Peringatan Keamanan

Mild and reversible nephrotoxicity may be observed in 5 - 25% of patients. Amikacin accumulates in proximal renal tubular cells. Tubular cell regeneration occurs despite continued drug exposure. Toxicity usually occurs several days following initiation of therapy. May cause irreversible ototoxicity. Otoxocity appears to be correlated to cumulative lifetime exposure. Drug accumulation in the endolymph and perilymph of the inner ear causes irreversible damage to hair cells of the cochlea or summit of ampullar cristae in the vestibular complex. High frequency hearing is lost first with progression leading to loss of low frequency hearing. Further toxicity may lead to retrograde degeneration of the 8th cranial (vestibulocochlear) nerve. Vestibular toxicity may cause vertigo, nausea, vomiting, dizziness and loss of balance.
Oral LD50 is 17500 mg/kg in mice, over 4 g/kg in rats, and over 3 g/kg in rabbits.

Kanamycin

DB01172

small molecule approved investigational vet_approved

Deskripsi

Kanamycin (also known as kanamycin A) is an aminoglycoside bacteriocidal antibiotic, available in oral, intravenous, and intramuscular forms, and used to treat a wide variety of infections. Kanamycin is isolated from the bacterium Streptomyces kanamyceticus and its most commonly used form is kanamycin sulfate.

Struktur Molekul 2D

Berat 484.4986
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) 2.5 hours
Volume Distribusi -
Klirens (Clearance) -

Absorpsi

Kanamycin is rapidly absorbed after intramuscular injection and peak serum levels are generally reached within approximately one hour. Poor oral and topical absorption except with severe skin damage.

Metabolisme

Data metabolisme tidak tersedia.

Rute Eliminasi

Data eliminasi belum tersedia.

