Drug/Small Molecule:
tobramycin

Overview

Generic Names: 3'-Deoxykanamycin B; SPRC-AB01; Tobramycin Sulfate; tobramycin solution for inhalation
Trade Names: Aktob; Distobram; Gernebcin; NF 6; Nebcin; Nebramycin; Nebramycin 6; Nebramycin Factir 6; Nebramycin Factor 6; Nebramycin Vi; Obracin; Obramycin; Sybryx; Tenebrimycin; Tenemycin; Tobi; Tobracin; Tobradex; Tobradistin; Tobramaxin; Tobramitsetin; Tobramycetin; Tobrasone; Tobrex
PharmGKB Accession Id: PA451704

Description

An aminoglycoside, broad-spectrum antibiotic produced by Streptomyces tenebrarius. It is effective against gram-negative bacteria, especially the pseudomonas species. It is a 10% component of the antibiotic complex, nebramycin, produced by the same species. PubChem (source: Drug Bank)

Indication

For the treatment of pseudomonas aeruginosa lung infections. Also being investigated for use in the treatment of sinus infections. (source: Drug Bank)

ATC Therapeutic Categories

  • J01GB:Other aminoglycosides
  • S01AA:Antibiotics

Pharmacology, Interactions, and Contraindications

Mechanism Of Action

Tobramycin binds irreversibly to one of two aminoglycoside binding sites on the 30 S ribosomal subunit, inhibiting bacterial protein synthesis. Tobramycin may also destabilize bacterial memebrane by binding to 16 S 16 S r-RNA. An active transport mechanism for aminoglycoside uptake is necessary in the bacteria in order to attain a significant intracellular concentration of tobramycin. (source: Drug Bank)

Pharmacology

Tobramycin, an aminoglycoside antibiotic obtained from cultures of <i>Streptomyces tenebrarius</i>, is used in combination with other antibiotics to treat urinary tract infections, gynecologic infections, peritonitis, endocarditis, pneumonia, bacteremia and sepsis, respiratory infections including those associated with cystic fibrosis, osteomyelitis, and diabetic foot and other soft-tissue infections. It acts primarily by disrupting protein synthesis, leading to altered cell membrane permeability, progressive disruption of the cell envelope, and eventual cell death. Tobramycin has in vitro activity against a wide range of gram-negative organisms including <em>Pseudomonas aeruginosa</em>. (source: Drug Bank)

Absorption, Distribution, Metabolism, Elimination & Toxicity

Absorption

The bioavailability of tobramycin may vary because of individual differences in nebulizer performance and airway pathology. (source: Drug Bank)

Toxicity

LD<sub>50</sub>=441mg/kg (s.c. in mice) (source: Drug Bank)

Isomeric SMILES Code:

C1[C@@H]([C@H]([C@@H]([C@H]([C@@H]1N)O[C@@H]2[C@@H]([C@H]([C@@H]([C@H](O2)CO)O)N)O)O)O[C@@H]3[C@@H](C[C@@H]([C@H](O3)CN)O)N)N (source: Drug Bank)

The following genes are in curated knowledge about this drug.

  Gene Relationship Evidence
No phenotype data No genotype data Literature annotations available Not annotated
MT-RNR1
  • CO
  •   
  •   
  •   
  • GN
Publications

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

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

Drug Interactions

Drug Description
bumetanide Uncurated Annotation Increased ototoxicity (source: Drug Bank)
cefamandole Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
cefazolin Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
cefoperazone Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
cefotaxime Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
cefoxitin Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
cefradine Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
ceftazidime Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
ceftriaxone Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
cefuroxime Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
cisplatin Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
ethacrynic acid Uncurated Annotation Increased ototoxicity (source: Drug Bank)
furosemide Uncurated Annotation Increased ototoxicity (source: Drug Bank)
mivacurium Uncurated Annotation The agent increases the effect of the muscle relaxant (source: Drug Bank)
pancuronium Uncurated Annotation The agent increases the effect of the muscle relaxant (source: Drug Bank)
succinylcholine Uncurated Annotation The agent increases the effect of the muscle relaxant (source: Drug Bank)
thalidomide Uncurated Annotation Thalidomide increases the renal toxicity of the aminoglycoside (source: Drug Bank)
torasemide Uncurated Annotation Increased ototoxicity (source: Drug Bank)
tubocurarine Uncurated Annotation The agent increases the effect of the muscle relaxant (source: Drug Bank)

Curated Information

The following diseases are in curated knowledge about this drug.

  Disease Relationship Evidence
No phenotype data No genotype data Literature annotations available Not annotated
Cystic Fibrosis
  • CO
  •   
  •   
  •   
  •   
Publications
No phenotype data No genotype data Literature annotations available Not annotated
Ototoxicity
  • CO
  •   
  •   
  •   
  • GN
Publications

Non-Curated Information

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

LinkOuts

Web Resource:
Wikipedia
DrugBank:
DB00684
ChEBI ID:
28864
KEGG Compound ID:
C00397
KEGG Drug ID:
D00063
PubChem Compound ID:
5496
PubChem Substance ID:
447098

Common Searches

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Non-Curated Publications

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

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