name a macrolide or two
erythromycin
clarithromycin
MOA
inhibits 50s subunit
prevents translation and elongation of peptide chain
SE
Gi disturbances Rash/hypersensivity Antibiotic associated colitis Prolonged GT Eosephilia cholestatic jaundice thrombophelibitis
CI
those at risk of arryhtmias those with liver and renal impairment elderly-risk of c.dificleand colitis hypersensivitiy m. gravis acute porphyria
DI
increased bleeding risk with warfarin
SSRI - , antipsychotics and amoriodone - arrythmias
myopathy - statins
uses
CLAW- whooping cough, ligonella, clamydia, camylobacteria,Atypical pnuemonia h.pylori respiratory infections prostatitis severe pneumonia soft skin and respiratory tissue infection rosacea acne diphtheria lyme disease