Krajina: Austrália
Jazyk: angličtina
Zdroj: Department of Health (Therapeutic Goods Administration)
Retapamulin
GlaxoSmithKline Australia Pty Ltd
Retapamulin
ALTARGO ® _retapamulin_ CONSUMER MEDICINE INFORMATION WHAT IS IN THIS LEAFLET This leaflet answers some common questions about Altargo. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. All medicines have risks and benefits. Your doctor has weighed the risks of you using Altargo against the benefits they expect it will have for you. IF YOU HAVE ANY CONCERNS ABOUT USING THIS MEDICINE, ASK YOUR DOCTOR OR PHARMACIST. KEEP THIS LEAFLET WITH THE MEDICINE. You may need to read it again. WHAT ALTARGO IS USED FOR Altargo ointment contains the antibiotic retapamulin as the active ingredient. It also contains the inactive ingredient soft white paraffin and may contain traces of the antioxidant, butylated hydroxytoluene. The active ingredient is derived from the antibiotic pleuromutilin. It works by inhibiting bacterial protein synthesis. Altargo is used to treat the following skin infections caused by bacteria in adults and children aged nine months and older: • primary impetigo • secondarily infected traumatic lesions e.g. small lacerations, abrasions, sutured wounds • secondarily infected dermatoses including infected psoriasis, infected atopic dermatitis and infected contact dermatitis ASK YOUR DOCTOR IF YOU HAVE ANY QUESTIONS ABOUT WHY THIS MEDICINE HAS BEEN PRESCRIBED FOR YOU. Your doctor may have prescribed it for another reason. This medicine is available only with a doctor's prescription. This medicine is not expected to affect your ability to drive a car or operate machinery. There is not enough information to recommend the use of this medicine for children under the age of nine months. BEFORE YOU USE ALTARGO _WHEN YOU MUST NOT USE IT_ DO NOT USE ALTARGO IF YOU HAVE AN ALLERGY TO: • any medicine containing retapamulin • soft white paraffin • butylated hydroxytoluene Some of the symptoms of an allergic reaction may include: • shortness of breath • wheezing or difficulty breathing • swelling of the face, lips, tongue or other par Prečítajte si celý dokument
1 ALTARGO ® PRODUCT INFORMATION NAME OF THE MEDICINE Retapamulin STRUCTURE: CAS NUMBER: 224452-66-8 DESCRIPTION Retapamulin is a white to pale yellow solid with a molecular weight of 517.78. The partition coefficient (log D) of retapamulin in octanol and water is +1.89. Altargo is an off-white, smooth ointment for topical use which contains the active ingredient retapamulin 1% w/w. Altargo also contains the inactive ingredient soft white paraffin and may contain traces of the antioxidant, butylated hydroxytoluene._ _ PHARMACOLOGY PHARMACODYNAMICS: _Mechanism of Action _ _ _ Retapamulin is a semisynthetic derivative of the compound pleuromutilin, which is isolated through fermentation from _Clitopilus passeckerianus_. Retapamulin selectively inhibits bacterial protein synthesis by interacting with the 50S subunit of the bacterial ribosome in a way that is distinct from that of other non- pleuromutilin antibiotics that interact with the ribosome. Data indicate that the binding site involves ribosomal protein L3 and is in the region of the ribosomal P site and peptidyl transferase centre. By virtue of binding to this site, pleuromutilins inhibit peptidyl transfer, partially block P-site interactions, and prevent normal formation of active 50S ribosomal subunits, and therefore appear to inhibit bacterial protein synthesis by multiple mechanisms. Due to this distinct mode of action, _in _ _vitro_ target-specific cross-resistance with retapamulin and other classes of antibiotics is rare. 2 _Pharmacodynamic Effects _ _ _ Retapamulin is active against most isolates of the common skin and skin structure pathogens _ Staphylococcus aureus_ and _ Streptococcus pyogenes_, both _ in vitro_ and in clinical studies. However, retapamulin has limited activity against some MRSA strains in the clinical setting (see _Clinical Trials_). It also has _in _ _vitro_ activity against some other Gram-positive, Gram-negative and anaerobic bacteria. Retapamulin is predominantly bacteriostatic against _ S. aureus_ and _ S. pyogenes_. The mini Prečítajte si celý dokument