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3.1.8: Antibiotics and painkillers

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Antibiotics (e.g. penicillin): kill bacteria inside the body; do NOT affect viruses.

Specific antibiotics work against specific bacteria — use the correct one for the bacterial strain.

Antibiotic resistance in bacteria:

some bacteria develop resistance through random mutation

natural selection favours those that survive the antibiotic → resistant strains multiply

a major public health concern

Antibiotics cannot kill viruses, and antiviral drugs are hard to develop — viruses reproduce inside host cells, so a drug that kills the virus risks damaging the host cell too.

Painkillers (e.g. aspirin, paracetamol): relieve symptoms (pain, fever); do NOT kill pathogens or treat the infection.

Common exam mistakes

Antibiotics kill bacteria only — they have NO effect on viruses; this is a fundamental exam point.

BACTERIAL resistance, NOT antibiotic resistance — bacteria develop resistance (mutations), not the antibiotic. Do NOT say 'antibiotic is resistant' or 'bacteria become immune to the antibiotic'.

Penicillin is an antibiotic — it is NOT a painkiller; do not confuse these.

Antibiotic resistance: the antibiotic does not cause mutations — mutations occur randomly in bacteria; antibiotics simply select for bacteria that already have a resistance mutation, allowing them to survive and multiply.

Painkillers treat symptoms (e.g. fever, pain), NOT the infection itself; they do not kill pathogens.

Viruses are hard to treat because they live inside host cells — any drug that kills viruses risks damaging the host's own cells.

Saying 'bacteria become immune to the antibiotic' is WRONG — immunity refers to the immune system's response, not to bacteria. Say 'bacteria become resistant to the antibiotic' instead.

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