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what are the important Phenicols in veterinary medicine?
Chloramphenicol
Florfenicol
are Phenicols bacteriostatic or bactericidal?
bacteriostatic, but bactericidal at high concentrations
how do Phenicols work?
they inhibit protein synthesis by binding to the 50s ribosome subunit- preventing transpeptidation
Phenicols are absorbed rapidly and prompty from the _________
upper GI
how are Phenicols distributed within the body?
most bind to plasma proteins, and the free fraction diffuses into almost all tissues (including the brain). they tend to accumulate in tissues
can Phenicols access the CNS?
yes
how are Phenicols metabolized?
liver
what species needs lower doses of Phenicols? why?
cats, because they have a genetic deficiency in glucuronyl transferase activity, which leads to longer plasma half lives
why must we take caution when administering Phenicols in cats?
because they have a genetic deficiency in glucuronyl transferase that leads to longer plasma half lives of the drug
how do Phenicols affect other drugs?
they prolong the duration of action of other drugs, because they are non-competitive microsomal enzyme inhibitors
what adverse reactions might be caused by Phenicols?
-bone marrow suppression
-irreversible aplastic anemia
-GI disturbances with oral chloramphenicol
which Phenicol is immunosuppressive, and what precautions must be taken because of this?
chloramphenicol
we cannot vaccinate animals while being treated with chloramphenicol
Chloramphenicol is not allowed in what species?
production animals, because it leaves residues that can be toxic to humans
what is the spectrum of activity of Phenicols?
broad:
G+, G- and many anaerobes (Rickettsia, Chlamydia, Bacterioides) , especially effective against Salmonella
how do bacteria gain resistance against Phenicols?
they acetylate the Phenicol, preventing it from binding to the ribosome.
they decrease their permeability.
resistance to Chloramphenicol often develops with resistance to tetracyline, erythromycin, streptomycin, ampicillin, and others
what are the veterinary uses of Phenicols?
systemic and local infections
salmonella and bacterioides
florfenicol- bovine respiratory disease
(chloramphenicol cannot be used in production animals)
what is the clinical use of Florfenicol?
bovine respiratory disease