Following is a list of antibiotics, sorted by class. The highest division is between bactericidal antibiotics and bacteriostatic antibiotics. Bactericidals kill bacteria directly where bacteriostatics prevent them from dividing. However, these classifications are based on laboratory behavior; in practice, both of these are capable of ending a bacterial infection.[1]
See also pathogenic bacteria for a list of antibiotics sorted by target bacteria.
See also pathogenic bacteria for a list of antibiotics sorted by target bacteria.
Generic name | Brand names | Common uses[2] | Possible side effects[2] | Mechanism of action |
---|---|---|---|---|
Aminoglycosides | ||||
Amikacin | Amikin | Infections caused by Gram-negative bacteria, such as Escherichia coli and Klebsiella particularly Pseudomonas aeruginosa. Effective against Aerobic bacteria (not obligate/facultative anaerobes) and tularemia. | Binding to the bacterial 30S ribosomal subunit (some work by binding to the 50S subunit), inhibiting the translocation of the peptidyl-tRNA from the A-site to the P-site and also causing misreading of mRNA, leaving the bacterium unable to synthesize proteins vital to its growth. | |
Gentamicin | Garamycin | |||
Kanamycin | Kantrex | |||
Neomycin | Mycifradin | |||
Netilmicin | Netromycin | |||
Tobramycin | Nebcin | |||
Paromomycin | Humatin | |||
Ansamycins | ||||
Geldanamycin | Experimental, as antitumor antibiotics | |||
Herbimycin | ||||
Carbacephem | ||||
Loracarbef | Lorabid | Discontinued | prevents bacterial cell division by inhibiting cell wall synthesis. | |
Carbapenems | ||||
Ertapenem | Invanz | Bactericidal for both Gram-positive and Gram-negative organisms and therefore useful for empiric broad-spectrum antibacterial coverage. (Note MRSA resistance to this class.) |
| Inhibition of cell wall synthesis |
Doripenem | Doribax | |||
Imipenem/Cilastatin | Primaxin | |||
Meropenem | Merrem | |||
Cephalosporins (First generation) | ||||
Cefadroxil | Duricef | Good coverage against Gram positive infections. |
| Same mode of action as other beta-lactam antibiotics: disrupt the synthesis of the peptidoglycan layer of bacterial cell walls. |
Cefazolin | Ancef | |||
Cefalotin or Cefalothin | Keflin | |||
Cefalexin | Keflex | |||
Cephalosporins (Second generation) | ||||
Cefaclor | Ceclor | Less gram positive cover, improved gram negative cover. |
| Same mode of action as other beta-lactam antibiotics: disrupt the synthesis of the peptidoglycan layer of bacterial cell walls. |
Cefamandole | Mandol | |||
Cefoxitin | Mefoxin | |||
Cefprozil | Cefzil | |||
Cefuroxime | Ceftin, Zinnat | |||
Cephalosporins (Third generation) | ||||
Cefixime | Suprax | Improved coverage of Gram negative organisms, except Pseudomonas. Reduced Gram positive cover. |
| Same mode of action as other beta-lactam antibiotics: disrupt the synthesis of the peptidoglycan layer of bacterial cell walls. |
Cefdinir | Omnicef, Cefdiel | |||
Cefditoren | Spectracef | |||
Cefoperazone | Cefobid | |||
Cefotaxime | Claforan | |||
Cefpodoxime | Vantin | |||
Ceftazidime | Fortaz | |||
Ceftibuten | Cedax | |||
Ceftizoxime | Cefizox | |||
Ceftriaxone | Rocephin | |||
Cephalosporins (Fourth generation) | ||||
Cefepime | Maxipime | Covers pseudomonal infections. |
| Same mode of action as other beta-lactam antibiotics: disrupt the synthesis of the peptidoglycan layer of bacterial cell walls. |
Cephalosporins (Fifth generation) | ||||
Ceftobiprole | Zeftera | Used to treat MRSA |
| Same mode of action as other beta-lactam antibiotics: disrupt the synthesis of the peptidoglycan layer of bacterial cell walls. |
Glycopeptides | ||||
Teicoplanin | Targocid | inhibiting peptidoglycan synthesis | ||
Vancomycin | Vancocin | |||
Telavancin | Vibativ | |||
Lincosamides | ||||
Clindamycin | Cleocin | Serious staph-, pneumo-, and streptococcal infections in penicillin-allergic patients, also anaerobic infections; clindamycin topically for acne | Possible C. difficile-related pseudomembranous enterocolitis | Bind to 50S subunit of bacterial RNA thereby inhibiting protein synthesis |
