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Let’s next consider some
compounds other than the fluoroquinolones. We have measured MPC with S. aureus and
then obtained a value for Cmax from the literature. What you see is that the Cmax
for some compounds exceeds MPC and for others it does not. And with some for which Cmax
exceeds MPC the half life is so short that it would be difficult to maintain drug
concentrations above MPC throughout therapy. How should one use these compounds to avoid
selecting resistant mutants? Our current dogma is that if you cannot maintain
concentrations above MPC, you should resort to dual-drug therapy. |