药品详细
Cinoxacin(西诺沙星)
化学结构式图
中文名
西诺沙星
英文名
Cinoxacin
分子式
C12H10N2O5
化学名
1-ethyl-4-oxo-1H,4H,7H-[1,3]dioxolo[4,5-g]cinnoline-3-carboxylic acid
分子量
Average: 262.2182
Monoisotopic: 262.05897144
Monoisotopic: 262.05897144
CAS号
28657-80-9
ATC分类
J01M 未知
药物类型
small molecule
阶段
approved
商品名
Cinobac;
同义名
基本介绍
Synthetic antimicrobial related to oxolinic acid and nalidixic acid and used in urinary tract infections. [PubChem]
生产厂家
- Eli lilly and co
- Teva pharmaceuticals usa inc
封装厂家
参考
Synthesis Reference | Not Available |
General Reference | Not Available |
剂型
规格
化合物类型
Type | small molecule |
Classes |
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Substructures |
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适应症
antibacterials 抗细菌;
药理
Indication | For the treatment of initial and recurrent urinary tract infections in adults caused by the following susceptible microorganisms: Escherichia coli, Proteus mirabilis, Proteus vulgaris, Klebsiella species (including K. pneumoniae), and Enterobacter species. |
Pharmacodynamics | Cinoxacin is a synthetic antibacterial agent with in vitro activity against many gram-negative aerobic bacteria, particularly strains of the Enterobacteriaceae family. Cinoxacin inhibits bacterial deoxyribonucleic acid (DNA) synthesis, is bactericidal, and is active over the entire urinary pH range. Cross resistance with nalidixic acid has been demonstrated. |
Mechanism of action | Evidence exists that cinoxacin binds strongly, but reversibly, to DNA, interfering with synthesis of RNA and, consequently, with protein synthesis. It appears to also inhibit DNA gyrase. This enzyme is necessary for proper replicated DNA separation. By inhibiting this enzyme, DNA replication and cell division is inhibited. |
Absorption | Rapidly absorbed after oral administration. The presence of food delays absorption but does does not affect total absorption. |
Volume of distribution | Not Available |
Protein binding | 60 to 80% |
Metabolism |
Hepatic, with approximately 30-40% metabolized to inactive metabolites.
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Route of elimination | Not Available |
Half life | The mean serum half-life is 1.5 hours. Half-life in patients with impaired renal function may exceed 10 hours. |
Clearance | Not Available |
Toxicity | Oral, subcutaneous, and intravenous LD50 in the rat is 3610 mg/kg, 1380 mg/kg, and 860 mg/kg, respectively. Oral, subcutaneous, and intravenous LD50 in the mouse is 2330 mg/kg, 900 mg/kg, and 850 mg/kg, respectively.Symptoms following an overdose of cinoxacin may include anorexia, nausea, vomiting, epigastric distress, and diarrhea. The severity of the epigastric distress and the diarrhea are dose related. Headache, dizziness, insomnia, photophobia, tinnitus, and a tingling sensation have been reported in some patients. |
Affected organisms |
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Pathways | Not Available |
理化性质
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State | solid | ||||||||||||||||||||||||||||||||||||||||||
Experimental Properties |
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Predicted Properties |
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药物相互作用
食物相互作用
Not Available