【商品名】立思丁
【中文名称】夫西地酸
【产品英文名称】Fusidic Acid
【生产企业】Leo Pharmaceutical Product Ltd.A/S
【功效主治】夫西地酸乳膏适用于各种细菌性皮肤感染,主要用于革兰氏阳性球菌引起的皮肤感染。如脓疱病,疖肿,毛囊炎,甲沟炎,须疮,汗腺炎,红癣,寻常痤疮,创伤合并感染,湿疹合并感染,溃疡合并感染等
【化学成分】夫西地酸。化学名称为:反-16α-羧基-3β,11β-二羟基-4β,8β,14α-三甲基-18-去甲基-5β,10α-胆甾-(17Z)-17(20),24-二烯-21-酸半水合物
【药理作用】夫西地酸是窄谱、高效的类甾体结构抗生素,其抗菌机制是通过抑制核糖体的易位来干扰延长因子G,阻止细菌蛋白的合成,这种独特的作用机制避免了与其他抗菌药物的交叉耐受性夫西地酸对与皮肤感染有关的各种革兰氏阳性球菌尤其对葡萄球菌高度敏感,对耐药金黄色葡萄球菌也有效,对某些革兰氏阴性菌也有一定的抗菌作用。与其它抗生素无交叉耐药性
【药物相互作用】局部用药尚无药物相互作用的相关报道
【不良反应】局部应用本品一般无副反应,偶尔会有轻微的刺激感,对腿部深度溃疡的治疗会伴有疼痛,但通常无需停药。罕见过敏反应。
【禁忌症】对药品过敏者。
【用法用量】本品应局部涂于患处,并缓和地摩擦;必要时可用多孔绷带包扎患处。每日二至三次,七天为一疗程,必要时可重复一个疗程
【贮藏方法】15~25℃密闭保存,置于儿童不易触及之处。
【注意事项】夫西地酸对眼结膜有刺激作用,尽量避免在眼睛周围使用;当治疗严重皮肤感染或顽固性皮肤疾病时,应辅助进行抗生素的全身用药;若发生严重刺激作用或出现过敏反应时,应停止用药并改用其它适当的药物治疗。
Fucidine - General Information: An antibiotic isolated from the fermentation broth of Fusidium coccineum. (From Merck Index, 11th ed) It acts by inhibiting translocation during protein synthesis.
Fucidin is effective against several bacterial species and used in the treatment of infections such as impetigo (characterised by blistering and yellowish-brown crusting of the skin), whitlow (paronchya) and inflammation of hair follicles (sycosis). It is also used to treat eczema or dermatitis that has become infected.
Fucidine Indication: For the treatment of bacterial infections.
Mechanism Of Action: Fusidic acid works by interfering with bacterial protein synthesis, specifically by preventing the translocation of the elongation factor G (EF-G) from the ribosome.
Drug Interactions: Amprenavir The protease inhibitor increases the effect and toxicity of fusidic acid Fosamprenavir The protease inhibitor increases the effect and toxicity of fusidic acid Nelfinavir The protease inhibitor increases the effect and toxicity of fusidic acid Ritonavir The protease inhibitor increases the effect and toxicity of fusidic acid Saquinavir The protease inhibitor increases the effect and toxicity of fusidic acid Atorvastatin Increased risk of myopathy/rhabdomyolysis Simvastatin Increased risk of myopathy/rhabdomyolysis Indinavir Indinavir increases the effect and toxicity of fusidic acid
Food Interactions: Take with food to reduce irritation.
Generic Name: Fusidic Acid
Synonyms: Diethanolamine fusidate; Fucidic acid; Fusidate; Fusidate Sodium; Fucidate Sodium; Fucidate
Drug Category: Antibacterial Agents
Drug Type: Small Molecule; Approved
Other Brand Names containing Fusidic Acid: Fucidin Cream 2%; Fucithalmic; Fusidine; Ramycin; Fucidin; Fucidin acid; Fucidine;
Absorption: Sodium fusidic acid tablets have a 91% oral bioavailability. Absorption of the film-coated tablets is complete when compared to a solution, however oral absorption is variable. Oral fusidic acid hemihydrate (suspension) achieved a 22.5% bioavailability in pediatric patients following a 20 milligram/kilogram dose.
Toxicity (Overdose): Not Available
Protein Binding: 97 to 99%
Biotransformation: Metabolites include dicarboxylic ester/acid, 3-keto fusidic acid, hydroxy fusidic acid, glucuronide fusidic acid and a glycol metabolite.
Half Life: Approximately 5 to 6 hours in adults.
Dosage Forms of Fucidine: Not Available
Chemical IUPAC Name: (2Z)-2-[(3R,4S,5S,8S,9S,10S,11R,13R,14S,16S)-16-acetyloxy-3,11-dihydroxy-4,8,10,14-tetramethyl-2,3,4,5,6,7,9,11,12,13,15,16-dodecahydro-1H-cyclopenta[a]phenanthren-17-ylidene]-6-methylhept-5-enoic acid
Chemical Formula: C31H48O6
Organisms Affected: Enteric bacteria and other eubacteria |