U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Description
Curator's Comment: Description was created based on several sources, including: http://www.drugs.com/cdi/kanamycin.html https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d4865638-1259-4eef-a73c-fe919af6e850

Kanamycin (a mixture of kanamycin A, B and C) is an aminoglycoside bacteriocidal antibiotic, available in oral, intravenous, and intramuscular forms, and used to treat a wide variety of infections. It is effective against Gram-negative bacteria and certain Gram-positive bacteria. Aminoglycosides work by binding to the bacterial 30S ribosomal subunit, causing misreading of t-RNA, leaving the bacterium unable to synthesize proteins vital to its growth. Serious side effects include tinnitus or loss of hearing, toxicity to kidneys, and allergic reactions to the drug. Mixing of an aminoglycoside with beta-lactam-type antibiotics (penicillins or cephalosporins) may result in a significant mutual inactivation. Even when an aminoglycoside and a penicillin-type drug are administered separately by different routes, a reduction in aminoglycoside serum half-life or serum levels has been reported in patients with impaired renal function and in some patients with normal renal function.

CNS Activity

Curator's Comment: In adults, does not cross the blood-brain barrier (BBB) in therapeutically adequate concentrations. Small improvement in penetration with inflamed meninges. http://www.nikapharm.uz/en/products/kanamycin https://www.google.ru/url?sa=t&rct=j&q=&esrc=s&source=web&cd=6&ved=0ahUKEwi7rPuFzZ3MAhWnYZoKHT49B1gQFghCMAU&url=http%3A%2F%2Fwww.kurgansintez.ru%2Fen%2Fcatalog%2Fdoc_en%2F%25D0%259A%25D0%25B0%25D0%25BD%25D0%25B0%25D0%25BC%25D0%25B8%25D1%2586%25D0%25B8%25D0%25BD%2520%25D0%25B8%25D0%25BD%25D1%2581%25D1%2582%25D1%2580%25D1%2583%25D0%25BA%25D1%2586%25D0%25B8%25D1%258F_ENG.doc&usg=AFQjCNEbniX1AkdM3gQf_NmUv6xsx7rMOA&sig2=WDq4GgcENoEZxCI1BLyvUw&bvm=bv.119745492,d.bGs

Approval Year

Targets

Targets

Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
KANAMYCIN SULFATE

Approved Use

Kanamycin may be considered as initial therapy in the treatment of infections where one or more of the following are the known or suspected pathogens: E. coli, Proteus species (both indole-positive and indole-negative), Enterobacter aerogenes, Klebsiella pneumoniae, Serratia marcescens, Acinetobacter species. Although kanamycin is not the drug of choice for staphylococcal infections, it may be indicated under certain conditions for the treatment of known or suspected staphylococcal disease.

Launch Date

2002
Curative
KANAMYCIN SULFATE

Approved Use

Kanamycin may be considered as initial therapy in the treatment of infections where one or more of the following are the known or suspected pathogens: E. coli, Proteus species (both indole-positive and indole-negative), Enterobacter aerogenes, Klebsiella pneumoniae, Serratia marcescens, Acinetobacter species. Although kanamycin is not the drug of choice for staphylococcal infections, it may be indicated under certain conditions for the treatment of known or suspected staphylococcal disease.

