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                    ºñÇ÷¯½º¿¬°í  B-PLUS[Bacitracin zinc , Polymyxin B Sulfate , Pramoxine HCl]  
                    
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                     ÀϹÝÀǾàǰ | ºñ±Þ¿©  
                        
                    	
                    
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                      ¾Ë¸²:  | 
                      µå·°ÀÎÆ÷¿¡¼´Â ÀǾàǰ ÀÎÅÍ³Ý ÆÇ¸Å¸¦ ÇÏÁö ¾Ê½À´Ï´Ù. | 
                     
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    û±¸ÄÚµå(KDÄÚµå) ºñ±Þ¿©Á¡°ËÄÚµå  »óÇÑ±Ý¾× | 
    
      
      
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    ƯÀÌÃë°¡ ÀÖ´Â ¿¯Àº ¹Ì»öÀÇ ¿¬°íÁ¦  [Á¦ÇüÁ¤º¸ È®ÀÎ] |   
   
  
  
  
  
  
   
    | Æ÷À塤À¯Åë´ÜÀ§ | 
    7g | 
   
  
  
  
  
  
  
  
 
  
  
    
  
  
  
  
  
  
  
  
  
  
 
  
  
  
 
  
  
  
  
  
  
  
     
  
  
  
   
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    [ÀûÀÀÁõ º° °Ë»ö] 
     
    
     
	 
      °¡º¿î Àý»ó, Âû°ú»ó, È»óÀ¸·Î ÀÎÇÑ °¨¿°.
      
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      * Àý´ë ÀÓÀǺ¹¿ëÇÏÁö ¸¶½Ã°í ¹Ýµå½Ã ÀÇ»ç ¶Ç´Â ¾à»ç¿Í »ó´ãÇϽñ⠹ٶø´Ï´Ù. 
    
     
      
      
      [󹿾à¾î] 
       ȯºÎ¸¦ ±ú²ýÀÌ Çϰí ÀÌ ¾à ¼Ò·®(¼Õ°¡¶ô ³¡ÀÇ Ç¥¸éÀû Á¤µµÀÇ ¾ç)À» 1ÀÏ 1~3ȸ ¹Ù¸¥´Ù.  
ºØ´ë¸¦ °¨À» ¼öµµ ÀÖ´Ù. 
[Á¦Çüº°º¹¾àÁöµµ]     
      	
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      [Á¶È¸]
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    | Off-label Usage | 
    
      
	[Á¶È¸]    
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    | Related FDA Approved Drug | 
    
       
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    µå·°ÀÎÆ÷ ÀǾàǰ ¿ä¾à/»ó¼¼Á¤º¸
    
  
  
    
  
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    | LACTmed ¹Ù·Î°¡±â | 
    
      
        [¹Ù·Î°¡±â]
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    | ¾à¸®ÀÛ¿ë | 
    
       
      À¯·áÁ¤º¸ÀÔ´Ï´Ù.
       
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    À¯·áÁ¤º¸ÀÔ´Ï´Ù.
    
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    À¯·áÁ¤º¸ÀÔ´Ï´Ù.
    
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    | ÀӺο¡´ëÇÑÅõ¿© | 
    
      
      
        
	      
	      
	        | *  | 
	        
	          ÀüüÀӽŠ±â°£º°·Î ¿©·¯µî±ÞÀÌ Á¸ÀçÇÒ ¼ö ÀÖÀ¸¸ç °¡Àå À§Çèµµ°¡ ³ôÀº Á¤º¸¸¸ º¸¿©Áý´Ï´Ù. ´Ü, º¹ÇÕÁ¦ÀÇ °æ¿ì ¸ðµç º¹ÇÕÁ¦¼ººÐ¿¡ ´ëÇÑ ÀÓºÎÅõ¿©µî±ÞÀÌ Ç¥½ÃµÈ°ÍÀº Àý´ë ¾Æ´Ï¸ç Ç¥½ÃµÈ°ÍÁß¿¡ °¡Àå À§Çèµµ°¡ ³ôÀº Á¤º¸¸¸ ³ªÅ¸³³´Ï´Ù. 
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	      FDA : Cµî±Þ 
				        
				         (bacitracin, pramoxine )
				        
