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Details

Stereochemistry ABSOLUTE
Molecular Formula C31H48O6
Molecular Weight 516.7092
Optical Activity UNSPECIFIED
Defined Stereocenters 10 / 10
E/Z Centers 1
Charge 0

SHOW SMILES / InChI
Structure of FUSIDIC ACID

SMILES

[H][C@@]12C[C@@H](O)[C@@]3([H])[C@@]4(C)CC[C@@H](O)[C@@H](C)[C@]4([H])CC[C@]3(C)[C@@]1(C)C[C@H](OC(C)=O)\C2=C(\CCC=C(C)C)C(O)=O

InChI

InChIKey=IECPWNUMDGFDKC-MZJAQBGESA-N
InChI=1S/C31H48O6/c1-17(2)9-8-10-20(28(35)36)26-22-15-24(34)27-29(5)13-12-23(33)18(3)21(29)11-14-30(27,6)31(22,7)16-25(26)37-19(4)32/h9,18,21-25,27,33-34H,8,10-16H2,1-7H3,(H,35,36)/b26-20-/t18-,21-,22-,23+,24+,25-,27-,29-,30-,31-/m0/s1

HIDE SMILES / InChI

Molecular Formula C31H48O6
Molecular Weight 516.7092
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 10 / 10
E/Z Centers 1
Optical Activity UNSPECIFIED

Fusidic acid is a anti-bacterial agent, initially isolated from Fusidium coccineum by Godtfredsen et al (Leo Pharma) in 1960. It is discussed that fusidic acid exerts its anti-microbial effect by inhibiting bacterial elongation factor G, thus suppressing the protein synthesis. Fusidic acid is widely used in Europe under the names Fucidin H(fusidic acid / hydrocortisone acetate), Fucidin (fusidic acid / sodium fusidate) and Fucicort (fusidic acid / betamethasone valerate) for the treatment of primary/secondary skin infections and inflammatory dermatoses.

CNS Activity

Curator's Comment: CNS penetration is low.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
1.0 µM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
FUCIDIN

Approved Use

For use in the treatment of primary and secondary skin infections caused by sensitive strains of Staphylococcus aureus, Streptococcusspp and Corynebacterium minutissimum. Primary skin infections that may be expected to respond to treatment with FUCIDIN OINTMENT (sodium fusidate) and CREAM (fusidic acid) include: impetigo contagiosa, erythrasma and secondary skin infections such as infected wounds and infected burns.
Curative
FUCICORT

Approved Use

FUCICORT is indicated in inflammatory dermatoses where bacterial infection is present or likely to occur. Inflammatory dermatoses include atopic eczema, discoid eczema, seborrheic dermatitis, contact dermatitis, lichen simplex chronicus, psoriasis, discoid lupus erythematosus
PubMed

PubMed

TitleDatePubMed
Haematuria during methicillin therapy.
1971 Jul
Protein synthesis in Mycobacterium tuberculosis H37Rv and the effect of streptomycin in streptomycin-susceptible and -resistant strains.
1973 Sep
Adverse reactions to intravenous administration of fusidic acid.
1981
Staphylococcal septicaemia complicated by probable cloxacillin neurotoxicity and by jaundice induced by fusidic acid.
1983 Apr
Screening for new compounds with antiherpes activity.
1984 Oct
Fusidic acid-induced hyperbilirubinemia.
1987 Aug
Inhibition of HIV replication in vitro by fusidic acid.
1987 Oct 10
Marked in vivo antiretrovirus activity of 9-(2-phosphonylmethoxyethyl)adenine, a selective anti-human immunodeficiency virus agent.
1989 Jan
Suppression of HIV replication in vitro by fusidic acid parallels cell toxicity.
1989 Jan
Susceptibility of mycobacteria to fusidic acid.
1990 Apr
Comparative in-vitro activities of ten fluoroquinolones and fusidic acid against Mycobacterium spp.
1990 Sep
Treatment of Crohn's disease with fusidic acid: an antibiotic with immunosuppressive properties similar to cyclosporin.
1992 Aug
Acute renal failure following intravenous fusidic acid.
1993
Anti-HIV activity of dideoxynucleosides, foscarnet and fusidic acid is potentiated by human leukocyte interferon in blood-derived macrophages.
1994 May-Jun
Acute renal failure in association with fusidic acid.
1997 Jun
Microplate alamar blue assay versus BACTEC 460 system for high-throughput screening of compounds against Mycobacterium tuberculosis and Mycobacterium avium.
1997 May
In vitro susceptibility of Mycobacterium tuberculosis to fusidic acid.
2001 Dec
Antimycobacterial plant terpenoids.
2001 Nov
Hypocalcaemia during fusidic acid therapy.
2002 Feb
Inhibition of transport across the hepatocyte canalicular membrane by the antibiotic fusidate.
2002 Jul 1
[Cholestatic icterus induced by the administration of fusidic acid in a cirrhotic patient].
2002 Jun 29
Linezolid for the treatment of patients with endocarditis: a systematic review of the published evidence.
2006 Aug
Bacteremia and infective endocarditis caused by a non-daptomycin-susceptible, vancomycin-intermediate, and methicillin-resistant Staphylococcus aureus strain in Taiwan.
2008 Mar
Intracellular activity of antibiotics in a model of human THP-1 macrophages infected by a Staphylococcus aureus small-colony variant strain isolated from a cystic fibrosis patient: pharmacodynamic evaluation and comparison with isogenic normal-phenotype and revertant strains.
2009 Apr
Interference with bile salt export pump function is a susceptibility factor for human liver injury in drug development.
2010 Dec
Early identification of clinically relevant drug interactions with the human bile salt export pump (BSEP/ABCB11).
2013 Dec
Canine ocular thelaziosis caused by Thelazia callipaeda in Portugal.
2013 Jul
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
2013 Nov
Fusidic acid is an effective treatment against Toxoplasma gondii and Listeria monocytogenes in vitro, but not in mice.
2013 Nov
A correlation between the in vitro drug toxicity of drugs to cell lines that express human P450s and their propensity to cause liver injury in humans.
2014 Jan
Patents

