Drug/Small Molecule:
bacitracin

Overview

Trade Names: Baci-rx; Baciguent; Baciim; Bacitracin Bacillus licheniformis; Ziba-rx
Brand Mixtures: Antibiotic Ointment (Bacitracin + Polymyxin B (Polymyxin B Sulfate)); Aurex Rotenone Drops (Bacitracin + Penicillin + Rotenone + Streptomycin (Streptomycin Sulfate) + Undecylenic Acid); Baciguent Plus Pain Reliever Ont (Bacitracin + Lidocaine); Bacitracin-Neomycin Polymyxin Ont (Bacitracin Zinc + Neomycin Sulfate + Polymyxin B Sulfate); Bacitracin-Neomycin-Polymixin Ont (Bacitracin Zinc + Neomycin Sulfate + Polymyxin B Sulfate); Bacitracin-Neomycin-Polymyxin Oph Ont (Bacitracin Zinc + Neomycin Sulfate + Polymyxin B Sulfate); Band-Aid-S-1 (Bacitracin Zinc + Polymyxin B Sulfate); Cortisporin (Bacitracin (Bacitracin Zinc) + Hydrocortisone + Neomycin (Neomycin Sulfate) + Polymyxin B (Polymyxin B Sulfate)); Cortisporin (Bacitracin Zinc + Hydrocortisone + Neomycin Sulfate + Polymyxin B Sulfate); Emercreme No4 Ont Efa (Bacitracin + Benzocaine + Cetylpyridinium Chloride + Diphenylpyraline Hydrochloride + Tyrothricin); First Aid Antibiotic (Bacitracin Zinc + Polymyxin B Sulfate); First Aid Antibiotic Ointment (Bacitracin Zinc + Polymyxin B Sulfate); Gercillin (Bacitracin + Benzocaine + Polymyxin B Sulfate + Tyrothricin); Lanabiotic Ont (Bacitracin + Polymyxin B Sulfate); Mycitracin Oph Ont (Bacitracin + Neomycin Sulfate + Polymyxin B Sulfate); Neo Bace Ophthalmic Ointment (Bacitracin + Polymyxin B Sulfate); Neosporin Ointment (Bacitracin (Bacitracin Zinc) + Neomycin (Neomycin Sulfate) + Polymyxin B (Polymyxin B Sulfate)); Neosporin Ophthalmic Ointment (Bacitracin (Bacitracin Zinc) + Neomycin (Neomycin Sulfate) + Polymyxin B (Polymyxin B Sulfate)); Neotopic Ointment (Bacitracin (Bacitracin Zinc) + Neomycin (Neomycin Sulfate) + Polymyxin B (Polymyxin B Sulfate)); Ozonol Antibiotic Plus - Ointment (Bacitracin + Lidocaine Hydrochloride + Polymyxin B (Polymyxin B Sulfate)); Ozonol Antibiotic Plus Ont (Bacitracin + Lidocaine Hydrochloride + Polymyxin B Sulfate); Polycidin Ophthalmic Ointment (Bacitracin (Bacitracin Zinc) + Polymyxin B (Polymyxin B Sulfate)); Polyderm Antibiotic Ointment (Bacitracin + Lidocaine Hydrochloride + Polymyxin B Sulfate); Polysporin Antibiotic Ointment (Bacitracin + Polymyxin B (Polymyxin B Sulfate)); Polysporin Sterile Ophthalmic Ointment (Bacitracin (Bacitracin Zinc) + Polymyxin B (Polymyxin B Sulfate)); Polysporin Topical First Aid Antibiotic Ointment (Bacitracin + Polymyxin B (Polymyxin B Sulfate)); Polysporin Triple Antibiotic Ointment (Bacitracin + Gramicidin + Polymyxin B (Polymyxin B Sulfate)); Polytopic Ont (Bacitracin + Polymyxin B (Polymyxin B Sulfate)); Polytracin Ont (Bacitracin Zinc + Polymyxin B (Polymyxin B Sulfate)); Sandoz Cortimyxin (Bacitracin (Bacitracin Zinc) + Hydrocortisone + Neomycin (Neomycin Sulfate) + Polymyxin B (Polymyxin B Sulfate))
PharmGKB Accession Id: PA448531