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	        | *  | 
	        
	          »ó±â ÀÓºÎÅõ¿©¿¡ ´ëÇÑ Á¤º¸´Â Àü»êó¸® µÇ¸é¼ ÀÔ·Â ¿À·ù °¡´É¼ºÀÌ Á¸ÀçÇÕ´Ï´Ù. ¿À·ù °¡´É¼ºÀ» ÃÖ¼ÒÈÇϱâ À§ÇÏ¿© ¸¹Àº ³ë·ÂÀ» ±â¿ïÀ̰í ÀÖÀ¸³ª, ±× Á¤È®¼º¿¡ ´ëÇÏ¿© È®½ÅÀ» µå¸± ¼ö ¾ø½À´Ï´Ù. ÀÌ¿¡ ´ëÇØ ȸ»ç´Â Ã¥ÀÓÀ» ÁöÁö ¾Ê½À´Ï´Ù.
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	          ¹Ýµå½Ã °ø½Å·Â ÀÖ´Â ¹®ÇåÀ» ´Ù½Ã Çѹø Âü°í ÇϽñ⠹ٶó¸ç ÀÇ»ç ¶Ç´Â ¾à»çÀÇ ÆÇ´Ü¿¡ µû¶ó Åõ¿©¿©ºÎ°¡ °áÁ¤µÇ¾î¾ß ÇÕ´Ï´Ù.
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      | Pharmacokinetics | 
      
       
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    | º´¿ë±Ý±â ¹× ¿¬·É´ë±Ý±â ±Ù°ÅÁ¶È¸ | 
    
      [º´¿ë±Ý±â ¹× ¿¬·É´ë±Ý±â ±Ù°ÅÁ¶È¸]
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    | Á¦Çüº° º¹¾àÁöµµ | 
    [¿¬°í] | 
   
  
  
   
    | º¸°ü»ó ÁÖÀÇ | 
    
      
    	
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    | Á¶Á¦½Ã ÁÖÀÇ | 
    
      
    	
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    | Ç׸ñ | 
    ³»¿ë | 
   
  
    | DUR (ÀǾàǰ»ç¿ëÆò°¡) | 
    º´¿ë±Ý±â :
     
	 °í½ÃµÈ º´¿ë±Ý±â ³»¿ëÀº ¾ø½À´Ï´Ù.
	 
	  [»óÈ£ÀÛ¿ë/º´¿ë±Ý±â°Ë»ö]										
	  ¿¬·É´ë±Ý±â :
      °í½ÃµÈ ¿¬·É±Ý±â ³»¿ëÀº ¾ø½À´Ï´Ù.
      
       [¿¬·É´ë±Ý±â»ó¼¼°Ë»ö]
       
       
        
        
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    | µ¶¼ºÁ¤º¸ | 
    Bacitracin¿¡ ´ëÇÑ µ¶¼ºÁ¤º¸ : Á¤º¸º¸±â 
  Ãâó: ±¹¸³µ¶¼º°úÇпø µ¶¼º¹°ÁúÁ¤º¸DB : http://www.nitr.go.kr/nitr/contents/m134200/view.do  | 
   
  
   
    | Mechanism of Action | 
    
       Bacitracin¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ 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.
  zinc¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Not Available 
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    | Pharmacology | 
     
       Bacitracin¿¡ ´ëÇÑ Pharmacology Á¤º¸ Bacitracin is a mixture of related cyclic polypeptides produced by organisms of the licheniformis group of Bacillus subtilis var 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.
  zinc¿¡ ´ëÇÑ Pharmacology Á¤º¸ Not Available 
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    | Protein Binding | 
    
       Bacitracin¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ Not Available 
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    | Half-life | 
    
       Bacitracin¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ Not Available 
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    | Absorption | 
    
       Bacitracin¿¡ ´ëÇÑ Absorption Á¤º¸ 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.
  zinc¿¡ ´ëÇÑ Absorption Á¤º¸ Not Available 
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    | Pharmacokinetics | 
    
       Pramoxine HClÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á 
- Ä¡·áÈ¿°ú ¹ßÇö½Ã°£ : 2-5ºÐ À̳»
 
 - ÃÖ´ëÈ¿°ú ¹ßÇö½Ã°£ : 3-5ºÐ
 
 - ÀÛ¿ëÁö¼Ó½Ã°£ : ¼öÀϰ£ Áö¼ÓµÉ ¼ö ÀÖ´Ù.
 
