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µ¿¼ºÆ÷½ºÆ÷¸¶À̽Å500mgݼ¿ [Fosfomycin calcium][Fosfomycin calcium][Fosfomycin calcium]
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Àü¹®ÀǾàǰ | ºñ±Þ¿©
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µå·°ÀÎÆ÷¿¡¼´Â ÀǾàǰ ÀÎÅÍ³Ý ÆÇ¸Å¸¦ ÇÏÁö ¾Ê½À´Ï´Ù. |
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À¯·áȸ¿ø °áÀç½Ã¿¡´Â º¸´Ù ´Ù¾çÇÑ ¾à¹°Á¤º¸¸¦
ÀÌ¿ëÇÏ½Ç ¼ö ÀÖ½À´Ï´Ù.
À¯·áÁ¤º¸¸ñ·ÏÀº Àü¹®È¸¿øÀ¸·Î
·Î±×ÀÎ ÇϽøé È®ÀÎ °¡´ÉÇÕ´Ï´Ù.
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| Ç׸ñ |
³»¿ë |
û±¸ÄÚµå(KDÄÚµå) ºñ±Þ¿©Á¡°ËÄÚµå »óÇÑ±Ý¾× |
[A06702541]
[º¸ÇèÄڵ忡 µû¸¥ ¾àǰ±âº»Á¤º¸ Á÷Á¢Á¶È¸]
\0 ¿ø/1ݼ¿(2002.05.11)(ÇöÀç¾à°¡)
\382 ¿ø/1ݼ¿(2001.03.25)(º¯°æÀü¾à°¡)
[»óº´ÄÚµåÁ¶È¸]
[Áúº´ÄÚµåÁ¶È¸]
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[ÀûÀÀÁõ º° °Ë»ö]
[À¯È¿±ÕÁ¾]
³ì³ó±Õ, ÇÁ·ÎÅ׿콺¼Ó, ¼¼¶óƼ¾Æ¼Ó ¹× ´ÙÁ¦³»¼ºÀÇ Æ÷µµ±¸±Õ, ´ëÀå±Õ
[ÀûÀÀÁõ]
1. ÁÖÈ¿´É, È¿°ú
ºÎ½º·³, ºÎ½º·³Áõ, ½Å¿ì½Å¿°, ¹æ±¤¿°
[Drugbank ÀÇ ¼ººÐÁ¤º¸¿¶÷] [Fosfomycin]
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* Àý´ë ÀÓÀǺ¹¿ëÇÏÁö ¸¶½Ã°í ¹Ýµå½Ã ÀÇ»ç ¶Ç´Â ¾à»ç¿Í »ó´ãÇϽñ⠹ٶø´Ï´Ù.
[󹿾à¾î]
[ÁÖ¼ººÐÄÚµå:163201ACH ¿¡ µû¸¥ ½É»çÁöħ¿¶÷]
¼ºÀÎ: Æ÷½ºÆ÷¸¶À̽ÅÄ®½·À¸·Î¼ 1ÀÏ 2-3g(¿ª°¡)À» 3-4ȸ ºÐÇÒ °æ±¸Åõ¿©ÇÑ´Ù.
¾î¸°ÀÌ: 1ÀÏ Ã¼Áß kg´ç 40-120mg(¿ª°¡)À» 3-4ȸ ºÐÇÒ °æ±¸Åõ¿©ÇÑ´Ù.
¿¬·É, Áõ»ó¿¡ µû¶ó ÀûÀýÈ÷ Áõ°¨ÇÑ´Ù.
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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 : Bµî±Þ
(fosfomycin; )
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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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½ÅÀå¾Ö, °£Àå¾Ö½Ã ¿ë·®Á¶Àý |
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[º´¿ë±Ý±â ¹× ¿¬·É´ë±Ý±â ±Ù°ÅÁ¶È¸]
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| 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¸ |
Calcium¿¡ ´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 |
Fosfomycin¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Fosfomycin is a phosphoenolpyruvate analogue produced by Streptomyces that irreversibly inhibits enolpyruvate transferase (MurA), which prevents the formation of N-acetylmuramic acid, an essential element of the peptidoglycan cell wall.
calcium¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Calcium plays a vital role in the anatomy, physiology and biochemistry of organisms and of the cell, particularly in signal transduction pathways. More than 500 human proteins are known to bind or transport calcium. The skeleton acts as a major mineral storage site for the element and releases Ca2+ ions into the bloodstream under controlled conditions. Circulating calcium is either in the free, ionized form or bound to blood proteins such as serum albumin. Parathyroid hormone (secreted from the parathyroid gland) regulates the resorption of Ca2+ from bone. Calcitonin stimulates incorporation of calcium in bone, although this process is largely independent of calcitonin. Although calcium flow to and from the bone is neutral, about 5 mmol is turned over a day. Bone serves as an important storage point for calcium, as it contains 99% of the total body calcium. Low calcium intake may also be a risk factor in the development of osteoporosis. The best-absorbed form of calcium from a pill is a calcium salt like carbonate or phosphate. Calcium gluconate and calcium lactate are absorbed well by pregnant women. Seniors absorb calcium lactate, gluconate and citrate better unless they take their calcium supplement with a full breakfast. The currently recommended calcium intake is 1,500 milligrams per day for women not taking estrogen and 800 milligrams per day for women on estrogen. There is close to 300 milligrams of calcium in one cup of fluid milk. Calcium carbonate is currently the best and least expensive form of calcium supplement available.
