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Drug Interactions: Synergism and Antagonism
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Drug Interactions: Synergism and Antagonism
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28. Antimicrobial Drugs / Drug Interactions: Synergism and Antagonism / Problem 3
Problem 3
Which statement accurately differentiates bacteriostatic and bactericidal antibiotics and explains a common mechanism for antagonism between them?
A
Bactericidal drugs inhibit protein synthesis while bacteriostatic drugs always damage membranes; antagonism occurs because membrane damage increases the apparent MIC of the cidal drug by enhancing efflux.
B
Bacteriostatic drugs kill cells only during stationary phase, while bactericidal drugs are effective only during lag phase; combining them always leads to synergy because they act at different times.
C
Bacteriostatic drugs inhibit growth without killing, while bactericidal drugs kill actively growing cells; using a bacteriostatic drug can prevent growth-dependent killing by a bactericidal drug, producing antagonism.
D
Bacteriostatic drugs irreversibly block cell wall synthesis and therefore potentiate bactericidal drugs that target ribosomes, which exclusively explains antagonism between unrelated drug classes in all bacterial species.
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