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Rifampicin or rifampin

Rifampicin, also known as rifampin, is an antibiotic used to treat several types of bacterial infections, including tuberculosis, leprosy, and Legionnaire's disease. More

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Description

Rifampicin, also known as rifampin, is an antibiotic used to treat several types of bacterial infections, including tuberculosis, leprosy, and Legionnaire's disease.

Generic Name

Rifampicin or rifampin

Chemical names

Rifampicin; Rifadin; Rifampin; Rimactane; Rifampicinum; Rifaldazine

Brand names

Coxid-450, Coxkit- 3, Eufacin, Famcin, Kemorifa, Ls-Rif, Macox, Monocin, Montomycin, R-Cin, Rifacept, Rifacilin, Rifampila, Rifamycin, Rifaplus CAPS, Rimactane, Rimpacin, Rimpin, Ripharmed, Scc-2, Taurif, Ter-4, Ticin, Zucox

IUPAC name

(7S,9E,11S,12R,13S,14R,15R,16R,17S,18S,19E,21Z)-2,15,17,27,29-pentahydroxy-11-methoxy-3,7,12,14,16,18,22-heptamethyl-26-[(1E)-[(4-methylpiperazin-1-yl)imino]methyl]-6,23-dioxo-8,30-dioxa-24-azatetracyclo[23.3.1.1?,?.0?,²?]

Pharmacokinetics

89% protein binding.

Actions

This is acted via the inhibition of DNA-dependent RNA polymerase, and then leads to the suppression of RNA synthesis and cell death.

Dosage/Dosage form

The recommended dosage is 10 mg/kg/day or 2-3 times/week. Max: 600 mg/day per oral.

Therapeutic uses

For the treatment of Tuberculosis and Tuberculosis-related mycobacterial infections.

Adverse effects/Side effects

Thrombophloebitis; fatalities in those with liver disorders, influenza- like symptoms, skin reactions, eosinophilia, transient leucopenia, thrombocytopenia, purpura, abnormalities of liver function, shock, drowsiness, headache, ataxia, visual disturbances, menstural irregularities. Reddish coloured urine & tears. Hepatitis or shock like syndrome with hepatic involvement.

Interaction

  • Increased metabolism of chloramphenicol, losartan & its active metabolite, clofibrate, dapsone, digoxin, hexobarbitone, ketaconazole & quindine.
  • Increased metabolism of diazepam & nitrazepam.
  • Rifsmpicin used with anticholingergics, opioids, antacids & ketaconazole the absorption rate may be decrease.
  • Serum levels of bunazosin, aprepitant, bisoprolol, atovaquone, metoprolol, carvedilol, proanolol, buspirone, diltiazem, nifedipine & verapamil may be reduced.
  • Increased risk of translant rejection when used with ciclosporin, Deceases effects of tolbutamide, clofibrate, coumarin anticoagulates, diazepam & oral contraceptives.

Contraindications

Hypersensitivity, jaundice, severe hepatic disease. IM/SC admin. Porphyria. Not to be used for treatment of meningcoccal disease.

Storage

Store it at room temperature.

Information

Molecular weight

822.9402

Molecular formula

C43H58N4O12

CAS number

13292-46-1

Precautions

  • Impaired hepatic or renal function.
  • Elderly, malnourished or very young patients.
  • Alcoholic patients.
  • Monitor blood counts & liver function regularly.
  • Body fluids may colour red.
  • Discontinue use if thrombocytopenia or use if thrombocytopenia or purpura occurs.
  • Pregnancy & lactation.
  • Care should be taken during IV admin to prevent extravasation.