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| Pharmacology |
Fosfomycin¿¡ ´ëÇÑ Pharmacology Á¤º¸ Fosfomycin is a broad spectrum antibiotic that concentrates in kidney and bladder and is used to treat uncomplicated urinary tract infections. Fosfomycin also reduces nephrotoxicity and ototoxicity of platinum-containing anti-tumor agents.
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| Protein Binding |
Fosfomycin¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ 0% (not bound to plasma proteins)
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| Half-life |
Fosfomycin¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 5.7 (¡¾ 2.8) hours. The elimination half-life is 40 hours in anuric patients undergoing hemodialysis.
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| Absorption |
Fosfomycin¿¡ ´ëÇÑ Absorption Á¤º¸ Fosfomycin tromethamine is rapidly absorbed following oral administration and converted to fosfomycin. Oral bioavailability under fasting conditions is 37%. When given with food, oral bioavailability is reduced to 30%
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| Pharmacokinetics |
Fosfomycin calciumÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
- ÀÛ¿ë¹ßÇö½Ã°£ : °æ±¸ : 37.5½Ã°£
- ÀÛ¿ëÁö¼Ó½Ã°£ : °æ±¸ : 48½Ã°£
- Èí¼ö : À½½Ä¹°¿¡ ÀÇÇØ Èí¼ö°¡ ÇöÀúÈ÷ °¨¼ÒµÈ´Ù.
- »ýü³»ÀÌ¿ë·ü :
- °æ±¸ :
- Fosfomycin calcium : 10-30%
- Fosfomycin tromethamine : 34-58%
- Á¤¸ÆÁÖ»ç : Fosfomycin disodium : 40%
- ºÐÆ÷ :
- ºÐÆ÷¿ëÀû :
- Á¤¸ÆÁÖ»ç : 16 L
- °æ±¸ : 2.4 L (¼ºÀÎ), 1.5 L (³ëÀÎ)
- Á¤»ó ³ú¸·ÀÎ °æ¿ì¿¡´Â ³úô¼ö¾×À¸·ÎÀÇ ºÐÆ÷´Â ¹Ì¹ÌÇÏ´Ù.
- ³ú¸·¿¡ ¿°ÁõÀÌ ÀÖ´Â °æ¿ì¿¡´Â ³úô¼ö¾×À¸·ÎÀÇ ºÐÆ÷°¡ ÇöÀúÈ÷ Áõ°¡ÇÑ´Ù (5¹è).
- À¯Áó ºÐºñ (10%)
- ´Ü¹é°áÇÕ : 3% ÀÌÇÏ
- ´ë»ç : ´ë»çµÇÁö ¾Ê´Â´Ù.
- ¹Ý°¨±â : ½ÅÀå¾Ö½Ã ¿¬ÀåµÈ´Ù.
- °æ±¸ :
- Fosfomycin tromethamine : 4-8 ½Ã°£
- Fosfomycin calcium : 3-5 ½Ã°£
- Á¤¸ÆÁÖ»ç : Fosfomycin disodium : 2-3 ½Ã°£
- Ç÷ÁßÃÖ°í³óµµ µµ´Þ½Ã°£ :
- °æ±¸ : Fosfomycin calcium : 1.5-3 ½Ã°£
- Á¤¸ÆÁÖ»ç : Fosfomycin disodium : 1ºÐ
- ¼Ò½Ç : °æ±¸ Åõ¿©½Ã 18-60%, Á¤¸ÆÁÖ»ç½Ã 93%°¡ ½Å¹è¼³
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| Biotransformation |
Fosfomycin¿¡ ´ëÇÑ Biotransformation Á¤º¸ No transformation, excreted unchanged
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| Toxicity |
Fosfomycin¿¡ ´ëÇÑ Toxicity Á¤º¸ LD50>5 g/kg (rats). Side effects may include diarrhea
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| Drug Interactions |
Fosfomycin¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Not Available
calcium¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Alendronate Formation of non-absorbable complexesAmprenavir The antiacid decreases the absorption of amprenavirAtazanavir This gastric pH modifier decreases the levels/effects of atazanavirChloroquine The antiacid decreases the absorption of chloroquineCiprofloxacin Formation of non-absorbable complexesDapsone Formation of non-absorbable complexesDelavirdine The antiacid decreases the effect of delavirdineDemeclocycline Formation of non-absorbable complexesDoxycycline Formation of non-absorbable complexesEnoxacin Formation of non-absorbable complexesFosamprenavir The antiacid decreases the absorption of amprenavirGrepafloxacin Formation of non-absorbable complexesIbandronate Formation of non-absorbable complexesIndinavir The antiacid decreases the absorption of indinavirItraconazole The antacid decreases the effect of the imidazoleKetoconazole The antacid decreases the effect of the imidazoleLevofloxacin Formation of non-absorbable complexesLevothyroxine Calcium decreases absorption of levothyroxineLomefloxacin Formation of non-absorbable complexesMethacycline Formation of non-absorbable complexesMinocycline Formation of non-absorbable complexesMoxifloxacin Formation of non-absorbable complexesNorfloxacin Formation of non-absorbable complexesOfloxacin Formation of non-absorbable complexesOxytetracycline Formation of non-absorbable complexesPefloxacin Formation of non-absorbable complexesPolystyrene sulfonate Formation of non-absorbable complexesRisedronate Formation of non-absorbable complexesTetracycline Formation of non-absorbable complexesTrovafloxacin Formation of non-absorbable complexesClodronate Formation of non-absorbable complexesEtidronic acid Formation of non-absorbable complexesMycophenolate mofetil Formation of non-absorbable complexesTemafloxacin Formation of non-absorbable complexes
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CYP450 Drug Interaction |
[CYP450 TableÁ÷Á¢Á¶È¸]
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| Food Interaction |
Fosfomycin¿¡ ´ëÇÑ Food Interaction Á¤º¸ Take without regard to meals.Food decreases Cmax slightly.
