Peringatan Keamanan

LD50, rat: >2000 mg/kg. The most common adverse reaction reported in 2% of patients treated with besifloxacin was conjunctival redness.

Besifloxacin

DB06771

small molecule approved

Deskripsi

Besifloxacin is a fourth generation fluoroquinolone-type opthalmic antibiotic for the treatment of bacterial conjunctivitis. FDA approved on May 28, 2009.

Struktur Molekul 2D

Berat 393.84
Wujud liquid

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) The average elimination half-life of besifloxacin in plasma following multiple dosing was estimated to be 7 hours.
Volume Distribusi Not absorbed into the systemic
Klirens (Clearance) N/A

Absorpsi

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.

Metabolisme

No appreciable metabolism

Rute Eliminasi

N/A

Interaksi Obat

65 Data
Trazodone The risk or severity of QTc prolongation can be increased when Trazodone is combined with Besifloxacin.
Pitolisant Besifloxacin may increase the QTc-prolonging activities of Pitolisant.
Lefamulin Lefamulin may increase the QTc-prolonging activities of Besifloxacin.
Hydroxyzine The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Hydroxyzine.
Ziprasidone The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Ziprasidone.
Magnesium Magnesium can cause a decrease in the absorption of Besifloxacin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Haloperidol The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Haloperidol.
Vibrio cholerae CVD 103-HgR strain live antigen The therapeutic efficacy of Vibrio cholerae CVD 103-HgR strain live antigen can be decreased when used in combination with Besifloxacin.
Fluoxetine The risk or severity of QTc prolongation can be increased when Fluoxetine is combined with Besifloxacin.
Ponesimod The risk or severity of bradycardia can be increased when Ponesimod is combined with Besifloxacin.
Amisulpride The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Amisulpride.
Estetrol The therapeutic efficacy of Estetrol can be decreased when used in combination with Besifloxacin.
Fexinidazole The risk or severity of adverse effects can be increased when Besifloxacin is combined with Fexinidazole.
Lidocaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Lidocaine.
Ropivacaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Ropivacaine.
Bupivacaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Bupivacaine.
Cinchocaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Cinchocaine.
Dyclonine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Dyclonine.
Procaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Procaine.
Prilocaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Prilocaine.
Proparacaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Proparacaine.
Meloxicam The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Meloxicam.
Oxybuprocaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Oxybuprocaine.
Cocaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Cocaine.
Mepivacaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Mepivacaine.
Levobupivacaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Levobupivacaine.
Diphenhydramine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Diphenhydramine.
Benzocaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Benzocaine.
Chloroprocaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Chloroprocaine.
Phenol The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Phenol.
Tetrodotoxin The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Tetrodotoxin.
Benzyl alcohol The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Benzyl alcohol.
Capsaicin The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Capsaicin.
Etidocaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Etidocaine.
Articaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Articaine.
Tetracaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Tetracaine.
Propoxycaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Propoxycaine.
Pramocaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Pramocaine.
Butamben The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Butamben.
Butacaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Butacaine.
Oxetacaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Oxetacaine.
Ethyl chloride The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Ethyl chloride.
Butanilicaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Butanilicaine.
Metabutethamine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Metabutethamine.
Quinisocaine The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Quinisocaine.
Cisatracurium Besifloxacin may increase the neuromuscular blocking activities of Cisatracurium.
Clozapine The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Clozapine.
Glasdegib The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Glasdegib.
Ambroxol The risk or severity of methemoglobinemia can be increased when Besifloxacin is combined with Ambroxol.
Fezolinetant The serum concentration of Fezolinetant can be increased when it is combined with Besifloxacin.
Fecal microbiota The therapeutic efficacy of Fecal microbiota can be decreased when used in combination with Besifloxacin.
Vilanterol The risk or severity of QTc prolongation and ventricular arrhythmias can be increased when Vilanterol is combined with Besifloxacin.
Oxaliplatin The risk or severity of QTc prolongation can be increased when Oxaliplatin is combined with Besifloxacin.
Quizartinib The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Quizartinib.
Citalopram The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Citalopram.
Pimavanserin The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Pimavanserin.
Gepirone The risk or severity of QTc prolongation can be increased when Gepirone is combined with Besifloxacin.
Etrasimod The risk or severity of QTc prolongation and torsade de pointes can be increased when Etrasimod is combined with Besifloxacin.
Bedaquiline The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Bedaquiline.
Encorafenib The risk or severity of QTc prolongation can be increased when Encorafenib is combined with Besifloxacin.
Givinostat The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Givinostat.
Inotuzumab ozogamicin The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Inotuzumab ozogamicin.
Mavorixafor The risk or severity of QTc prolongation can be increased when Mavorixafor is combined with Besifloxacin.
Ribociclib The risk or severity of QTc prolongation can be increased when Ribociclib is combined with Besifloxacin.
Revumenib The risk or severity of QTc prolongation can be increased when Besifloxacin is combined with Revumenib.

Target Protein

DNA topoisomerase 4 subunit A parC
DNA gyrase subunit B gyrB
DNA gyrase subunit A gyrA
DNA topoisomerase 4 subunit A parC
DNA gyrase subunit A gyrA
DNA gyrase subunit A gyrA

Referensi & Sumber

Artikel (PubMed)
  • PMID: 22729919
    O'Brien TP: Besifloxacin ophthalmic suspension, 0.6%: a novel topical fluoroquinolone for bacterial conjunctivitis. Adv Ther. 2012 Jun;29(6):473-90. doi: 10.1007/s12325-012-0027-7. Epub 2012 Jun 20.
  • PMID: 19492955
    Proksch JW, Granvil CP, Siou-Mermet R, Comstock TL, Paterno MR, Ward KW: Ocular pharmacokinetics of besifloxacin following topical administration to rabbits, monkeys, and humans. J Ocul Pharmacol Ther. 2009 Aug;25(4):335-44. doi: 10.1089/jop.2008.0116.

Contoh Produk & Brand

Produk: 4 • International brands: 0
Produk
  • Besivance
    Suspension • 6 mg/1mL • Ophthalmic • US • Approved
  • Besivance
    Suspension • 6 mg/1mL • Ophthalmic • US • Approved
  • Besivance
    Suspension • 6 mg/1mL • Ophthalmic • US • Approved
  • Besivance
    Suspension • 0.6 % w/v • Ophthalmic • Canada • Approved

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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