Ak-tracin

Ak-tracin Uses, Dosage, Side Effects, Food Interaction and all others data.

Ak-tracin is a combination of at least 9 bacitracins. 60-80% of commercially prepared bacitracin is bacitracin A. The bacillus that produces bacitracin was first isolated from a knee scrape in 1945 from the knee wound of a child named Margaret Tracy.

Ak-tracin was granted FDA approval on 29 July 1948.

Ak-tracin is a mixture of polypeptides that prevent the formation of the bacterial cell wall and oxidatively cleave DNA. It has a short duration of action as it must be given every 3 to 4 hours topically. Ak-tracin is nephrotoxic when given intramuscularly and may lead to renal failure.

Trade Name Ak-tracin
Availability Prescription only
Generic Bacitracin
Bacitracin Other Names Bacitracin, Bacitracin A, Bacitracina
Related Drugs amoxicillin, doxycycline, ciprofloxacin, metronidazole, azithromycin, clindamycin
Weight 500units/g
Type Ophthalmic ointment
Formula C66H103N17O16S
Weight Average: 1422.693
Monoisotopic: 1421.748941023
Protein binding

Data regarding the protein binding of bacitracin in humans is not readily available.

Groups Approved, Vet approved
Therapeutic Class
Manufacturer
Available Country United States
Last Updated: September 19, 2023 at 7:00 am
Ak-tracin
Ak-tracin

Uses

Ak-tracin is a cyclic polypeptide antibiotic used to prevent wound infections, treat pneumonia and empyema in infants, and to treat skin and eye infections.

Ak-tracin is indicated in topical formulations for acute and chronic localized skin infections. Occasionally, it is also used intramuscularly for infantile streptococcal pneumonia and empyema. Ak-tracin is also formulated as an ointment with neomycin and polymyxin B for over the counter use. A bacitracin ointment formulated with neomycin and polymyxin B along with hydrocortisone is indicated for the treatment of corticosteroid responsive dermatoses with secondary infection.

Ak-tracin is also used to associated treatment for these conditions: Acne, Bacterial Infections of the Intestine, Empyema, Eye Infections, Infected Wound, Infection, Inflammatory Reaction caused by Acne, Ocular Inflammatory Disease, Pneumonia, Skin Ulcer, Corticosteroid-responsive dermatoses, Infection in minor cuts, scrapes, or burns, Wound site

How Ak-tracin works

Ak-tracin binds to a divalent metal ion such as Mn(II), Co(II), Ni(II), Cu(II), or Zn(II). These complexes bind C55-isoprenyl pyrophosphate, preventing the hydrolysis of a lipid dolichol pyrophosphate, which finally inhibits cell wall synthesis. Ak-tracin metal complexes also bind and oxidatively cleave DNA.

Toxicity

The oral LD50 of bacitracin in rats is >2000mg/kg.

Specific data regarding bacitracin overdoses is not readily available. An overdose of bacitracin may lead to nephrotoxicity and patients should be treated with supportive measures.

Food Interaction

No interactions found.

Ak-tracin Disease Interaction

Major: colitis, dehydration, renal dysfunction

Volume of Distribution

Data regarding the volume of distribution of bacitracin in humans is not readily available.

Elimination Route

Topical, ophthalmic, and oral formulations of bacitracin are poorly absorbed systemically. Intramuscular bacitracin is readily and completely absorbed.

Half Life

Data regarding the half life of bacitracin in humans is not readily available.

Clearance

Data regarding the clearance of bacitracin in humans has not been well studied. A study of 9 subjects in 1947 shows a renal clearance of 105-283mL/min with an average renal clearance of 159mL/min.

Elimination Route

Ak-tracin is mainly excreted renally with 87% of and intramuscular dose being recovered in the urine after 6 hours.

Innovators Monograph

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*** Taking medicines without doctor's advice can cause long-term problems.
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