Launch Date

2002
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
11.9 μg/mL
250 mg single, intramuscular
dose: 250 mg
route of administration: Intramuscular
experiment type: SINGLE
co-administered:
KANAMYCIN A plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
44.2 μg × h/mL
250 mg single, intramuscular
dose: 250 mg
route of administration: Intramuscular
experiment type: SINGLE
co-administered:
KANAMYCIN A plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2.1 h
250 mg single, intramuscular
dose: 250 mg
route of administration: Intramuscular
experiment type: SINGLE
co-administered:
KANAMYCIN A plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Chlorinated coumarins from the polypore mushroom Fomitopsis officinalis and their activity against Mycobacterium tuberculosis.
2013-10-25
Mitochondrial peroxiredoxin 3 regulates sensory cell survival in the cochlea.
2013
Potent activity against multidrug-resistant Mycobacterium tuberculosis of α-mangostin analogs.
2013
Dominant incidence of multidrug and extensively drug-resistant specific Mycobacterium tuberculosis clones in Osaka Prefecture, Japan.
2012
Conservation of endocochlear potential in mice with profound hearing loss induced by co-administration of kanamycin and furosemide.
2011-04
Amyloid-like protein inclusions in tobacco transgenic plants.
2010-10-26
[Drug-induced nephropathy and hemorrhagic cystitis as an adverse reaction to kanamycin].
1989-08
Comparison of bactericidal activities of streptomycin, amikacin, kanamycin, and capreomycin against Mycobacterium avium and M. tuberculosis.
1989-08
[Prevention of neurosensory hearing disorders in antibiotic-induced ototoxicosis].
1989-03-01
[Acute renal failure caused by ceporin, kanamycin and gentamicin].
1989-03-01
New antibiotics, resorcinomycins A and B: antibacterial activity of resorcinomycin A against mycobacteria in vitro.
1989-03
Nephrotoxicity of dactimicin, a novel pseudo-disaccharide aminoglycoside possessing the N-formimidoyl group, compared with that of astromicin, amikacin and other aminoglycoside antibiotics in animals.
1989
MIC as a quantitative measurement of the susceptibility of Mycobacterium avium strains to seven antituberculosis drugs.
1988-08
[Bilateral deafness after intra-lumbar administration of kanamycin].
1988-07-01
Qualitative and quantitative drug-susceptibility tests in mycobacteriology.
1988-05
Action of antituberculous and beta-lactam drugs (including imipenem) against extra- and intra-cellularly growing Mycobacterium avium-intracellulare.
1988-03-01
[Experimental study of drug-induced acute renal failure. Recovery after renal impairment caused by the administration of low molecular weight dextran and kanamycin in water-deprived rats].
1988-02
In vitro susceptibility of Mycobacterium avium complex to antibacterial agents.
1987-11
Determination of MICs of conventional and experimental drugs in liquid medium by the radiometric method against Mycobacterium avium complex.
1987
Mycobacterial plasmids: screening and possible relationship to antibiotic resistance in Mycobacterium avium/Mycobacterium intracellulare.
1986
[Measurement of an auditory impairment induced by aminoglycosides using a shuttle box method in newborn rats].
1985-12
Reflex modification as a test for sensory function.
1985-11-01
Furosemide ototoxicity: clinical and experimental aspects.
1985-09
In vitro antituberculosis activity of a new antibacterial substance ofloxacin (DL8280).
1985-03
Nephrotoxic effects of aminoglycoside treatment on renal protein reabsorption and accumulation.
1984
[Detection of auditory impairment in the offsprings caused by drug treatment of the dams].
1982-12
In vitro susceptibility of Mycobacterium avium complex and Mycobacterium tuberculosis strains to a spiro-piperidyl rifamycin.
1982-09
Potentiation of neuromuscular weakness in infant botulism by aminoglycosides.
1979-12
Quantitative relationships of the ototoxic interaction of kanamycin and ethacrynic acid.
1979-05
Auditory thresholds and kanamycin-induced hearing loss in the guinea pig assessed by a positive reinforcement procedure.
1978-02
[Amikacin and kanamycin. Comparative experimental studies on nephrotoxicity].
1978
Drug-induced anaphylaxis, convulsions, deafness, and extrapyramidal symptoms.
1977-03-12
[On the mechanism of kanamycin ototoxicity (II): --Alteration of glucose metabolism in cochlea and kidney (author's transl)].
1977-01-20
Proceedings: The use of conditioned tone discrimination to study kanamycin ototoxicity in the rat.
1975-12
The quantification of kanamycin ototoxicity in the rat using conditioned tone discrimination.
1975-12
Nephropathy, an underestimated complication of methicillin therapy.
1974-06
Protein synthesis in Mycobacterium tuberculosis H37Rv and the effect of streptomycin in streptomycin-susceptible and -resistant strains.
1973-09
Laboratory testing for ototoxic effects of drugs.
1973-06
Acute renal failure in general surgical patients.
1971-06
[Biochemical studies on nephrotoxicity of kanamycin].
1971-02
[Severe hearing disorders caused by kanamycin].
1970-09
[Hearing damages in prolonged kanamycin therapy].
1970-08
[Studies on nephrotoxicity of combined administration of kanamycin and sodium alginate].
1970-06
Kanamycin ototoxicity--possible potentiation by other drugs.
1970-05
[Recovery after hemodialysis in 2 cases of acute renal insufficiency during treatment with kanamycin and colistin methanesulfonate].
1970-04-27
[Clinical studies of cochleotoxicosis due to viomycin and kanamycin during tuberculostatic treatment (a prophylactic attempt)].
1968
Experimental studies on therapeutic effects of various combinations of antituberculosis drugs. II. Comparison of various regimens in treatment of experimental mouse tuberculosis infected with SM- and INH-resistant Schacht strain.
1967-07
Unusual neurotoxicity of kanamycin.
1967-05-01
Rifampicin: a new rifamycin. II. Laboratory studies on the antituberculous activity and preliminary clinical observations.
1967-05
[Clinical use of vitamin K-1 in hearing disorders caused by kanamycin].
1966-04
Patents