Description

Bacitracin is a mixture of related cyclic polypeptides produced by organisms of the licheniformis group of Bacillus subtilis var Tracy. Its unique name derives from the fact that the bacillus producing it was first isolated in 1943 from a knee scrape from a girl named Margaret Tracy. As a toxic and difficult-to-use antibiotic, bacitracin doesn't work well orally. However, it is very effective topically.
Bacitracin is synthesised via the so-called nonribosomal peptide synthetases (NRPSs), which means that ribosomes are not involved in its synthesis. (source: Drug Bank)

Indication

For the treatment of infants with pneumonia and empyema caused by staphylococci shown to be susceptible to the drug. Also used in ointment form for topical treatment of a variety of localized skin and eye infections, as well as for the prevention of wound infections. (source: Drug Bank)

ATC Therapeutic Categories

  • D06AX:Other antibiotics for topical use
  • R02AB:Antibiotics

Pharmacology, Interactions, and Contraindications

Mechanism Of Action

Bacitracin intereferes with the dephosphorylation of the 55-carbon, biphosphate lipid transport molecule, which carries the building blocks of the peptidoglycan bacterial cell wall outside the inner membrane for construction. (source: Drug Bank)

Pharmacology

Bacitracin is a mixture of related cyclic polypeptides produced by organisms of the licheniformis group of <i>Bacillus subtilis var</i> Tracy. As a polypeptide, toxic, and difficult to use chemical, Bacitracin doesn't work well orally, however is very effective topically. Bacitracin exerts pronounced antibacterial action in vitro against a variety of gram-positive and a few gram-negative organisms. However, among systemic diseases, only staphylococcal infections qualify for consideration of bacitracin therapy. (source: Drug Bank)

Absorption, Distribution, Metabolism, Elimination & Toxicity

Absorption

Absorption of bacitracin following intramuscular injection is rapid and complete. Absorption from the gastrointestinal tract following oral administration is not appreciable. Absorption following topical application is negligible. (source: Drug Bank)

Toxicity

Oral, mouse: LD<sub>50</sub> = >3750 mg/kg. (source: Drug Bank)

Isomeric SMILES Code:

CC[C@@H](C)[C@H]1C(=O)N[C@@H](C(=O)N[C@H](C(=O)N[C@@H](C(=O)N[C@H](C(=O)NCCCC[C@@H](C(=O)N[C@@H](C(=O)N1)CCCN)NC(=O)[C@H]([C@H](C)CC)NC(=O)[C@@H](CCC(=O)O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H]2CN=C(S2)[C@H]([C@H](C)CC)N)CC(=O)N)CC(=O)O)CC3=CN=CN3)CC4=CC=CC=C4 (source: Drug Bank)

A list of non-curated publications that mention this drug along with other genes is available.

Drug Targets

Gene Description
A2M Uncurated Annotation (source: Drug Bank)
IDE Uncurated Annotation (source: Drug Bank)
TAC1 Uncurated Annotation (source: Drug Bank)

A list of non-curated publications that mention this drug along with other drugs is available.

Non-Curated Information

A list of non-curated publications that mention this drug along with other diseases is available.

Additional Datasets

These datasets are minimally curated and are sorted alphabetically by title.

  1. The Connectivity Map: using gene-expression signatures to connect small molecules, genes, and disease

LinkOuts

Web Resource:
Wikipedia
DrugBank:
DB00626
ChEBI ID:
28669
KEGG Compound ID:
C01667
KEGG Drug ID:
D00128
PubChem Compound ID:
439542

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Non-Curated Publications

A list of non-curated publications that mention this drug is available.

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