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 | |
|---|---|---|---|
|
|
MT-RNR1 |
|
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 |
|
Increased ototoxicity (source: Drug Bank) |
| cefamandole |
|
Increased risk of nephrotoxicity (source: Drug Bank) |
| cefazolin |
|
Increased risk of nephrotoxicity (source: Drug Bank) |
| cefoperazone |
|
Increased risk of nephrotoxicity (source: Drug Bank) |
| cefotaxime |
|
Increased risk of nephrotoxicity (source: Drug Bank) |
| cefoxitin |
|
Increased risk of nephrotoxicity (source: Drug Bank) |
| cefradine |
|
Increased risk of nephrotoxicity (source: Drug Bank) |
| ceftazidime |
|
Increased risk of nephrotoxicity (source: Drug Bank) |
| ceftriaxone |
|
Increased risk of nephrotoxicity (source: Drug Bank) |
| cefuroxime |
|
Increased risk of nephrotoxicity (source: Drug Bank) |
| cisplatin |
|
Increased risk of nephrotoxicity (source: Drug Bank) |
| ethacrynic acid |
|
Increased ototoxicity (source: Drug Bank) |
| furosemide |
|
Increased ototoxicity (source: Drug Bank) |
| mivacurium |
|
The agent increases the effect of the muscle relaxant (source: Drug Bank) |
| pancuronium |
|
The agent increases the effect of the muscle relaxant (source: Drug Bank) |
| succinylcholine |
|
The agent increases the effect of the muscle relaxant (source: Drug Bank) |
| thalidomide |
|
Thalidomide increases the renal toxicity of the aminoglycoside (source: Drug Bank) |
| torasemide |
|
Increased ototoxicity (source: Drug Bank) |
| tubocurarine |
|
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 | |
|---|---|---|---|
|
|
Cystic Fibrosis |
|
Publications |
|
|
Ototoxicity |
|
Publications |
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.
LinkOuts
Common Searches
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Non-Curated Publications
A list of non-curated publications that mention this drug is available.
