Land: Singapore
Sprog: engelsk
Kilde: HSA (Health Sciences Authority)
CLINDAMYCIN PHOSPHATE EQV CLINDAMYCIN
PFIZER PRIVATE LIMITED
D10AF01
1.00%
LOTION
CLINDAMYCIN PHOSPHATE EQV CLINDAMYCIN 1%
TOPICAL
Prescription Only
Pfizer Manufacturing Belgium NV
ACTIVE
1993-02-11
DALACIN T ® PHARMACEUTICAL FORM Topical Solution and Topical Lotion. FOR EXTERNAL USE DESCRIPTION Each mL of DALACIN T Topical Solution contains clindamycin phosphate equivalent to 10 mg of clindamycin base. Each mL of DALACIN T Topical Lotion contains clindamycin phosphate equivalent to 10 mg of clindamycin base. Clindamycin phosphate is a water soluble ester of the semi-synthetic antibiotic produced by a 7(S)-chloro-substitution of the 7(R)-hydroxyl group of the parent antibiotic lincomycin. The structural formula is represented below: Molecular formula: C 18 H 34 ClN 2 O 8 PS The chemical name for clindamycin phosphate is 7(S)-chloro-7-deoxylincomycin-2-phosphate (MW=504.96). DALACIN T Topical Solution is supplied in bottles containing 30 mL of topical solution. In addition to clindamycin phosphate, the topical solution contains propylene glycol, isopropyl alcohol 0.5 mL, and purified water. DALACIN T Topical Lotion is supplied in bottles containing either 30 mL or 60 mL of lotion. In addition to clindamycin phosphate, the topical lotion contains sodium lauroyl sarcosinate, methylparahydroxybenzoate, glycerol, stearic acid, lexemul T, cetostearyl alcohol, isostearyl alcohol, and purified water. CLINICAL PHARMACOLOGY PHARMACODYNAMICS Although clindamycin phosphate is inactive _in vitro_, rapid _in vivo_ hydrolysis converts this compound to the antibacterially active clindamycin. Clindamycin has been shown to have _in vitro_ activity against all isolates of _Propionibacterium acnes_ cultures tested (MICs 0.4 mcg/mL). This may account for its usefulness in acne. Free fatty acids on the skin surface have been decreased from approximately 14% to 2% following application of clindamycin. In addition, clindamycin has shown a wide range of _in vitro_ activi Læs hele dokumentet
Page 1 of 6 DALACIN T ® PHARMACEUTICAL FORM Topical Lotion. FOR EXTERNAL USE DESCRIPTION Each mL of DALACIN T Lotion contains clindamycin phosphate equivalent to 10 mg of clindamycin base. Clindamycin phosphate is a water soluble ester of the semi-synthetic antibiotic produced by a 7(S)-chloro-substitution of the 7(R)-hydroxyl group of the parent antibiotic lincomycin. The structural formula is represented below: Molecular formula: C 18 H 34 ClN 2 O 8 PS The chemical name for clindamycin phosphate is 7(S)-chloro-7-deoxylincomycin-2- phosphate (MW=504.96). DALACIN T Lotion is supplied in bottles containing either 30 mL or 60 mL of lotion. In addition to clindamycin phosphate, the topical lotion contains sodium lauroyl sarcosinate, methylparahydroxybenzoate, glycerol, stearic acid, lexemul T, cetostearyl alcohol, isostearyl alcohol, and purified water. PHARMACOLOGICAL PROPERTIES PHARMACODYNAMIC PROPERTIES Mechanism of action Clindamycin is a lincosamide antibiotic that inhibits bacterial protein synthesis. It binds to the 50S ribosomal subunit and affects both ribosome assembly and the translation process. Although clindamycin phosphate is inactive _in vitro_, rapid _in vivo_ hydrolysis converts this compound to the antibacterially active clindamycin. Page 2 of 6 Clindamycin has been shown to have _in vitro_ activity against isolates of the following organisms; Anaerobic gram positive non spore forming _bacilli_, including: _Propionibacterium acnes._ Pharmacodynamic effects Efficacy is related to the time period that the agent level is above the minimum inhibitory concentration (MIC) of the pathogen (%T/MIC). Resistance Resistance to clindamycin in _Propionibacterium acnes_ can be caused by mutations at the rRNA antibiotic binding site or by methylation of specific nucleotides in the 23S RNA of the 50S ribosomal subunit. These alterations can determine cross resistance to macrolides and streptogramins B (MLS B phenotype). Macrolide-resistant isolates should be tested for inducible resistance to clindamycin using t Læs hele dokumentet