药品详细
Besifloxacin(贝西沙星)
化学结构式图
中文名
贝西沙星
英文名
Besifloxacin
分子式
C19H21ClFN3O3
化学名
7-[(3R)-3-aminoazepan-1-yl]-8-chloro-1-cyclopropyl-6-fluoro-4-oxo-1,4-dihydroquinoline-3-carboxylic acid
分子量
Average: 393.84
Monoisotopic: 393.125547465
Monoisotopic: 393.125547465
CAS号
141388-76-3
ATC分类
S01A 抗感染药
药物类型
small molecule
阶段
approved
商品名
同义名
基本介绍
Besifloxacin is a fourth generation fluoroquinolone-type opthalmic antibiotic for the treatment of bacterial conjunctivitis. FDA approved on May 28, 2009.
生产厂家
封装厂家
参考
Synthesis Reference | Not Available |
General Reference |
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剂型
规格
化合物类型
Type | small molecule |
Classes | Not Available |
Substructures | Not Available |
适应症
药理
Indication | Treatment of bacterial conjunctivitis. Bacterial isolates that are susceptible to besifloxacin include: CDC coryneform group G; Corynebacterium pseudodiphtheriticum; Corynebacterium striatum; Haemophilus influenzae; Moraxella lacunata; Staphylococcus aureus; Staphylococcus epidermidis; Staphylococcus hominis; Staphylococcus lugdunensis; Streptococcus mitis group; Streptococcus oralis; Streptococcus pneumoniae; Streptococcus salivarius* |
Pharmacodynamics | Besifloxacin tear concentrations were higher than MIC90 (minimum inhibitory concentration) values for common bacterial pathogens and sustained for 24 hours or longer. Mean residence time in the conjunctiva was 4.7 hours. |
Mechanism of action | Besifloxacin is a bactericidal fluroquinolone-type antibiotic that inhibits bacterial enzymes, DNA gyrase and topoisomerase IV. By inhibiting DNA gyrase, DNA replication, transcription, and repair is impaired. By inhibiting topoisomerase IV, decatenation during cell devision is impaired. Inhibiting these two targets also slows down development of resistance. |
Absorption | Although ocular surface concentrations are high, average systemic concentrtions after three-times daily dosing was less than 0.5 ng/mL. This indicates that besifloxacin is not appreciably absorbed into the systemic and has a very low risk of systemic side effects. |
Volume of distribution | Not absorbed into the systemic |
Protein binding | None |
Metabolism |
No appreciable metabolism
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Route of elimination | N/A |
Half life | The average elimination half-life of besifloxacin in plasma following multiple dosing was estimated to be 7 hours. |
Clearance | N/A |
Toxicity | LD50, rat: >2000 mg/kg. The most common adverse reaction reported in 2% of patients treated with besifloxacin was conjunctival redness. |
Affected organisms |
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Pathways | Not Available |
理化性质
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State | liquid | ||||||||||||||||||||||||||||||||||||||||||
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