Paper II
2019 February (2010 Scheme)

Question

Clarithromycin

Q33 marksShort Notes

Answer

Clarithromycin, an azalide/macrolide antibiotic.

Mechanism of action

  • Binds reversibly to the 50S ribosomal subunit, inhibiting bacterial protein synthesis by blocking translocation

Uses

  • Respiratory tract infections
  • H. pylori eradication (part of triple therapy)
  • Mycobacterium avium complex prophylaxis/treatment in HIV
  • Alternative to penicillin in penicillin-allergic patients

Adverse effects

  • GI upset (less than erythromycin)
  • QT prolongation
  • Hepatotoxicity (rare)
  • CYP450 inhibition — multiple drug interactions

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