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Macrolide information


Erythromycin. The macrolide ring is the lactone (cyclic ester) at upper left.
Clarithromycin
Roxithromycin

Macrolides are a class of mostly natural products with a large macrocyclic lactone ring to which one or more deoxy sugars, usually cladinose and desosamine, may be attached. The lactone rings are usually 14-, 15-, or 16-membered. Macrolides belong to the polyketide class of natural products. Some macrolides have antibiotic or antifungal activity and are used as pharmaceutical drugs. Rapamycin is also a macrolide and was originally developed as an antifungal, but is now used as an immunosuppressant drug and is being investigated as a potential longevity therapeutic.[1]

Macrolides are bacteriostatic in that they suppress or inhibit bacterial growth rather than killing bacteria completely.

  1. ^ Arriola Apelo SI, Lamming DW (July 2016). "apamycin: An InhibiTOR of Aging Emerges From the Soil of Easter Island". J Gerontol A Biol Sci Med Sci. 71 (7): 841–9. doi:10.1093/gerona/glw090. PMC 4906330. PMID 27208895. Retrieved 17 July 2022.

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Macrolide

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Macrolides are a class of mostly natural products with a large macrocyclic lactone ring to which one or more deoxy sugars, usually cladinose and desosamine...

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Azithromycin

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confirmed, but it is likely safe. Azithromycin is an azalide, a type of macrolide antibiotic. It works by decreasing the production of protein, thereby...

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Erythromycin

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also applies if taken directly by the baby during this age. It is in the macrolide family of antibiotics and works by decreasing bacterial protein production...

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Clindamycin

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phenotype known as iMLSB. This phenotype of bacteria are resistant to the macrolide-lincosamide-streptogramin B group of antibiotics, however, the resistance...

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Macrocycle

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One important application are the many macrocyclic antibiotics, the macrolides, e.g. clarithromycin. Many metallocofactors are bound to macrocyclic ligands...

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Clarithromycin

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been reported. It may cause harm if taken during pregnancy. It is in the macrolide class and works by slowing down bacterial protein synthesis. Clarithromycin...

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Amoxicillin

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either alone (mild to moderate severity disease) or in combination with a macrolide. The World Health Organization (WHO) recommends amoxicillin as first-line...

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Nystatin

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Rachel Fuller Brown and Elizabeth Lee Hazen. It was the first polyene macrolide antifungal. It is on the World Health Organization's List of Essential...

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Lincosamides

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to macrolide treatment have been isolated and found to possess mutations at the transferase binding pocket in the 23S ribosomal subunit. Macrolide-resistant...

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Scarlet fever

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their tonsils. A drug-resistant strain of scarlet fever, resistant to macrolide antibiotics such as erythromycin, but retaining drug-sensitivity to beta-lactam...

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Pneumonia

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but as an indicator it is not accurate enough to decide whether or not macrolide treatment should be used. The presence of chest pain in children with...

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Klebsiella pneumoniae

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Amino-penicillin Anti-pseudomonal BL−BLI Carbapenems Fluoro-quinolones Macrolide MDR & XDR Meticillin Mono INH Mono RIF Penicillin TMP-SMX Vancomycin Total...

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Whooping cough

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clarithromycin, or azithromycin are typically the recommended treatment. Newer macrolides are frequently recommended due to lower rates of side effects....

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Asthma

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minimal relief provided for asthma symptoms. Macrolide antibiotics, particularly the azalide macrolide azithromycin, are a recently added GINA-recommended...

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Azalide

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a class of macrolide antibiotics that were originally manufactured in response to the poor acid stability exhibited by original macrolides (erythromycin)...

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Cardiac arrest

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such as certain anti-arrhythmics, anti-depressants, and quinolone or macrolide antibiotics. Another condition that promotes arrhythmias is Wolff-Parkinson-White...

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Cytochrome P450

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biosynthesis of the antibiotic erythromycin by C6-hydroxylation of the macrolide 6-deoxyerythronolide B. Cytochrome P450 BM3 (CYP102A1) from the soil bacterium...

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Saccharopolyspora erythraea

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the genus Saccharopolyspora. Saccharopolyspora erythraea produces the macrolide antibiotic erythromycin. Cytochrome P450 eryF (CYP107A1) originally from...

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Tonsillitis

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recommended. In those who are allergic to penicillin, cephalosporins or macrolides may be used. In children with frequent episodes of tonsillitis, tonsillectomy...

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Ivermectin

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Ivermectin is an antiparasitic drug. After its discovery in 1975, its first uses were in veterinary medicine to prevent and treat heartworm and acariasis...

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Antibiotic

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bactericidal activities, killing the bacteria. Protein synthesis inhibitors (macrolides, lincosamides, and tetracyclines) are usually bacteriostatic, inhibiting...

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Desosamine

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Desosamine is a 3-(dimethylamino)-3,4,6-trideoxyhexose found in certain macrolide antibiotics (contain a high level of microbial resistance) such as the...

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Ciprofloxacin

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ISBN 978-0-9626523-7-0. Rodvold KA, Piscitelli SC (August 1993). "New oral macrolide and fluoroquinolone antibiotics: an overview of pharmacokinetics, interactions...

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List of infectious diseases

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Urinary antigen test, sputum culture Effective antibiotics include most macrolides, tetracyclines, ketolides, and quinolones. No Legionella pneumophila Pontiac...

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Acne

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especially to the commonly used tetracycline (e.g., doxycycline) and macrolide antibiotics (e.g., topical erythromycin). Therefore, dermatologists prefer...

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Gastroenteritis

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cause is isolated or suspected. If antibiotics are to be employed, a macrolide (such as azithromycin) is preferred over a fluoroquinolone due to higher...

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