Interaksi Obat

875 Data
Succinylcholine The therapeutic efficacy of Succinylcholine can be increased when used in combination with Kanamycin.
Metocurine iodide The therapeutic efficacy of Metocurine iodide can be increased when used in combination with Kanamycin.
Gallamine triethiodide The therapeutic efficacy of Gallamine triethiodide can be increased when used in combination with Kanamycin.
Cisatracurium Kanamycin may increase the neuromuscular blocking activities of Cisatracurium.
Rocuronium The therapeutic efficacy of Rocuronium can be increased when used in combination with Kanamycin.
Atracurium besylate The therapeutic efficacy of Atracurium besylate can be increased when used in combination with Kanamycin.
Doxacurium The therapeutic efficacy of Doxacurium can be increased when used in combination with Kanamycin.
Mivacurium The therapeutic efficacy of Mivacurium can be increased when used in combination with Kanamycin.
Decamethonium The therapeutic efficacy of Decamethonium can be increased when used in combination with Kanamycin.
Metocurine The therapeutic efficacy of Metocurine can be increased when used in combination with Kanamycin.
Pancuronium The therapeutic efficacy of Pancuronium can be increased when used in combination with Kanamycin.
Pipecuronium The therapeutic efficacy of Pipecuronium can be increased when used in combination with Kanamycin.
Vecuronium The therapeutic efficacy of Vecuronium can be increased when used in combination with Kanamycin.
Rapacuronium The therapeutic efficacy of Rapacuronium can be increased when used in combination with Kanamycin.
Pyrantel The therapeutic efficacy of Pyrantel can be increased when used in combination with Kanamycin.
Neosaxitoxin The therapeutic efficacy of Neosaxitoxin can be increased when used in combination with Kanamycin.
Atracurium The therapeutic efficacy of Atracurium can be increased when used in combination with Kanamycin.
Gallamine The therapeutic efficacy of Gallamine can be increased when used in combination with Kanamycin.
Alcuronium The therapeutic efficacy of Alcuronium can be increased when used in combination with Kanamycin.
Tubocurarine The therapeutic efficacy of Tubocurarine can be increased when used in combination with Kanamycin.
Carboplatin The risk or severity of ototoxicity and nephrotoxicity can be increased when Kanamycin is combined with Carboplatin.
Foscarnet The risk or severity of nephrotoxicity can be increased when Kanamycin is combined with Foscarnet.
Mannitol The risk or severity of nephrotoxicity can be increased when Mannitol is combined with Kanamycin.
Tenofovir disoproxil Kanamycin may increase the nephrotoxic activities of Tenofovir disoproxil.
Tenofovir alafenamide Kanamycin may increase the nephrotoxic activities of Tenofovir alafenamide.
Tenofovir Kanamycin may increase the nephrotoxic activities of Tenofovir.
Picosulfuric acid The therapeutic efficacy of Picosulfuric acid can be decreased when used in combination with Kanamycin.
Zoledronic acid The risk or severity of nephrotoxicity and hypocalcemia can be increased when Kanamycin is combined with Zoledronic acid.
Alendronic acid The risk or severity of nephrotoxicity and hypocalcemia can be increased when Kanamycin is combined with Alendronic acid.
Ibandronate The risk or severity of nephrotoxicity and hypocalcemia can be increased when Kanamycin is combined with Ibandronate.
Clodronic acid The risk or severity of nephrotoxicity and hypocalcemia can be increased when Kanamycin is combined with Clodronic acid.
Risedronic acid The risk or severity of nephrotoxicity and hypocalcemia can be increased when Kanamycin is combined with Risedronic acid.
Etidronic acid The risk or severity of nephrotoxicity and hypocalcemia can be increased when Kanamycin is combined with Etidronic acid.
Incadronic acid The risk or severity of nephrotoxicity and hypocalcemia can be increased when Kanamycin is combined with Incadronic acid.
Taxifolin The risk or severity of nephrotoxicity can be increased when Taxifolin is combined with Kanamycin.
Licofelone The risk or severity of nephrotoxicity can be increased when Licofelone is combined with Kanamycin.
Polmacoxib The risk or severity of nephrotoxicity can be increased when Polmacoxib is combined with Kanamycin.
Ebselen The risk or severity of nephrotoxicity can be increased when Ebselen is combined with Kanamycin.
Flurbiprofen axetil The risk or severity of nephrotoxicity can be increased when Flurbiprofen axetil is combined with Kanamycin.
Acetyldigitoxin The risk or severity of adverse effects can be increased when Kanamycin is combined with Acetyldigitoxin.
Deslanoside The risk or severity of adverse effects can be increased when Kanamycin is combined with Deslanoside.
Ouabain The risk or severity of adverse effects can be increased when Kanamycin is combined with Ouabain.
Digitoxin The risk or severity of adverse effects can be increased when Kanamycin is combined with Digitoxin.
Oleandrin The risk or severity of adverse effects can be increased when Kanamycin is combined with Oleandrin.
Cymarin The risk or severity of adverse effects can be increased when Kanamycin is combined with Cymarin.
Proscillaridin The risk or severity of adverse effects can be increased when Kanamycin is combined with Proscillaridin.
Metildigoxin The risk or severity of adverse effects can be increased when Kanamycin is combined with Metildigoxin.
Lanatoside C The risk or severity of adverse effects can be increased when Kanamycin is combined with Lanatoside C.
Gitoformate The risk or severity of adverse effects can be increased when Kanamycin is combined with Gitoformate.
Acetyldigoxin The risk or severity of adverse effects can be increased when Kanamycin is combined with Acetyldigoxin.
Peruvoside The risk or severity of adverse effects can be increased when Kanamycin is combined with Peruvoside.
Torasemide The serum concentration of Kanamycin can be increased when it is combined with Torasemide.
Bumetanide The serum concentration of Kanamycin can be increased when it is combined with Bumetanide.