Lincomycin | Lincocin | |||
Lipopeptide | ||||
Daptomycin | Cubicin | Gram-positive organisms | Bind to the membrane and cause rapid depolarization, resulting in a loss of membrane potential leading to inhibition of protein, DNA and RNA synthesis | |
Macrolides | ||||
Azithromycin | Zithromax, Sumamed, Zitrocin | Streptococcal infections, syphilis, upper respiratory tract infections, lower respiratory tract infections, mycoplasmal infections, Lyme disease |
| inhibition of bacterial protein biosynthesis by binding reversibly to the subunit 50S of the bacterial ribosome, thereby inhibiting translocation of peptidyl tRNA. |
Clarithromycin | Biaxin | |||
Dirithromycin | Dynabac | |||
Erythromycin | Erythocin, Erythroped | |||
Roxithromycin | ||||
Troleandomycin | TAO | |||
Telithromycin | Ketek | Pneumonia | Visual Disturbance, Liver Toxicity.[3] | |
Spectinomycin | Trobicin | Gonorrhea | ||
Monobactams | ||||
Aztreonam | Azactam | Same mode of action as other beta-lactam antibiotics: disrupt the synthesis of the peptidoglycan layer of bacterial cell walls. | ||
Nitrofurans | ||||
Furazolidone | Furoxone | Bacterial or protozoal diarrhea or enteritis | ||
Nitrofurantoin | Macrodantin, Macrobid | Urinary tract infections | ||
Penicillins | ||||
Amoxicillin | Novamox, Amoxil | Wide range of infections; penicillin used for streptococcal infections, syphilis, and Lyme disease |
| Same mode of action as other beta-lactam antibiotics: disrupt the synthesis of the peptidoglycan layer of bacterial cell walls. |
Ampicillin | Principen | |||
Azlocillin | ||||
Carbenicillin | Geocillin | |||
Cloxacillin | Tegopen | |||
Dicloxacillin | Dynapen | |||
Flucloxacillin | Floxapen | |||
Mezlocillin | Mezlin | |||
Methicillin | Staphcillin | |||
Nafcillin | Unipen | |||
Oxacillin | Prostaphlin | |||
Penicillin G | Pentids | |||
Penicillin V | Pen-Vee-K | |||
Piperacillin | Pipracil | |||
Temocillin | Negaban | |||
Ticarcillin | Ticar | |||
Penicillin combinations | ||||
Amoxicillin/clavulanate | Augmentin | The second component prevents bacterial resistance to the first component | ||
Ampicillin/sulbactam | Unasyn | |||
Piperacillin/tazobactam | Zosyn | |||
Ticarcillin/clavulanate | Timentin | |||
Polypeptides | ||||
Bacitracin | Eye, ear or bladder infections; usually applied directly to the eye or inhaled into the lungs; rarely given by injection | Kidney and nerve damage (when given by injection) | Inhibits isoprenyl pyrophosphate, a molecule that carries the building blocks of the peptidoglycan bacterial cell wall outside of the inner membrane [4] | |
Colistin | Coly-Mycin-S | Interact with the gram negative bacterial outer membrane and cytoplasmic membrane. It displaces bacterial counter ions, which destabilizes the outer membrane. They act like a detergent against the cytoplasmic membrane, which alters its permeability. Polymyxin B and E are bactericidal even in an isosmotic solution. | ||
Polymyxin B | ||||
Quinolones | ||||
Ciprofloxacin | Cipro, Ciproxin, Ciprobay | Urinary tract infections, bacterial prostatitis, community-acquired pneumonia, bacterial diarrhea, mycoplasmal infections, gonorrhea | Nausea (rare), irreversible damage to central nervous system (uncommon), tendinosis (rare) | inhibit the bacterial DNA gyrase or the topoisomerase IV enzyme, thereby inhibiting DNA replication and transcription. |
Enoxacin | Penetrex | |||
Gatifloxacin | Tequin | |||
Levofloxacin | Levaquin | |||
Lomefloxacin | Maxaquin | |||
Moxifloxacin | Avelox | |||
Nalidixic acid | NegGram | |||
Norfloxacin | Noroxin | |||
Ofloxacin | Floxin, Ocuflox | |||
Trovafloxacin | Trovan | Withdrawn | ||
Grepafloxacin | Raxar | Withdrawn | ||
Sparfloxacin | Zagam | Withdrawn | ||
Temafloxacin | Omniflox | Withdrawn | ||
Sulfonamides | ||||
Mafenide | Sulfamylon | Urinary tract infections (except sulfacetamide, used for eye infections, and mafenide and silver sulfadiazine, used topically for burns) |
