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QUINOLONES
QUINOLONES
QUINOLONES
The first generation of the quinolones begins with the introduction of nalidixic
acid in 1962 for Rx of urinary tract infections in humans
Gram-negative
Second Generation
✓ Nalidixic acid
✓ Norfloxacin
✓ Ofloxacin
✓ Ciprofloxacin
✓ Pefloxacin
Second-generation
✓ Levofloxacin
✓ Moxifloxacin
✓ Lomefloxacin
✓ Gemifloxacin
✓ Sparfloxacin
✓ Prulifloxacin
moa
✓ Fluoroquinolones enter the cells by porins & target two enzymes:
DNA gyrase & topoisomerase IV
✓ Over dosage
✓ Excessive & improper use of fluoroquinolones when not required
✓ Hepatotoxicity is rare