional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdfAdditional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdf
joachimlavalley1
 
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
Levi Shapiro
 
How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17
Celine George
 
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup   New Member Orientation and Q&A (May 2024).pdfWelcome to TechSoup   New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
TechSoup
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
Pavel ( NSTU)
 
Polish students' mobility in the Czech Republic
Polish students' mobility in the Czech RepublicPolish students' mobility in the Czech Republic
Polish students' mobility in the Czech Republic
Anna Sz.
 

Recently uploaded (20)

How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
 
678020731-Sumas-y-Restas-Para-Colorear.pdf
678020731-Sumas-y-Restas-Para-Colorear.pdf678020731-Sumas-y-Restas-Para-Colorear.pdf
678020731-Sumas-y-Restas-Para-Colorear.pdf
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
 
Supporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptxSupporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptx
 
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
 
The geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideasThe geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideas
 
The Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptxThe Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptx
 
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdfAdversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
 
Francesca Gottschalk - How can education support child empowerment.pptx
Francesca Gottschalk - How can education support child empowerment.pptxFrancesca Gottschalk - How can education support child empowerment.pptx
Francesca Gottschalk - How can education support child empowerment.pptx
 
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXXPhrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
 
1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
 
Additional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdfAdditional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdf
 
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
 
How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17
 
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup   New Member Orientation and Q&A (May 2024).pdfWelcome to TechSoup   New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
 
Polish students' mobility in the Czech Republic
Polish students' mobility in the Czech RepublicPolish students' mobility in the Czech Republic
Polish students' mobility in the Czech Republic
 

Macroloid antibiotics

  • 1.
  • 2. Asraful Islam Rayhan Rafiqul Islam Shaharul Islam Assistant professor Sadikur Rahman Dept. of pharmacy Sohel Rana JUST Arman Ahmed Dept. of pharmacy JUST presented by, presented to,
  • 3. CONTENT  Definition  Source  Chemistry  Structure activity relationship  Physical & chemical properties  Mechanism of action  Types of macrolide  Pharmacokinetics  Macrolide resistance  Spectrum of activity  Indication  Contraindication  Side effect  Market preparation
  • 4. Macrolides The macrolides are a group of antibiotics produced by various strains of Streptomyces and having a macrolide ring structure linked to one or more sugars. They act by inhibiting protein synthesis, specifically by blocking the 50S ribosomal subunit. They are broad spectrum antibiotics. Examples: Erythromycin, Azithromycin, Clarithromycin, Roxithromycin etc……………
  • 5. SOURCE: These Are Produced By Streptomyces species. CHEMISTRY:  A macro cyclic lactone, usually having 12 to 17 atoms.  A ketone group.  One or two amino sugars linked to the nucleus.  A neutral sugar linked either to amino sugar or to lactone ring.  The presence of the dimethyl amino moiety on the sugar residue, which explains the basicity of these compounds and consequently formation salts.
  • 7.  As macrolide are unstable in acidic pH, a no. of strategies have been utilized to improve the acidic stability of erythromycin.  The addition of hydroxylamine to the ketone to form oxime e.g. roxithromycin Alteration of c-6 hydroxyl group: nucleophilic functionality which initiates erythromycin degradation.  The azalides (azithromycin)are semi- synthetic 15 -membered congeners in which a nitrogen atom has been introduced to expand a 14-membered precursor-leads to an extended spectrum of action.
  • 8. Physical & Chemical properties Water insoluble molecules. Occurs as crystalline powders. Stable in aqueous solutions at or bellow room temperature.  Unstable in acidic conditions and forms internal cyclic ketal.
  • 9. Macrolide is a protein synthesis inhibitor: Macrolide bind to 50S ribosomal subunit Inhibit polypeptide chain elongation & protein synthesis inhibition Result in inhibition of growth & multiplication
  • 10.
  • 12. Physical properties: Yellow to white crystalline powder. Soluble in alcohol, slightly soluble in water. Stable at neutral pH. Dosage forms: Oral and topical dosage forms. Enteric coted and delayed realese dosage forms. Drug interactions: Anticoagulants Benzodiazepines Antihistaminic drugs
  • 13. It is used in, Streptococcal pharyngitis Tonsillitis Respiratory infection Diphtheria Tetanus Syphilis & gonorrhoea Whooping cough
  • 14. Abdominal cramps Epigastric distress Jaundice Transient deafness Hypersensitivity rashes Hearing impairment Therapeutic agents of erythromycin Erythromycin ethylsuccinate Erythromycin estolate Erythromycin gluceptate Erythromycin lactobionate
  • 15.
  • 16. Advantages Cannot undergo cyclic ketal formation, so doesn’t cause cramp in GI  Higher blood concentrations. More lipophyl. Lower doses with less intervals. Uses: Atypical mycobacterial infection Resistant leprosy Toxoplasmosis H.Pylori induced peptic ulcers
  • 17.
  • 18.
  • 19. In the treatment of Urogenital infections caused by N.gonorrhoeae and Chlamydia trachomatis. For the treatment of respiratory tract infections. Pregnant women infected with scrub typhus: Azithromycin can suitable for doxycyclin.
  • 20.
  • 21. properties: Semi-synthetic 14–membered ring macrolide antibiotic in which the erythronolide lactone ring has been altered to prevent inactivation in the milieu. Uses:  Active against both gram (+) & gram (-). Treatment of skin ,dental & genital infections. Treatment of upper & lower respiratory tract infections.
  • 22. Absorption: Erythromycin-variable absorption ,food may decrease the absorption. Clarithromycin-acid stable & well absorbed regardless of presence of food. Azithromycin-acid stable, food decreases absorption of capsules.
  • 23. Distribution: Extensive tissue & cellular distribution. Clarithromycin & azithromycin with extensive penetration. Minimal CSF penetration. Metabolism:  Via liver
  • 24. Elimination: Clarithromycin is the only macrolide partially eliminated by the kidney. Hepatically eliminated:(All) None of the macrolides are removed during hemodialysis.
  • 25.
  • 26. Gram Positive Aerobes Erythromycin & Clarithromycin display the best activity…........ Clarithro>Erythro>Azithro Example: • Stayphyloccous aureus • Streptococcus pneumoniae • Corynebacterium sp. Gram negative Aerobes Newer macrolides such as- Azithromycin has enhanced activity. Azithro>Clarithro>Erythro Example: • H. influenzae • Neisseria sp. • Bordetella pertusis.
  • 27. Sinusitis Pharyngitis Skin & soft tissue infection Whooping cough Tonsillitis Pneumonia Respiratory tract infection Eradication of H.Pylori Diphtheria Gonorrhoea & Syphilis Typhoid & malaria
  • 29. Headache Taste disturbances Stomatitis Jaundice Hepatitis Mild gastric upset Abdominal pain Dizziness Glossitis Cholestasis Hearing problem
  • 30. Erythromycin: Brand Name:  Eromycin(Square pharmaceuticals) Erocin(Acme pharmaceuticals) Ero(Hudson pharmaceuticals) Strength: 250mg,500mg; tablet 125mg/5ml suspension
  • 33.  An introduction to medicinal chemistry; Graham L. Patrick Essentials of MEDICINAL PHARMACOLOGY; KD Tripathy. Foyel’s Principle of MEDICINAL CHEMISTRY. Lippincott’s Pharmacology. Qimp index of medicinal products & problem. Basic & clinical pharmacology; katzumg, masters & Trevor.