   
 Bacitracin zincÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á 
- ÀÛ¿ëÁö¼Ó½Ã°£ : 6-8½Ã°£
  
 - Èí¼ö : 
 
	-  ¿Ü¿ë : Á¡¸·, Á¤»ó ÇǺÎ, ¼Õ»óµÈ ÇǺηκÎÅÍ °ÅÀÇ Èí¼öµÇÁö ¾Ê´Â´Ù.
 
	 -  IM : ºü¸£°Ô Èí¼öµÈ´Ù.
 
	 -  ¹æ±¤ °üÁÖ : °ÅÀÇ Èí¼öµÇÁö ¾Ê´Â´Ù.
 
   	 -  º¹¸· ¼¼Ã´, Á¾°Ýµ¿ ¼¼Ã´ : Èí¼öµÈ´Ù.
  
 - ºÐÆ÷ : ³ú¼ö¸·¿°½Ã¿¡µµ ³úô¼ö¾×À¸·ÎÀÇ ºÐÆ÷´Â ¹Ì¹ÌÇÏ´Ù.
 
 - ´Ü¹é°áÇÕ : Ç÷Áß ´Ü¹é¿¡ °ÅÀÇ °áÇÕÇÏÁö ¾Ê´Â´Ù.
 
 - Ç÷ÁßÃÖ°í³óµµ µµ´Þ½Ã°£ : IM : 1-2½Ã°£ 
 
 - ¼Ò½Ç : 24½Ã°£ À̳»¿¡ 10-40%°¡ õõÈ÷ ½Å¹è¼³
  
 Polymyxin B SulfateÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á 
	- Èí¼ö : 
 
	
	   	-  º¹¸·¿¡¼ Àß Èí¼öµÈ´Ù.
 
   		 -  À§Àå°ü(½Å»ý¾Æ Á¦¿Ü), Á¡¸·, ÇǺο¡¼´Â Àß Èí¼öµÇÁö ¾Ê´Â´Ù.
 
	  
	 - ºÐÆ÷ : 
 
	
	   	-  ³úô¼ö¾×À¸·ÎÀÇ ºÐÆ÷´Â ¹Ì¹ÌÇÏ´Ù.
 
	   	 -  ŹÝÅë°ú
 
	  
	 - ¹Ý°¨±â : 4.5-6 ½Ã°£, ½Å±â´É ÀúÇϽà ¿¬ÀåµÈ´Ù.
 
	 - Ç÷ÁßÃÖ°í³óµµ µµ´Þ½Ã°£ : IM : 2½Ã°£ À̳»
 
	 - ¼Ò½Ç : »ç±¸Ã¼ ¿©°ú¸¦ ÅëÇØ 60% ÀÌ»óÀÌ ¹Ìº¯Èü·Î ½Å¹è¼³µÈ´Ù.
 
  
     | 
   
  
   
    | Biotransformation | 
    
       Bacitracin¿¡ ´ëÇÑ Biotransformation Á¤º¸ Not Available 
     | 
   
  
   
    | Toxicity | 
    
       Bacitracin¿¡ ´ëÇÑ Toxicity Á¤º¸ Oral, mouse: LD50 = >3750 mg/kg.
  zinc¿¡ ´ëÇÑ Toxicity Á¤º¸ Not Available 
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    | Drug Interactions | 
    
       Bacitracin¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Not Available
  zinc¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Not Available 
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    CYP450  Drug Interaction | 
    
      [CYP450 TableÁ÷Á¢Á¶È¸] 
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    | Drug Target | 
    
      
      [Drug Target]
     | 
   
  
   
    | Description | 
    
       Bacitracin¿¡ ´ëÇÑ Description Á¤º¸ 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.
  zinc¿¡ ´ëÇÑ Description Á¤º¸ A metallic element of atomic number 30 and atomic weight 65.38. It is a necessary trace element in the diet, forming an essential part of many enzymes, and playing an important role in protein synthesis and in cell division. Zinc deficiency is associated with anemia, short stature, hypogonadism, impaired wound healing, and geophagia. It is known by the symbol Zn. 
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    | Dosage Form | 
    
