Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Monoisotopic mass
813.451070479
InChI
InChI=1S/C41H67NO15/c1-19-17-41(18-49-41)38(46)23(5)34(53-27(9)43)21(3)25(7)52-39(47)24(6)35(56-32-16-31(48-14)36(26(8)51-32)54-28(10)44)22(4)33(19)57-40-37(55-29(11)45)30(42(12)13)15-20(2)50-40/h19-26,30-37,40H,15-18H2,1-14H3/t19-,20+,21-,22+,23+,24+,25+,26-,30-,31-,32-,33-,34-,35-,36-,37+,40-,41+/m0/s1
InChI Key
InChIKey=LQCLVBQBTUVCEQ-QTFUVMRISA-N
IUPAC Name
(3R,5R,6S,7S,8R,11R,12S,13R,14S,15S)-14-{[(2S,3R,4S,6R)-3-(acetyloxy)-4-(dimethylamino)-6-methyloxan-2-yl]oxy}-12-{[(2R,4S,5S,6S)-5-(acetyloxy)-4-methoxy-6-methyloxan-2-yl]oxy}-5,7,8,11,13,15-hexamethyl-4,10-dioxo-1,9-dioxaspiro[2.13]hexadecan-6-yl acetate
Traditional IUPAC Name
troleandomycin
SMILES
CO[C@H]1C[C@H](O[C@H]2[C@H](C)[C@@H](O[C@@H]3O[C@H](C)C[C@@H]([C@H]3OC(C)=O)N(C)C)[C@@H](C)C[C@@]3(CO3)C(=O)[C@H](C)[C@@H](OC(C)=O)[C@@H](C)[C@@H](C)OC(=O)[C@@H]2C)O[C@@H](C)[C@@H]1OC(C)=O
pKa (strongest acidic)
16.75
pKa (Strongest Basic)
7.87
Refractivity
201.15 m3·mol-1
Dược Lực Học :
Troleandomycin is a macrolide antibiotic that is similar to erythromycin. It is active in vitro against the following gram-positive organisms: Streptococcus pyogenes and Diplococcus pneumoniae.
Cơ Chế Tác Dụng :
A macrolide antibiotic that is similar to erythromycin.
Troleandomycin acts by penetrating the bacterial cell membrane and reversibly binding to the 50 S subunit of bacterial ribosomes or near the "P" or donor site so that binding of tRNA (transfer RNA) to the donor site is blocked. Translocation of peptides from the "A" or acceptor site to the "P" or donor site is prevented, and subsequent protein synthesis is inhibited.
Độc Tính :
Symptoms of overdose include diarrhea, nausea, stomach cramps, and vomiting.
Chỉ Định :
For the treatment of Pneumococcal pneumonia due to susceptible strains and group A beta-hemolytic streptococcal infections of the upper respiratory tract.
Tương Tác Thuốc :
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Aminophylline
The macrolide, troleandomycin, may increase the effect and toxicity of theophylline derivative, aminophylline.
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Aprepitant
This CYP3A4 inhibitor increases the effect and toxicity of aprepitant
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Astemizole
Increased risk of cardiotoxicity and arrhythmias
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Carbamazepine
The macrolide, troleandomycin, may increase the effect of carbamazepine.
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Cisapride
Increased risk of cardiotoxicity and arrhythmias
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Citalopram
Possible serotoninergic syndrome with this combination
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Colchicine
Severe colchicine toxicity can occur
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Cyclosporine
The macrolide, troleandomycin, may increase the effect of cyclosporine.
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Dihydroergotamine
Possible ergotism and severe ischemia with this combination
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Eletriptan
The macrolide, troleandomycin, may increase the effect and toxicity of eletriptan.
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Eplerenone
The macrolide, troleandomycin, may increase the effect and toxicity of eplerenone.
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Ergotamine
Possible ergotism and severe ischemia with this combination
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Erlotinib
This CYP3A4 inhibitor increases levels/toxicity of erlotinib
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Fluoxetine
Possible serotoninergic syndrome with this combination
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Methysergide
Possible ergotism and severe ischemia with this combination
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Oxtriphylline
The macrolide, troleandomycin, may increase the effect and toxicity of the theophylline derivative, oxtriphylline.
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Pimozide
Increased risk of cardiotoxicity and arrhythmias
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Tacrolimus
The macrolide antibiotic, Troleandomycin, may increase the blood concentration of Tacrolimus. Monitor for changes in the therapeutic/toxic effects of Tacrolimus if Troleandomycin therapy is initiated, discontinued or altered.
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Terfenadine
Increased risk of cardiotoxicity and arrhythmias
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Theophylline
The macrolide, troleandomycin, may increase the effect and toxicity of theophylline.
Liều Lượng & Cách Dùng :
Capsule - Oral