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Paromomycin information


Paromomycin
Clinical data
Trade namesCatenulin, Aminosidine, Humatin, others[1]
Other namesmonomycin, aminosidine[2]
AHFS/Drugs.comMonograph
MedlinePlusa601098
License data
  • US DailyMed: Paromomycin
Pregnancy
category
  • C
Routes of
administration
By mouth, intramuscular, topical[3]
ATC code
  • A07AA06 (WHO)
    QJ01GB92 (WHO)
Legal status
Legal status
  • US: ℞-only
Pharmacokinetic data
BioavailabilityPoorly absorbed in the GI tract
MetabolismNot available
ExcretionFecal
Identifiers
IUPAC name
  • (2R,3S,4R,5R,6S)-5-amino-6-[(1R,2S,3S,4R,6S)-
    4,6-diamino-2-[(2S,3R,4R,5R)-4-[(2R,3R,4R,5R,6S)-
    3-amino-6-(aminomethyl)-4,5-dihydroxy-oxan-2-yl]
    oxy-3-hydroxy-5-(hydroxymethyl)oxolan-2-yl]oxy-
    3-hydroxy-cyclohexyl]oxy-2-(hydroxymethyl)oxane-3,4-diol
CAS Number
  • 1263-89-4 checkY
PubChem CID
  • 441375
DrugBank
  • DB01421 checkY
ChemSpider
  • 390117 checkY
UNII
  • 845NU6GJPS
ChEBI
  • CHEBI:7934 checkY
ChEMBL
  • ChEMBL370143 ☒N
CompTox Dashboard (EPA)
  • DTXSID8023424 Edit this at Wikidata
ECHA InfoCard100.028.567 Edit this at Wikidata
Chemical and physical data
FormulaC23H47N5O18S
Molar mass713.71 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • O=S(=O)(O)O.O([C@H]3[C@H](O[C@@H]2O[C@H](CO)[C@@H](O[C@H]1O[C@@H](CN)[C@@H](O)[C@H](O)[C@H]1N)[C@H]2O)[C@@H](O)[C@H](N)C[C@@H]3N)[C@H]4O[C@@H]([C@@H](O)[C@H](O)[C@H]4N)CO
InChI
  • InChI=1S/C23H45N5O14.H2O4S/c24-2-7-13(32)15(34)10(27)21(37-7)41-19-9(4-30)39-23(17(19)36)42-20-12(31)5(25)1-6(26)18(20)40-22-11(28)16(35)14(33)8(3-29)38-22;1-5(2,3)4/h5-23,29-36H,1-4,24-28H2;(H2,1,2,3,4)/t5-,6+,7+,8-,9-,10-,11-,12+,13-,14-,15-,16-,17-,18-,19-,20-,21-,22-,23+;/m1./s1 checkY
  • Key:LJRDOKAZOAKLDU-UDXJMMFXSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Paromomycin is an antimicrobial used to treat a number of parasitic infections including amebiasis, giardiasis, leishmaniasis, and tapeworm infection.[3] It is a first-line treatment for amebiasis or giardiasis during pregnancy.[3] Otherwise, it is generally a second line treatment option.[3] It is taken by mouth, applied to the skin, or by injection into a muscle.[3]

Common side effects when taken by mouth include loss of appetite, vomiting, abdominal pain, and diarrhea.[3] When applied to the skin side effects include itchiness, redness, and blisters.[3] When given by injection there may be fever, liver problems, or hearing loss.[3] Use during breastfeeding appears to be safe.[4] Paromomycin is in the aminoglycoside family of medications and causes microbe death by stopping the creation of bacterial proteins.[3]

Paromomycin was discovered in the 1950s from a type of streptomyces and came into medical use in 1960.[1][4] It is on the World Health Organization's List of Essential Medicines.[5][6] Paromomycin is available as a generic medication.[7]

  1. ^ a b "Paromomycin". Pharmaceutical Manufacturing Encyclopedia (3rd ed.). Elsevier. 2013. p. 21p. ISBN 978-0-8155-1856-3. Archived from the original on 20 December 2016.
  2. ^ Cite error: The named reference Neal1994 was invoked but never defined (see the help page).
  3. ^ a b c d e f g h i "Paromomycin Sulfate". The American Society of Health-System Pharmacists. Archived from the original on 17 November 2016. Retrieved 3 December 2016.
  4. ^ a b Davidson RN, den Boer M, Ritmeijer K (July 2009). "Paromomycin". Transactions of the Royal Society of Tropical Medicine and Hygiene. 103 (7): 653–660. doi:10.1016/j.trstmh.2008.09.008. PMID 18947845.
  5. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  6. ^ World Health Organization (2021). World Health Organization model list of essential medicines: 22nd list (2021). Geneva: World Health Organization. hdl:10665/345533. WHO/MHP/HPS/EML/2021.02.
  7. ^ Hamilton R (2015). Tarascon Pocket Pharmacopoeia 2015 Deluxe Lab-Coat Edition. Jones & Bartlett Learning. p. 54. ISBN 978-1-284-05756-0.

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Paromomycin

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Paromomycin is an antimicrobial used to treat a number of parasitic infections including amebiasis, giardiasis, leishmaniasis, and tapeworm infection...