Sample Use Guides

A small amount of fucidin ointment(sodium fusidate) or cream (fusidic acid) should be applied to the lesion 3 or 4 times daily until favourable results are achieved. Futicort cream (fusidic acid / betamethasone valerate) is applied 2 times daily.
Route of Administration: Topical
In vitro fusidic acid inhibited S. aureus (minimum inhibitory concentration [MIC], 0.25 ug/mL), Micrococcus luteus (MIC, 0.25–0.5 ug/mL), Corynebacterium spp. (MIC, 0.06–0.12 ug/mL), Moraxella catarrhalis (MIC, 0.06–0.12 ug/mL), and Neisseria meningitidis (MIC, 0.12–0.25 ug/mL).
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:00:13 UTC 2023
Edited
by admin
on Fri Dec 15 15:00:13 UTC 2023
Record UNII
59XE10C19C
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
FUSIDIC ACID
EP   INN   MI   USAN   WHO-DD  
INN   USAN  
Official Name English
fusidic acid [INN]
Common Name English
FUCITHALMIC
Brand Name English
FUSIDIC ACID [EP IMPURITY]
Common Name English
FUSIDIC ACID [USAN]
Common Name English
FUSIDIC ACID [EP MONOGRAPH]
Common Name English
SQ-16603
Code English
3α,11α,16β-Trihydroxy-29-nor-8α,9β,13α,14β-dammara-17(20),24-dien-21-oic acid 16-acetate
Common Name English
TAKSTA
Brand Name English
Fusidic acid [WHO-DD]
Common Name English
CEM-102
Code English
RAMYCIN
Common Name English
FUSIDATE
Common Name English
29-NORDAMMARA-17(20),24-DIEN-21-OIC ACID, 16-(ACETYLOXY)-3,11-DIHYDROXY-, (3.ALPHA.,4.ALPHA.,8.ALPHA.,9.BETA.,11.ALPHA.,13.ALPHA.,14.BETA.,16.BETA.,17Z)
Common Name English
NSC-56192
Code English
FUSIDIC ACID [MI]
Common Name English
ANHYDROUS FUSIDIC ACID
Common Name English
Classification Tree Code System Code
WHO-VATC QD09AA02
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
WHO-ATC D09AA02
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
WHO-ATC S01AA13
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
WHO-VATC QD06AX01
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
NCI_THESAURUS C28394
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
WHO-ATC D06AX01
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
WHO-VATC QS01AA13
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
NCI_THESAURUS C52588
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
WHO-VATC QJ01XC01
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
WHO-ATC J01XC01
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
Code System Code Type Description
RXCUI
113608
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
ALTERNATIVE
CHEBI
71321
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
CHEBI
29013
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
DRUG CENTRAL
1261
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
EVMPD
SUB02292MIG
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
PUBCHEM
3000226
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
PRIMARY
INN
1431
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
LACTMED
Fusidic Acid
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
DAILYMED
59XE10C19C
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
ECHA (EC/EINECS)
230-256-0
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
MESH
D005672
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
PRIMARY
NSC
56192
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
PRIMARY
WIKIPEDIA
FUSIDIC ACID
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
PRIMARY
RXCUI
4608
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
PRIMARY
ChEMBL
CHEMBL374975
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
DRUG BANK
DB02703
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
FDA UNII
59XE10C19C
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
CAS
6990-06-3
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
EVMPD
SUB90515
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
MERCK INDEX
m5616
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
PRIMARY Merck Index
EPA CompTox
DTXSID0023086
Created by admin on Fri Dec 15 15:00:13 UTC 2023 , Edited by admin on Fri Dec 15 15:00:13 UTC 2023
PRIMARY
NCI_THESAURUS
C65793
Created by admin on Fri Dec 15 15:00:14 UTC 2023 , Edited by admin on Fri Dec 15 15:00:14 UTC 2023
PRIMARY
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