DescriptionCurator'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
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
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2363135 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Curative | KANAMYCIN SULFATE Approved UseKanamycin 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 Date2002 |
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| Curative | KANAMYCIN SULFATE Approved UseKanamycin 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 Date2002 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
11.9 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/4790604/ |
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
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
44.2 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/4790604/ |
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
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/4790604/ |
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 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Chlorinated coumarins from the polypore mushroom Fomitopsis officinalis and their activity against Mycobacterium tuberculosis. | 2013-10-25 |
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| Mitochondrial peroxiredoxin 3 regulates sensory cell survival in the cochlea. | 2013 |
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| Potent activity against multidrug-resistant Mycobacterium tuberculosis of α-mangostin analogs. | 2013 |
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| Dominant incidence of multidrug and extensively drug-resistant specific Mycobacterium tuberculosis clones in Osaka Prefecture, Japan. | 2012 |
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| Conservation of endocochlear potential in mice with profound hearing loss induced by co-administration of kanamycin and furosemide. | 2011-04 |
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| Amyloid-like protein inclusions in tobacco transgenic plants. | 2010-10-26 |
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| [Drug-induced nephropathy and hemorrhagic cystitis as an adverse reaction to kanamycin]. | 1989-08 |
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| Comparison of bactericidal activities of streptomycin, amikacin, kanamycin, and capreomycin against Mycobacterium avium and M. tuberculosis. | 1989-08 |
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| [Prevention of neurosensory hearing disorders in antibiotic-induced ototoxicosis]. | 1989-03-01 |
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| [Acute renal failure caused by ceporin, kanamycin and gentamicin]. | 1989-03-01 |
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| New antibiotics, resorcinomycins A and B: antibacterial activity of resorcinomycin A against mycobacteria in vitro. | 1989-03 |
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| 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 |
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| MIC as a quantitative measurement of the susceptibility of Mycobacterium avium strains to seven antituberculosis drugs. | 1988-08 |
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| [Bilateral deafness after intra-lumbar administration of kanamycin]. | 1988-07-01 |
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| Qualitative and quantitative drug-susceptibility tests in mycobacteriology. | 1988-05 |
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| 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 |
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| In vitro susceptibility of Mycobacterium avium complex to antibacterial agents. | 1987-11 |
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| Determination of MICs of conventional and experimental drugs in liquid medium by the radiometric method against Mycobacterium avium complex. | 1987 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| Proceedings: The use of conditioned tone discrimination to study kanamycin ototoxicity in the rat. | 1975-12 |
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| The quantification of kanamycin ototoxicity in the rat using conditioned tone discrimination. | 1975-12 |
|
| Nephropathy, an underestimated complication of methicillin therapy. | 1974-06 |
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| 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 |
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| [Hearing damages in prolonged kanamycin therapy]. | 1970-08 |
|
| [Studies on nephrotoxicity of combined administration of kanamycin and sodium alginate]. | 1970-06 |
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| Kanamycin ototoxicity--possible potentiation by other drugs. | 1970-05 |
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| [Recovery after hemodialysis in 2 cases of acute renal insufficiency during treatment with kanamycin and colistin methanesulfonate]. | 1970-04-27 |
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| [Clinical studies of cochleotoxicosis due to viomycin and kanamycin during tuberculostatic treatment (a prophylactic attempt)]. | 1968 |
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| 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 |
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| 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 |
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
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Mixture
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Validated (UNII)
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CFR |
21 CFR 524.1204
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WHO-ATC |
S01AA24
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WHO-ESSENTIAL MEDICINES LIST |
6.2.4
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CFR |
21 CFR 524.1200
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NDF-RT |
N0000007853
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CFR |
21 CFR 862.3520
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WHO-VATC |
QA07AA08
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NDF-RT |
N0000175477
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WHO-ATC |
J01GB04
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WHO-VATC |
QS01AA24
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WHO-ATC |
A07AA08
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WHO-VATC |
QJ01GB04
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CFR |
21 CFR 524.1200B
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CFR |
21 CFR 520.1204
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CFR |
21 CFR 524.1200A
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NCI_THESAURUS |
C2363
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6104
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6099
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D007612
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KANAMYCIN
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100000082846
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870
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SUB08362MIG
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CHEMBL1384
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DB01172
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1519
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m6599
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RUC37XUP2P
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RUC37XUP2P
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8063-07-8
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DTXSID2041171
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C65997
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Kanamycin
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ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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| Volume of Distribution | PHARMACOKINETIC |
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| Biological Half-life | PHARMACOKINETIC |
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