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| Drug Target |
[Drug Target]
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| Description |
Fosfomycin¿¡ ´ëÇÑ Description Á¤º¸ An antibiotic produced by Streptomyces fradiae. [PubChem]
calcium¿¡ ´ëÇÑ Description Á¤º¸ Calcium plays a vital role in the anatomy, physiology and biochemistry of organisms and of the cell, particularly in signal transduction pathways. The skeleton acts as a major mineral storage site for the element and releases Ca2+ ions into the bloodstream under controlled conditions. Circulating calcium is either in the free, ionized form or bound to blood proteins such as serum albumin. Although calcium flow to and from the bone is neutral, about 5 mmol is turned over a day. Bone serves as an important storage point for calcium, as it contains 99% of the total body calcium. Low calcium intake may also be a risk factor in the development of osteoporosis. The best-absorbed form of calcium from a pill is a calcium salt like carbonate or phosphate. Calcium gluconate and calcium lactate are absorbed well by pregnant women. Seniors absorb calcium lactate, gluconate and citrate better unless they take their calcium supplement with a full breakfast.
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| Dosage Form |
Fosfomycin¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Powder Oral
calcium¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Capsule OralLiquid DentalLiquid IntravenousLiquid OralLiquid SublingualPaste DentalPowder OralPowder, for solution OralSolution IntramuscularSolution IntravenousSolution OralSolution / drops OralSyrup OralTablet OralTablet, chewable Oral
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| Drug Category |
Fosfomycin¿¡ ´ëÇÑ Drug_Category Á¤º¸ Anti-Bacterial Agents
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| Smiles String Canonical |
Fosfomycin¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CC1OC1P(O)(O)=O
calcium¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ Not Available
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| Smiles String Isomeric |
Fosfomycin¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ C[C@@H]1O[C@@H]1P(O)(O)=O
calcium¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ Not Available
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| InChI Identifier |
Fosfomycin¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C3H7O4P/c1-2-3(7-2)8(4,5)6/h2-3H,1H3,(H2,4,5,6)/t2-,3+/m0/s1/f/h4-5H
calcium¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ Not Available
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| Chemical IUPAC Name |
Fosfomycin¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ [(2R,3S)-3-methyloxiran-2-yl]phosphonic acid
calcium¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ Not Available
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The database contains the following fields: The generic name of each chemical For module A10 (liver enzyme composite module): Overall activity category for each compound (A for active, M for marginally active, or I for inactive) based on the number of active and marginally active scores for each compound at the five individual endpoints (see research article for full description of method) Number of endpoints at which each compound is marginally active (M) Number of endpoints at which each compound is active (A) For modules A11 to A15 (alkaline phosphatase increased, SGOT increased, SGPT increased, LDH increased, and GGT increased, respectively): Overall activity category for each compound (A for active, M for marginally active, or I for inactive) based on the RI and ADR values (see the research article for full description of method) Number of ADR reports for each compound, given as <4 or ¡Ã4 Reporting Index value for each compound, except where no shipping units were available (NSU) Group 1 comprises of compounds for which ADR data were available for the first five years of marketing, so when no ADR reports were listed during this period the compounds were evaluated as inactive. Group 2 comprises of compounds for which a 'steady state' period of ADR data were available (1992-1996). In cases where no ADR reports were filed during this period, the compounds were scored as 'NA' (data not available) since they may have had one or more ADR reports during their first five years of marketing which should not be negated by a lack of ADR reports during the steady-state period. FOSFOMYCIN[GGT Increase][Composite Activity](Score) I(Marginal) 0(Active) 0[Alkaline Phosphatase Increase](Activity Score) I(Number of Rpts) <4(Index value) 0[SGOT Increase](Activity Score) I(Number of Rpts) <4(Index value) 0[SGPT Increase](Activity Score) I(Number of Rpts) <4(Index value) 0[LDH Increase](Activity Score) I(Number of Rpts) <4(Index value) 0[GGT Increase](Activity Score) I(Number of Rpts) <4(Index value) 0
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