Sample Use Guides

Intramuscular and intravenous: 15 mg/kg/day in two equally divided dosages. Intraperitoneal: 500 mg diluted in 20 mL sterile distilled water may be instilled through a polyethylene catheter sutured into the wound at closure. Aerosol treatment: 250 mg two to four times a day. Irrigation: injection in concentrations of 0.25 percent (2.5 mg/mL).
Route of Administration: Other
The minimum inhibitory concentration (MIC), determined by the microdilution method, of E. coli and S. aureus were 4.5 and 3.5 mg/L, respectively. The MIC was 5.0 mg/L for the dual species scenario.
Substance Class Mixture
Created
by admin
on Mon Mar 31 18:28:47 GMT 2025
Edited
by admin
on Mon Mar 31 18:28:47 GMT 2025
Record UNII
RUC37XUP2P
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
KANAMYCIN
HSDB   INN   MI   VANDF   WHO-DD  
INN  
Official Name English
ANTIBIOTIC COMPLEX FROM STREPTOMYCES KANAMYCETICUS CONTAINING KANAMYCIN A (MAJOR), KANAMYCIN B AND KANAMYCIN C
Preferred Name English
KANAMYCIN [VANDF]
Common Name English
Kanamycin [WHO-DD]
Common Name English
KANAMYCIN [HSDB]
Common Name English
KANAMYCINS
Common Name English
KANAMYCIN [MI]
Common Name English
kanamycin [INN]
Common Name English
Classification Tree Code System Code
CFR 21 CFR 524.1204
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
WHO-ATC S01AA24
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
WHO-ESSENTIAL MEDICINES LIST 6.2.4
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
CFR 21 CFR 524.1200
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
NDF-RT N0000007853
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
CFR 21 CFR 862.3520
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
WHO-VATC QA07AA08
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
NDF-RT N0000175477
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
WHO-ATC J01GB04
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
WHO-VATC QS01AA24
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
WHO-ATC A07AA08
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
WHO-VATC QJ01GB04
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
CFR 21 CFR 524.1200B
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
CFR 21 CFR 520.1204
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
CFR 21 CFR 524.1200A
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
NCI_THESAURUS C2363
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
Code System Code Type Description
CHEBI
6104
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
RXCUI
6099
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY RxNorm
MESH
D007612
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
WIKIPEDIA
KANAMYCIN
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
SMS_ID
100000082846
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
INN
870
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
EVMPD
SUB08362MIG
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
ChEMBL
CHEMBL1384
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
DRUG BANK
DB01172
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
DRUG CENTRAL
1519
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
MERCK INDEX
m6599
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY Merck Index
DAILYMED
RUC37XUP2P
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
FDA UNII
RUC37XUP2P
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
CAS
8063-07-8
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
EPA CompTox
DTXSID2041171
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
NCI_THESAURUS
C65997
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
LACTMED
Kanamycin
Created by admin on Mon Mar 31 18:28:47 GMT 2025 , Edited by admin on Mon Mar 31 18:28:47 GMT 2025
PRIMARY
All of the following components must be present:
Related Record Type Details
PARENT -> IMPURITY
Related Record Type Details
ACTIVE MOIETY
Name Property Type Amount Referenced Substance Defining Parameters References
Volume of Distribution PHARMACOKINETIC
Biological Half-life PHARMACOKINETIC
Definition References