What Is Fusidic Acid?

Fusidic acid is highly sensitive to various Gram-positive cocci related to skin infections, especially to staphylococci. It is also effective against drug-resistant Staphylococcus aureus, and it also has certain antibacterial effects on certain Gram-negative bacteria. No cross-resistance with other antibiotics.

Fusidic acid is highly sensitive to various Gram-positive cocci related to skin infections, especially to staphylococci. It is also effective against drug-resistant Staphylococcus aureus, and it also has certain antibacterial effects on certain Gram-negative bacteria. No cross-resistance with other antibiotics.
Drug Name
Fusidic acid
Foreign name
Fusidic Acid
Drug type
Antibiotics

Fusidic Acid Basic Information

Chinese name
Chinese alias: brown mold acid
English name: Fusic acid
English alias: Fusidate sodium; Diethanolamine fusidate; FUCIDIN; fusdic acid; (2Z) -2-[(3R, 4S, 5S, 8S, 9S, 10S, 11R, 13R, 14S, 16S) -16-acetyloxy-3,11 -dihydroxy-4,8,10,14-tetramethyl-2,3,4,5,6,7,9,11,12,13,15,16-dodecahydro-1H-cyclopenta [a] phenanthren-17-ylidene ] -6-methylhept-5-enoic acid; Fucidin acid; Ramycin; Fucidic acid; FusidicAcid; Fusidine; Fusidate; Fucithalmic;
CAS number: 6990-06-3
Molecular formula: C 31 H 48 O 6
Molecular weight: 516.70900
Exact mass: 516.34500
PSA: 104.06000
LogP: 5.66610
Physical and chemical properties
Appearance and properties: white solid
Density: 1.16g / cm 3
Melting point: 190-192ºC
Boiling point: 635ºC
Refractive index: 1.558
Storage conditions: 2-8ºC [1]

Fusidic acid Fusidic acid related drug label information

Fusidic acid pharmacological action

This product is an antibiotic with a steroid skeleton that inhibits protein synthesis by bacteria. And antibacterial or bactericidal effect. It has strong antibacterial effect on staphylococci (including methicillin-resistant strains or other antibiotic-resistant strains), and it also has certain antibacterial effects on streptococcus, enterococcus, diphtheria, clostridium, Neisseria, and tuberculosis. Effect, weaker on B. fragile.
Pharmacokinetics
Oral absorption is easy, taking 0.5g on an empty stomach, blood concentration can reach 30g / ml in 2 ~ 3h; repeated administration once every 8 hours for 4 consecutive days, blood concentration can reach 50 ~ 100g / ml. The blood concentration after taking sodium salt is higher than taking free acid. It is widely distributed in the body, but it is not easy to penetrate the blood-cerebrospinal fluid barrier. Trace drugs can only be seen during meningitis inflammation, but it can enter the fetal circulation or enter milk. The plasma half-life is 5-6 hours, and the plasma protein binding rate is as high as 97%. This product is metabolized in the body and is mainly concentrated and excreted by bile. Kidney excretion is minimal (less than 1%).
Dosage form and specifications
Tablet: 250mg.

Fusidic acid indication

For drug-resistant Staphylococcus aureus infections, such as pneumonia, osteomyelitis, and sepsis. Severe patients need intravenous administration and should be used in combination with other anti-staphylococcal drugs. Topical treatment of skin and wound infections.

Fusidic acid contraindications

Liver and kidney dysfunction is disabled.

Fusidic acid notes

Use with caution in pregnant and lactating women.

Fusidic acid adverse reactions

Common mild gastrointestinal reactions. Occasionally rash, cholestatic jaundice, liver function changes and intravenous injection can cause phlebitis.

Fusidic acid dosage

Oral: 1. 0.5g each time, once every 8 hours, can be doubled for severe infections; children under 2.1 years of age 50mg / kg, divided into 2 to 3 times; 3.1 to 5 years old, 0.25g each time, 3 times a day. 4.5 to 12 years old can be given as an adult [2] .

Fusidic acid molecular model

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