国家: 美国
语言: 英文
来源: NLM (National Library of Medicine)
Clindamycin phosphate (UNII: EH6D7113I8) (Clindamycin - UNII:3U02EL437C)
AvKARE, Inc.
Clindamycin phosphate
Clindamycin 10 mg in 1 mL
PRESCRIPTION DRUG
Abbreviated New Drug Application
CLINDAMYCIN PHOSPHATE - CLINDAMYCIN PHOSPHATE SOLUTION AVKARE, INC. ---------- CLINDAMYCIN PHOSPHATE TOPICAL SOLUTION USP, 1% RX ONLY FOR EXTERNAL USE DESCRIPTION Clindamycin Phosphate Topical Solution contains clindamycin phosphate, USP, at a concentration equivalent to 10 mg clindamycin per milliliter. 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 solution contains isopropyl alcohol 39% w/v, propylene glycol, and purified water. May contain sodium hydroxide for pH balance. The structural formula is represented below: The chemical name for clindamycin phosphate is Methyl 7-chloro-6,7,8-trideoxy-6-(1-methyl-_trans_-4- propyl-L-2-pyrrolidinecarboxamido)-1-thio-L-_threo_-α-D-_galacto_-octopyranoside 2-(dihydrogen phosphate). CLINICAL PHARMACOLOGY Although clindamycin phosphate is inactive _in vitro_, rapid _in vivo_ hydrolysis converts this compound to the antibacterially active clindamycin. Cross resistance has been demonstrated between clindamycin and lincomycin. Antagonism has been demonstrated between clindamycin and erythromycin. Following multiple topical applications of clindamycin phosphate at a concentration equivalent to 10 mg clindamycin per mL in an isopropyl alcohol and water solution, very low levels of clindamycin are present in the serum (0 to 3 ng/mL) and less than 0.2% of the dose is recovered in urine as clindamycin. Clindamycin activity has been demonstrated in comedones from acne patients. The mean concentration of antibiotic activity in extracted comedones after application of Clindamycin Phosphate Topical Solution for 4 weeks was 597 mcg/g of comedonal material (range 0 to 1490). Clindamycin _in vitro_ inhibits all _Propionibacterium acnes_ cultures tested (MICs 0.4 mcg/mL). Free fatty acids on the skin surface have been decreased from approximately 14% to 2% following application of clindamycin. INDICATIONS AND USAGE Clindamycin Phosphate Topical Solu 阅读完整的文件