| Term 
 
        | have an acid, base, and zwitterionic form strong chelating agents
 labile to acid and base degradation
 [image]
 |  | Definition 
 
        | chemical properties of tetracyclines |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | structure and numbering of tetracycline |  | 
        |  | 
        
        | Term 
 
        | acid and base degradation: [image]
 epimerization may occur in acidic solution:
 [image]
 |  | Definition 
 
        | degradation of tetracyclines through acids, bases, and epimerization |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | antibacterial activity of tetracyclines |  | 
        |  | 
        
        | Term 
 
        | BACTERIOSTATIC bind to the 30s ribosomal subunit
 charge interactions with one edge
 hydrophobic interactions with the other edge
 [image]
 lipophilic tetracyclines:  disrupt cytoplasmic membrane function (bactericidal)
 lipophilic tetracyclines:  passive diffusion
 water soluble tetracyclines:  water-lined protein porin routes (same as aminoglycosides)
 [image]
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | mainly through acquired resistance energy dependent efflux
 ribosomal protection:  proteins associated with ribosome that bind tetracyclines to allow protein synthesis to continue
 chemical modifications, modified membranes (decreased membrane permeability of the drug)
 |  | Definition 
 
        | bacterial resistance of tetracyclines |  | 
        |  | 
        
        | Term 
 
        | absorption: is absorbed from the stomach and upper GI tract (chelates decrease absorption) distribution:  high plasma protein binding, penetrate most tissues, bacteriostatic levels achieved in pleural and synovial fluids, poor penetration into CSF, pass the placenta
 excretion:  eliminated by renal and extra renal mechanisms, doxycycline eliminated through digestive tract
 |  | Definition 
 
        | pharmacology of tetracyclines |  | 
        |  | 
        
        | Term 
 
        | irratative effects superinfection
 effects on teeth and bone
 hepatic and renal toxicity
 effects on skin
 |  | Definition 
 
        | adverse effects of tetracyclines |  | 
        |  | 
        
        | Term 
 
        | 30s subunit inhibition blocking the entry of the acylamino tRNA
 not affected by any tetracycline mechanism of resistance
 broader spectrum than the classical tetracyclines
 |  | Definition 
 | 
        |  |