       Bacitracin¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Ointment	TopicalPowder, for solution	Intramuscular
  zinc¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Aerosol	OralCapsule	OralCream	TopicalDressing	TopicalLiquid	OralLiquid	SublingualLiquid	TopicalLotion	TopicalLozenge	OralOintment	RectalOintment	TopicalPaste	TopicalPowder	OralPowder	TopicalSolution	IntravenousSolution / drops	OralSuppository	RectalTablet	OralTablet, extended release	Oral 
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    | Drug Category | 
    
       Bacitracin¿¡ ´ëÇÑ Drug_Category Á¤º¸ Anti-Bacterial AgentsAnti-Infective Agents, Local
  zinc¿¡ ´ëÇÑ Drug_Category Á¤º¸ Trace Elements 
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    | Smiles String Canonical | 
    
       Bacitracin¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CCC(C)C(N)C1=NCC(S1)C(=O)NC(CC(C)C)C(=O)NC(CCC(O)=O)C(=O)NC(C(C)CC)C(=O)NC1CCCCNC(=O)C(CC(N)=O)NC(=O)C(CC(O)=O)NC(=O)C(CC2=CN=CN2)NC(=O)C(CC2=CC=CC=C2)NC(=O)C(NC(=O)C(CCCN)NC1=O)C(C)CC
  zinc¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ [Zn] 
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    | Smiles String Isomeric | 
    
       Bacitracin¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ CC[C@@H](C)[C@H](N)C1=NC[C@@H](S1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@H](CCC(O)=O)C(=O)N[C@@H]([C@H](C)CC)C(=O)N[C@H]1CCCCNC(=O)[C@H](CC(N)=O)NC(=O)[C@@H](CC(O)=O)NC(=O)[C@H](CC2=CN=CN2)NC(=O)[C@@H](CC2=CC=CC=C2)NC(=O)[C@@H](NC(=O)[C@@H](CCCN)NC1=O)[C@H](C)CC
  zinc¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ [Zn] 
     | 
   
  
   
    | InChI Identifier | 
    
       Bacitracin¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C66H103N17O16S/c1-9-35(6)52(69)66-72-32-48(100-66)63(97)80-43(26-34(4)5)59(93)75-42(22-23-50(85)86)58(92)83-53(36(7)10-2)64(98)76-40-20-15-16-25-71-55(89)46(29-49(68)84)78-62(96)47(30-51(87)88)79-61(95)45(28-39-31-70-33-73-39)77-60(94)44(27-38-18-13-12-14-19-38)81-65(99)54(37(8)11-3)82-57(91)41(21-17-24-67)74-56(40)90/h12-14,18-19,31,33-37,40-48,52-54H,9-11,15-17,20-30,32,67,69H2,1-8H3,(H2,68,84)(H,70,73)(H,71,89)(H,74,90)(H,75,93)(H,76,98)(H,77,94)(H,78,96)(H,79,95)(H,80,97)(H,81,99)(H,82,91)(H,83,92)(H,85,86)(H,87,88)/t35?,36?,37?,40-,41+,42+,43-,44+,45-,46-,47+,48?,52-,53-,54-/m0/s1/f/h71,73-83,85,87H,68H2
  zinc¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/Zn 
     | 
   
  
   
    | Chemical IUPAC Name | 
    
       Bacitracin¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ (4R)-4-[[(2S)-2-[[2-[(1S)-1-amino-2-methylbutyl]4,5-dihydro-1,3-thiazole-5-carbonyl]amino]-4-methylpentanoyl]amino]-5-[[(2S)-1-[[(3S,6R,9S,12R,15S,18R,21S)-3-(2-amino-2-oxoethyl)-18-(3-aminopropyl)-15-butan-2-yl-6-(carboxymethyl)-9-(3H-imidazol-4-ylmethyl)-2,5,8,11,14,17,20-heptaoxo-12-(phenylmethyl)-1,4,7,10,13,16,19-heptazacyclopentacos-21-yl]amino]-3-methyl-1-oxopentan-2-yl]amino]-5-oxopentanoic acid
  zinc¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ zinc 
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