Page 290 - Pharmacology Mnemonics and Short Notes
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          Inhibition of transpeptidation reaction (cross linking of peptidoglycans
            is inhibited)


          Produce lesions in bacterial cell wall by activation of autolytic enzymes

        Mechanism of resistance

          Formation of beta lactamases (penicillinases)


          Structural changes in penicillin binding proteins (PBPs)

          Changes in porin structure in outer cell wall


        Narrow spectrum

          Penase susceptible(Penase  penicillinases)


            Mean penase is working here so Drugs will be with P

            P  Penicillin G

            P  Penicillin V  oral drug mainly used in oropharyngeal infections

            Spectrums


               o  Gram (+)  streptococci

               o  Gram negative cocci (-)  Neisseria

               o  Spirochetes

             Penicillin  no Longer suitable for Gonorrhoea


             For syphilis  first line of treatment

          Penase resistant

            Means drug is resistant to penase enzyme  enzyme have NO action

            on drug

               N  Naficillin

               O  Oxacillin

      Contents       Spectrum






   Pharmacology Mnemonics and Short Notes                                              By Muhammad Ramzan Ul Rehman
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