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Fusidic acid

Leo Pharmaceutical
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Clinical Pharmacology

Fuzidova acid belongs to the group of fuzidin, antimicrobial compounds, the mechanism of action of which is associated with impaired protein synthesis in a bacterial cell. By blocking the elongation of factor G, they prevent its binding to ribosomes and guanosine triphosphate, which interrupts the release of the energy required for protein synthesis, and leads to the death of the bacterial cell.

Active against microorganisms that most often cause eye infections:

  • Staphylococcus aureus.
  • Streptococcus pneumoniae.
  • Haemophilus influenzae.

Enterobacteriaciae and Pseudomonas spp. resistant to fusidic acid.

Pharmacokinetics

The dosage form of the drug (viscous eye drops) provides long-term contact with the conjunctiva and a sufficient concentration of fusidic acid in the tear fluid, provided it is used 2 times / day.

After 1, 3, 6 and 12 hours after a single application of Fucithalmic, the average concentration of fusidic acid in the tear fluid is 15.7; 15.2; 10.5 and 5.6 mcg / ml, respectively. In intraocular fluid, the concentration of fusidic acid, equal to 0.3 μg / ml (after a single application) and 0.8 μg / ml (after repeated use), is reached within 1 h after application and maintained for at least 12 h, while fusidic serum acid is not detected.

Indications

Treatment of bacterial infections of the eyes caused by microorganisms sensitive to the drug:

  • Conjunctivitis.
  • Blepharitis
  • Keratitis
  • Dacryocystitis.

Composition

1 g of eye drops contains:

Active ingredients

  • Fuzidievuyu acid micronized (in terms of anhydrous acid) 10 mg, equivalent to fusidic acid hemihydrate 10.17 mg.

Excipients

Benzalkonium chloride, disodium edetate, mannitol, carbomer 974P, sodium hydroxide, purified water.

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Fusidic acid

Dosage and Administration

1 drop in the conjunctival sac of the affected eye 2 times / day for 7 days.

In the absence of positive dynamics within 7 days of use of the drug, therapy should be revised using other drugs.

Adverse reactions

On the part of the organ of vision: in rare cases - allergic reactions (in the form of edema of the follicles of the transitional fold of the conjunctiva and urticaria); itching, burning, conjunctival hyperemia, soreness, tearing, eyelid edema, exacerbation of conjunctivitis.

Contraindications

Fucitalmic should be discontinued if there is evidence of hypersensitivity to the drug.

Hypersensitivity to the drug.

Preservative (benzalkonium chloride) is a potential allergen.

Drug interactions

Data on drug interactions are not available.

Pregnancy and Lactation

There is not enough experience with the drug during pregnancy and lactation (breastfeeding). It is possible to use as prescribed by the attending physician, if the expected therapeutic effect exceeds the risk of possible side effects.

Special instructions

The tube must be closed after each use. Do not touch the tip of the eye.

It is not recommended to wear contact lenses during the use of Fuzzitalmika, since its components may cause clouding of the lenses.

Influence on ability to drive motor transport and control mechanisms

When a blurring of vision occurs after instillation, it is necessary to refrain from driving and engaging in potentially hazardous activities that require increased concentration of attention and psychomotor speed, before restoring vision.

Overdosage

Data overdose of the drug is not available.

Studies and clinical trials of Fusidic acid (Click to expand)
  1. ChemInform Abstract: Synthesis of 17-Membered Ring Macrocycle: Studies Toward the Enantioselective Synthesis of Fusidic Acid.
  2. Gentamicin-loaded bone cement with clindamycin or fusidic acid added: Biofilm formation and antibiotic release
  3. Synthesis of radiolabelled photolabile fusidic acid analogues
  4. Antimicrobial efficacy of gentamicin-loaded acrylic bone cements with fusidic acid or clindamycin added
  5. Determination of sodium fusidate and fusidic acid in dosage forms by high-performance liquid chromatography and a microbiological method
  6. Reassignment of the 1H NMR spectrum of fusidic acid and total assignment of 1H and 13C NMR spectra of some selected fusidane derivatives
  7. Fusidic acid-dependent wheat germ ribosomal complexes require unphosphorylated elongation factor 2
  8. The crystal structure and absolute configuration of fusidic acid methyl ester 3-p-bromobenzoate
  9. Hyper-susceptibility of a fusidic acid-resistant mutant of Salmonella to different classes of antibiotics
  10. Spectrophotometric determination of fusidic acid and sodium fusidate in dosage forms
  11. Interactions of fusidic acid and elongation factor G with lipid membranes
  12. Transformations of fusidic acid—I : Oxygenated-4α,8,14-trimethyl-18-norandrostanes
  13. The stereochemistry of fusidic acid
  14. The structure of fusidic acid
  15. The crystal structure of fusidic acid methyl ester 3-p-bromobenzoate
  16. Microbiological transformations of fusidane-type antibiotics a correlation between fusidic acid and helvolic acid
  17. Assignment of the 13c nmr spectra of fusidic acid derivatives. Biosynthetic incorporation of sodium [1-13c]-acetate into fusidic acid
  18. Partial synthesis of fusidic acid
  19. Investigation of a rifampin, fusidic-acid and mupirocin releasing silicone catheter
  20. High-performance liquid chromatographic determination of fusidic acid in plasma
  21. Calibration of fusidic acid disk diffusion susceptibility testing of Staphylococcus aureus
  22. Antidiabetogenic Effect of Fusidic Acid in Diabetes Prone BB Rats: A Sex-Dependent Organ Accumulation of the Drug is Seen
  23. Fusidic acid in dermatology
  24. High levels of fusidic acid-resistant Staphylococcus aureus in dermatology patients

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