Etacrynic acid The serum concentration of Kanamycin can be increased when it is combined with Etacrynic acid.
Piretanide The serum concentration of Kanamycin can be increased when it is combined with Piretanide.
Azosemide The serum concentration of Kanamycin can be increased when it is combined with Azosemide.
Tripamide The serum concentration of Kanamycin can be increased when it is combined with Tripamide.
Flucloxacillin The serum concentration of Kanamycin can be decreased when it is combined with Flucloxacillin.
Phenoxymethylpenicillin The serum concentration of Kanamycin can be decreased when it is combined with Phenoxymethylpenicillin.
Dicloxacillin The serum concentration of Kanamycin can be decreased when it is combined with Dicloxacillin.
Carbenicillin The serum concentration of Kanamycin can be decreased when it is combined with Carbenicillin.
Nafcillin The serum concentration of Kanamycin can be decreased when it is combined with Nafcillin.
Hetacillin The serum concentration of Kanamycin can be decreased when it is combined with Hetacillin.
Benzylpenicilloyl polylysine The serum concentration of Kanamycin can be decreased when it is combined with Benzylpenicilloyl polylysine.
Mezlocillin The serum concentration of Kanamycin can be decreased when it is combined with Mezlocillin.
Cyclacillin The serum concentration of Kanamycin can be decreased when it is combined with Cyclacillin.
Benzylpenicillin The serum concentration of Kanamycin can be decreased when it is combined with Benzylpenicillin.
Azlocillin The serum concentration of Kanamycin can be decreased when it is combined with Azlocillin.
Cloxacillin The serum concentration of Kanamycin can be decreased when it is combined with Cloxacillin.
Amdinocillin The serum concentration of Kanamycin can be decreased when it is combined with Amdinocillin.
Bacampicillin The serum concentration of Kanamycin can be decreased when it is combined with Bacampicillin.
Meticillin The serum concentration of Kanamycin can be decreased when it is combined with Meticillin.
Pivampicillin The serum concentration of Kanamycin can be decreased when it is combined with Pivampicillin.
Pivmecillinam The serum concentration of Kanamycin can be decreased when it is combined with Pivmecillinam.
Ticarcillin The serum concentration of Kanamycin can be decreased when it is combined with Ticarcillin.
Azidocillin The serum concentration of Kanamycin can be decreased when it is combined with Azidocillin.
Carindacillin The serum concentration of Kanamycin can be decreased when it is combined with Carindacillin.
Sultamicillin The serum concentration of Kanamycin can be decreased when it is combined with Sultamicillin.
Temocillin The serum concentration of Kanamycin can be decreased when it is combined with Temocillin.
Epicillin The serum concentration of Kanamycin can be decreased when it is combined with Epicillin.
Pheneticillin The serum concentration of Kanamycin can be decreased when it is combined with Pheneticillin.
Carfecillin The serum concentration of Kanamycin can be decreased when it is combined with Carfecillin.
Propicillin The serum concentration of Kanamycin can be decreased when it is combined with Propicillin.
Clometocillin The serum concentration of Kanamycin can be decreased when it is combined with Clometocillin.
Sulbenicillin The serum concentration of Kanamycin can be decreased when it is combined with Sulbenicillin.
Penamecillin The serum concentration of Kanamycin can be decreased when it is combined with Penamecillin.
Talampicillin The serum concentration of Kanamycin can be decreased when it is combined with Talampicillin.
Aspoxicillin The serum concentration of Kanamycin can be decreased when it is combined with Aspoxicillin.
Metampicillin The serum concentration of Kanamycin can be decreased when it is combined with Metampicillin.
BCG vaccine The therapeutic efficacy of BCG vaccine can be decreased when used in combination with Kanamycin.
Typhoid vaccine The therapeutic efficacy of Typhoid vaccine can be decreased when used in combination with Kanamycin.
Lymecycline The risk or severity of neuromuscular blockade can be increased when Lymecycline is combined with Kanamycin.
Clomocycline The risk or severity of neuromuscular blockade can be increased when Clomocycline is combined with Kanamycin.
Quinine The risk or severity of neuromuscular blockade can be increased when Quinine is combined with Kanamycin.
Tigecycline The risk or severity of neuromuscular blockade can be increased when Tigecycline is combined with Kanamycin.
Oxytetracycline The risk or severity of neuromuscular blockade can be increased when Oxytetracycline is combined with Kanamycin.
Demeclocycline The risk or severity of neuromuscular blockade can be increased when Demeclocycline is combined with Kanamycin.
Magnesium sulfate The risk or severity of neuromuscular blockade can be increased when Magnesium sulfate is combined with Kanamycin.
Metacycline The risk or severity of neuromuscular blockade can be increased when Metacycline is combined with Kanamycin.
Minocycline The risk or severity of neuromuscular blockade can be increased when Minocycline is combined with Kanamycin.

Target Protein

30S ribosomal protein S12 rpsL
16S ribosomal RNA

Referensi & Sumber

Synthesis reference: Hamao Umezawa, Shinichi Kondo, "Method for production of kanamycin C and its derivatives." U.S. Patent US4120955, issued December, 1975.

Contoh Produk & Brand

Produk: 2 • International brands: 5
Produk
  • Kanamycin
    Injection, solution • 333 mg/1mL • Intramuscular; Intravenous • US • Generic • Approved
  • Kantrex
    Injection, solution • 1 g/3mL • Intramuscular; Intraperitoneal; Intravenous; Irrigation; Respiratory (inhalation) • US • Generic • Approved
International Brands
  • Efficin — Lupin
  • Kanamytrex — Alcon
  • Kancin — Alembic
  • Kancin-L — Atlantic
  • Winamycin — Winston

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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