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Leishmaniasis

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combination of pentavalent antimonials and paromomycin, and miltefosine. For cutaneous disease, paromomycin, fluconazole, or pentamidine may be effective...

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Entamoeba histolytica

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amoeba cysts, usually this treatment is followed by an agent (such as paromomycin or diloxanide furoate) that acts on the organism in the lumen. In addition...

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Cutaneous leishmaniasis

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7-day course as well as a 3- or 7-day course of intravenous MA with paromomycin + 12% methylbenzethonium chloride. For L. braziliensis, oral pentoxifylline...

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Diloxanide

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where infections are not common, it is a second line treatment after paromomycin when a person has no symptoms. For people who are symptomatic, it is...

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Amebicide

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intestinal infections, the most effective of which has been shown to be Paromomycin (also known as Humatin). E. histolytica infections occur in both the...

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Dysentery

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often treated with two antimicrobial drugs such as metronidazole and paromomycin or iodoquinol. With correct treatment, most cases of amoebic and bacterial...

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Methotrexate

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increased monitoring is recommended. The aminoglycosides neomycin and paromomycin have been found to reduce gastrointestinal (GI) absorption of methotrexate...

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Neomycin

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110, 441-444. Mehta R, Champney WS (September 2003). "Neomycin and paromomycin inhibit 30S ribosomal subunit assembly in Staphylococcus aureus". Current...

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Antiprotozoal

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Hydroxychloroquine Melarsoprol Metronidazole Nifursemizone Nitazoxanide Ornidazole Paromomycin sulfate Pentamidine Pyrimethamine Quinapyramine Ronidazole Tinidazole...

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Cryptosporidiosis

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efficacy in severely immunocompromised patients. Certain agents such as paromomycin and azithromycin are sometimes used as well, but they only have partial...

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Giardiasis

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including quinacrine, nitazoxanide, bacitracin zinc, furazolidone and paromomycin. Mepacrine may also be used for refractory cases. Probiotics, when given...

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Diiodohydroxyquinoline

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"Susceptibility testing of Dientamoeba fragilis ATCC 30948 with iodoquinol, paromomycin, tetracycline, and metronidazole". Antimicrob. Agents Chemother. 38 (5):...

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Streptomyces chrestomyceticus

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Streptomyces. Streptomyces chrestomyceticus produces lycopene, pyrrolostatin, paromomycin, aminocidin, aminosidin, neomycin E and neomycin F. KATO, SHINICHIRO;...

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Cryptosporidium serpentis

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counterparts. No proven cure exists for C. serpentis, but some drugs, such as Paromomycin, have proven promising results in the treatment of captive King cobras...

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WHO Model List of Essential Medicines

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Diloxanide Metronidazole Amphotericin B Meglumine antimoniate Miltefosine Paromomycin Sodium stibogluconate Amodiaquine Artemether Artemether/lumefantrine...

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Aminoglycoside

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Dibekacin Gentamicin Sisomicin Netilmicin Neomycins B, C Neomycin E (paromomycin) Streptomycin Plazomicin Aminoglycosides display concentration-dependent...

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Visceral leishmaniasis

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antibiotic paromomycin for use in treating VL; its antileishmanial properties were first identified in the 1980s. A treatment with paromomycin costs about...

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List of antibiotics

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Kantrex Neomycin Neo-Fradin Netilmicin Netromycin Tobramycin Nebcin Paromomycin Humatin Streptomycin Tuberculosis Spectinomycin(Bs) Trobicin Gonorrhea...

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Streptomyces catenulae

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species from the genus of Streptomyces. Streptomyces catenulae produces paromomycin, catenulin, N-isobutyrylpepstatin neomycin E, neomycin F, 2-amini-3-butynoic...

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Dientamoeba fragilis

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rash. There are other medications that treat dientamoebiasis, including paromomycin and metronidazole. Tetracycline and doxycycline have also been used as...

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Ribose

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in some pharmaceutical agents, including the antibiotics neomycin and paromomycin. Ribose as its 5-phosphate ester is typically produced from glucose by...

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Sodium stibogluconate

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cutaneous, visceral, and mucosal types. Some combination of miltefosine, paromomycin and liposomal amphotericin B, however, may be recommended due to issues...

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Cryptosporidium parvum

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approved for the treatment of cryptosporidiosis in immunocompetent hosts. Paromomycin may alleviate some of the diarrhoeal symptoms and is registered for it...

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Streptomyces rimosus

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oxytetracycline and tetracycline are produced in cultures of S. rimosus. Paromomycin has also been isolated from cultures of S. rimosus. Streptomyces rimosus's...

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Drugs for Neglected Diseases Initiative

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endemic countries.[citation needed] SSG&PM, a sodium stibogluconate plus paromomycin combination therapy, is a shorter-course, cost-efficient treatment option...

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List of infectious diseases

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antimonials. In Africa, a combination of pentavalent antimonials and paromomycin is recommended. These, however, can have significant side effects. Miltefosine...

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Streptomyces spectabilis

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hangtaimycin, gentamicin, kanamycin, neomycin B, sisomycin, tobramycin, paromomycin, spectinabilin, spectinomycin, aminocyclitol, actinospectacin, prodigiosine...

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