| Folate synthesis inhibition. They are competitive inhibitors of the enzyme dihydropteroate synthetase, DHPS. DHPS catalyses the conversion of PABA (para-aminobenzoate) to dihydropteroate, a key step in folate synthesis. Folate is necessary for the cell to synthesize nucleic acids (nucleic acids are essential building blocks of DNA and RNA), and in its absence cells will be unable to divide. |
Sulfonamidochrysoidine (archaic) | Prontosil | |||
Sulfacetamide | Sulamyd, Bleph-10 | |||
Sulfadiazine | Micro-Sulfon | |||
Silver sulfadiazine | Silvadene | |||
Sulfamethizole | Thiosulfil Forte | |||
Sulfamethoxazole | Gantanol | |||
Sulfanilimide (archaic) | ||||
Sulfasalazine | Azulfidine | |||
Sulfisoxazole | Gantrisin | |||
Trimethoprim | Proloprim, Trimpex | |||
Trimethoprim-Sulfamethoxazole (Co-trimoxazole) (TMP-SMX) | Bactrim, Septra | |||
Tetracyclines | ||||
Demeclocycline | Declomycin | Syphilis, chlamydial infections, Lyme disease, mycoplasmal infections, acne rickettsial infections, *malaria *Note: Malaria is caused by a protist and not a bacterium. |
| inhibiting the binding of aminoacyl-tRNA to the mRNA-ribosome complex. They do so mainly by binding to the 30S ribosomal subunit in the mRNA translation complex. |
Doxycycline | Vibramycin | |||
Minocycline | Minocin | |||
Oxytetracycline | Terramycin | |||
Tetracycline | Sumycin, Achromycin V, Steclin | |||
Drugs against mycobacteria | ||||
Clofazimine | Lamprene | Antileprotic | ||
Dapsone | Avlosulfon | Antileprotic | ||
Capreomycin | Capastat | Antituberculosis | ||
Cycloserine | Seromycin | Antituberculosis, urinary tract infections | ||
Ethambutol | Myambutol | Antituberculosis | ||
Ethionamide | Trecator | Antituberculosis | Inhibits peptide synthesis | |
Isoniazid | I.N.H. | Antituberculosis | ||
Pyrazinamide | Aldinamide | Antituberculosis | ||
Rifampicin (Rifampin in US) | Rifadin, Rimactane | mostly Gram-positive and mycobacteria | Reddish-orange sweat, tears, and urine | Binds to the β subunit of RNA polymerase to inhibit transcription |
Rifabutin | Mycobutin | Mycobacterium avium complex | rash, discolored urine, GI symptoms | |
Rifapentine | Priftin | Antituberculosis | ||
Streptomycin | Antituberculosis | Neurotoxicity, ototoxicity | As other aminoglycosides | |
Others | ||||
Arsphenamine | Salvarsan | Spirochaetal infections (obsolete) | ||
Chloramphenicol | Chloromycetin | meningitis, MRSA, topical use, or for low cost internal treatment. Historic: typhus, cholera. gram negative, gram positive, anaerobes | Rarely: aplastic anemia. | Inhibits bacterial protein synthesis by binding to the 50S subunit of the ribosome |
Fosfomycin | Monurol | Acute cystitis in women | Inactivates enolpyruvyl transferase, thereby blocking cell wall synthesis | |
Fusidic acid | Fucidin | |||
Linezolid | Zyvox | VRSA | ||
Metronidazole | Flagyl | Infections caused by anaerobic bacteria; also amoebiasis, trichomoniasis, Giardiasis | Discolored urine, headache, metallic taste, nausea ; alcohol is contraindicated | Produces toxic free radicals which disrupt DNA and proteins. This non-specific mechanism is responsible for its activity against a variety of bacteria, amoebae, and protozoa. |
Mupirocin | Bactroban | Ointment for impetigo, cream for infected cuts | ||
Platensimycin | ||||
Quinupristin/Dalfopristin | Synercid | |||
Rifaximin | Xifaxan | Traveler's diarrhea caused by E. coli | ||
Thiamphenicol | Gram-negative, Gram-positive, anaerobes. widely used in veterinary medicine. | Lacks known anemic side-effects. | A chloramphenicol analog. May inhibit bacterial protein synthesis by binding to the 50S subunit of the ribosome | |
Tigecycline | Tigacyl | |||
Tinidazole | Tindamax Fasigyn | protozoan infections | upset stomach, bitter taste, and itchiness | |
Generic Name | Brand Names | Common Uses[2] | Possible Side Effects[2] | Mechanism of action |
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