U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS
Capreomycin is an antibiotic, which is used in combination other antituberculosis drugs fro the treatment of pulmonary infections caused by capreomycin-susceptible strains of M. tuberculosis when the primary agents (isoniazid, rifampin, ethambutol, aminosalicylic acid, and streptomycin) have been ineffective or cannot be used because of toxicity or the presence of resistant tubercle bacilli. Little is known about capreomycin's exact mechanism of action, but it is thought to inhibit protein synthesis by binding to the 70S ribosomal unit. Capreomycin also binds to components in the bacterial cell which result in the production of abnormal proteins.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
CAPASTAT SULFATE

Approved Use

Capastat Sulfate, which is to be used concomitantly with other appropriate antituberculosis agents, is indicated in pulmonary infections caused by capreomycin-susceptible strains of M. tuberculosis when the primary agents (isoniazid, rifampin, ethambutol, aminosalicylic acid, and streptomycin) have been ineffective or cannot be used because of toxicity or the presence of resistant tubercle bacilli. Susceptibility studies should be performed to determine the presence of a capreomycin-susceptible strain of M. tuberculosis.

Launch Date

1971
PubMed

PubMed

TitleDatePubMed
Mechanism of resistance to amikacin and kanamycin in Mycobacterium tuberculosis.
1998 May
Capreomycin in the treatment of atypical mycobacterial disease in HIV-positive patients.
2002 Jul
Capreomycin is active against non-replicating M. tuberculosis.
2005 Apr 1
Molecular analysis of cross-resistance to capreomycin, kanamycin, amikacin, and viomycin in Mycobacterium tuberculosis.
2005 Aug
Capreomycin binds across the ribosomal subunit interface using tlyA-encoded 2'-O-methylations in 16S and 23S rRNAs.
2006 Jul 21
Capreomycin--a polypeptide antitubercular antibiotic with unusual binding properties toward copper(II).
2012 Jan
Patents

Sample Use Guides

Intravenously: Capastat Sulfate (Capreomycin for Injection) should be diluted in 100 mL of 0.9% Sodium Chloride Injection and administered over 60 minutes. Intramuscularly — Reconstituted Capastat Sulfate should be given by deep intramuscular injection into a large muscle mass, since superficial injection may be associated with increased pain and the development of sterile abscesses. For administration of a 1-g dose, the entire contents of the vial should be given. For doses lower than 1 g, the following dilution table may be used.
Route of Administration: Other
In Vitro Use Guide
Unknown
Name Type Language
CAPREOMYCIN SULFATE
JAN   MART.   ORANGE BOOK   USAN   USP   USP-RS   VANDF   WHO-DD   WHO-IP  
USAN  
Official Name English
CAPREOMYCIN SULFATE [USAN]
Common Name English
CAPREOMYCIN SULFATE [WHO-IP]
Common Name English
CAPREOMYCIN SULFATE [MART.]
Common Name English
CAPASTAT SULPHATE
Common Name English
CAPREOMYCIN DISULFATE [MI]
Common Name English
CAPASTAT SULFATE
Brand Name English
CAPREOMYCIN, SULFATE (1:2) (SALT)
Common Name English
34977
Code English
SULFURIC ACID, COMPD. WITH CAPREOMYCIN (2:1)
Common Name English
CAPREOMYCINI SULFAS [WHO-IP LATIN]
Common Name English
CAPREOMYCIN SULFATE [USP MONOGRAPH]
Common Name English
CAPREOMYCIN SULPHATE
Common Name English
NSC-755904
Code English
CAPREOMYCIN SULFATE [JAN]
Common Name English
Capreomycin sulfate [WHO-DD]
Common Name English
CAPREOMYCIN SULFATE [USP IMPURITY]
Common Name English
CAPREOMYCIN SULFATE [VANDF]
Common Name English
OGOSTAL
Brand Name English
CAPREOMYCIN SULFATE [ORANGE BOOK]
Common Name English
CAPREOMYCIN, SULFATE (SALT)
Common Name English
CAPROCIN
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C2363
Created by admin on Fri Dec 15 15:41:09 GMT 2023 , Edited by admin on Fri Dec 15 15:41:09 GMT 2023
NCI_THESAURUS C280
Created by admin on Fri Dec 15 15:41:09 GMT 2023 , Edited by admin on Fri Dec 15 15:41:09 GMT 2023
Code System Code Type Description
ChEMBL
CHEMBL2221250
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PRIMARY
CAS
1405-36-3
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ALTERNATIVE
NCI_THESAURUS
C73797
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PRIMARY
RS_ITEM_NUM
1091006
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PRIMARY
RXCUI
1987
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PRIMARY RxNorm
DRUG BANK
DBSALT000443
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PRIMARY
FDA UNII
9H8D3J7V21
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PRIMARY
ECHA (EC/EINECS)
215-776-8
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PRIMARY
CAS
1405-37-4
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PRIMARY
MERCK INDEX
m3029
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PRIMARY Merck Index
EPA CompTox
DTXSID30930861
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PRIMARY
EVMPD
SUB01029MIG
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PRIMARY
NSC
755904
Created by admin on Fri Dec 15 15:41:09 GMT 2023 , Edited by admin on Fri Dec 15 15:41:09 GMT 2023
PRIMARY
WHO INTERNATIONAL PHARMACOPEIA
CAPREOMYCIN SULFATE
Created by admin on Fri Dec 15 15:41:09 GMT 2023 , Edited by admin on Fri Dec 15 15:41:09 GMT 2023
PRIMARY Description: A white or almost white powder. Solubility: Very soluble in water, practically insoluble in ethanol (~750 g/l) TS and in ether. Category: Antituberculosis drug. Storage: Capreomycin sulfate should be kept in a tightly closed container or, if sterile, in a hermetically closed container. Labelling: The label states, where applicable:(1) that the substance is free from bacterial endotoxins,(2) that the substance is sterile. Definition: Capreomycin sulfate is a mixture of the sulfates of antimicrobial polypeptides produced by the growth of Streptomyces capreolus. It contains not less than 70.0% of capreomycin, calculated with reference to the dried substance and taking into account the sum of capreomycin IA, IB, IIA and IIB. The contents of capreomycin IA and IB is not less than 90.0% of the sum of capreomycin IA, IB, IIA and IIB.
Definition References