Bacitracin A

Bacitracin A Uses, Dosage, Side Effects, Food Interaction and all others data.

Bacitracin A is a combination of at least 9 bacitracins. 60-80% of commercially prepared bacitracin is bacitracin A. The bacillus that produces bacitracin was first isolated from a knee scrape in 1945 from the knee wound of a child named Margaret Tracy.

Bacitracin A was granted FDA approval on 29 July 1948.

Bacitracin A is a mixture of polypeptides that prevent the formation of the bacterial cell wall and oxidatively cleave DNA. It has a short duration of action as it must be given every 3 to 4 hours topically. Bacitracin A is nephrotoxic when given intramuscularly and may lead to renal failure.

Trade Name Bacitracin A
Availability Prescription only
Generic Bacitracin
Bacitracin Other Names Bacitracin, Bacitracin A, Bacitracina
Related Drugs amoxicillin, doxycycline, ciprofloxacin, metronidazole, azithromycin, clindamycin
Type
Formula C66H103N17O16S
Weight Average: 1422.693
Monoisotopic: 1421.748941023
Protein binding

Data regarding the protein binding of bacitracin in humans is not readily available.

Groups Approved, Vet approved
Therapeutic Class
Manufacturer
Available Country
Last Updated: September 19, 2023 at 7:00 am
Bacitracin A
Bacitracin A

Uses

Bacitracin A is a cyclic polypeptide antibiotic used to prevent wound infections, treat pneumonia and empyema in infants, and to treat skin and eye infections.

Bacitracin A is indicated in topical formulations for acute and chronic localized skin infections. Occasionally, it is also used intramuscularly for infantile streptococcal pneumonia and empyema. Bacitracin A is also formulated as an ointment with neomycin and polymyxin B for over the counter use. A bacitracin ointment formulated with neomycin and polymyxin B along with hydrocortisone is indicated for the treatment of corticosteroid responsive dermatoses with secondary infection.

Bacitracin A is also used to associated treatment for these conditions: Acne, Bacterial Infections of the Intestine, Empyema, Eye Infections, Infected Wound, Infection, Inflammatory Reaction caused by Acne, Ocular Inflammatory Disease, Pneumonia, Skin Ulcer, Corticosteroid-responsive dermatoses, Infection in minor cuts, scrapes, or burns, Wound site

How Bacitracin A works

Bacitracin A binds to a divalent metal ion such as Mn(II), Co(II), Ni(II), Cu(II), or Zn(II). These complexes bind C55-isoprenyl pyrophosphate, preventing the hydrolysis of a lipid dolichol pyrophosphate, which finally inhibits cell wall synthesis. Bacitracin A metal complexes also bind and oxidatively cleave DNA.

Toxicity

The oral LD50 of bacitracin in rats is >2000mg/kg.

Specific data regarding bacitracin overdoses is not readily available. An overdose of bacitracin may lead to nephrotoxicity and patients should be treated with supportive measures.

Food Interaction

No interactions found.

Bacitracin A Disease Interaction

Major: colitis, dehydration, renal dysfunction

Volume of Distribution

Data regarding the volume of distribution of bacitracin in humans is not readily available.

Elimination Route

Topical, ophthalmic, and oral formulations of bacitracin are poorly absorbed systemically. Intramuscular bacitracin is readily and completely absorbed.

Half Life

Data regarding the half life of bacitracin in humans is not readily available.

Clearance

Data regarding the clearance of bacitracin in humans has not been well studied. A study of 9 subjects in 1947 shows a renal clearance of 105-283mL/min with an average renal clearance of 159mL/min.

Elimination Route

Bacitracin A is mainly excreted renally with 87% of and intramuscular dose being recovered in the urine after 6 hours.

Innovators Monograph

You find simplified version here Bacitracin A

*** Taking medicines without doctor's advice can cause long-term problems.
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