Spectinomycin
Spectinomycin Uses, Dosage, Side Effects, Food Interaction and all others data.
Spectinomycin binds to 30S subunit of the bacterial ribosome, thus inhibiting protein synthesis. It has modest activity against a wide range of gm+ve and gm-ve organisms, though anaerobic organisms are mostly resistant.
Spectinomycin is an aminocyclitol antibiotic produced by a species of soil microorganism designated as Streptomyces spectabilis. In vitro studies have shown spectinomycin to be active against most strains of Neisseria gonorrhoeae (minimum inhibitory concentration <7.5 to 20 mcg/mL). Footprint studies indicate that spectinomycin exerts regional effects on ribosomal structure.
| Trade Name | Spectinomycin |
| Availability | Discontinued |
| Generic | Spectinomycin |
| Spectinomycin Other Names | Actinospectacina, Espectinomicina, Spectinomicina, Spectinomycin, Spectinomycine, Spectinomycinum |
| Type | |
| Formula | C14H24N2O7 |
| Weight | Average: 332.3496 Monoisotopic: 332.158351132 |
| Protein binding | Not significant |
| Groups | Approved, Investigational, Vet approved |
| Therapeutic Class | Miscellaneous Antibiotics |
| Manufacturer | |
| Available Country | |
| Last Updated: | September 19, 2023 at 7:00 am |
Uses
Spectinomycin Sterile Powder is used for the treatment of:
- Acute gonorrheal urethritis and proctitis in the male
- Acute gonorrheal cervicitis and proctitis in the female
- Men and women with known recent exposure to gonorrhea should be treated as those known to have gonorrhea.
How Spectinomycin works
Spectinomycin is an inhibitor of protein synthesis in the bacterial cell; the site of action is the 30S ribosomal subunit. It is bactericidal in its action.
Dosage
Spectinomycin dosage
Adults (Men and Women): Inject 5 ml intramuscularly for a 2 gm dose.This is also the recommended dose for patients being treated after failure of previous antibiotic therapy
Intramuscular injections should be made deep into the upper outer quadrant of the gluteal muscle.
Spectinomycin Sterile 2 grams Powder: Reconstitute with 3.2 ml of the accompanying water for injection with 0.9% Benzyl alcohol. Shake vials vigorously immediately after adding diluent and before withdrawing dose.
Side Effects
The following reactions were observed during the single dose clinical trials: soreness at the injection site, urticaria, dizziness, nausea, chills, fever and insomnia
Toxicity
Acute oral toxicity (LD50): >5000 mg/kg [Rat]. Information on overdosage in humans is not available.
Precaution
The usual precautions should be observed with atopic individuals. Prescribing Spectinomycin Sterile Powder in the absence of a proven or strongly suspected bacterial infection or a prophylactic indication is unlikely to provide benefit to the patient and increases the risk of the development of drug-resistant bacteria
Interaction
May result in lithium toxicity when used concurrently. May increase or prolong the neuromuscular blocking effect of atracurium.
Spectinomycin Disease Interaction
Elimination Route
Rapidly and almost completely absorbed after intramuscular injection.
Half Life
1 to 3 hours in patients with normal renal function and 10 to 30 hours in patients with impaired renal function with a creatinine clearance < 20 mL per minute.
Pregnancy & Breastfeeding use
Pregnancy Category B. Since there are no controlled studies of Spectinomycin in pregnant women, and because animal reproduction studies are not always predictive of human responses, Spectinomycin should be used during pregnancy only if clearly needed.
Nursing Mothers It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Spectinomycin is administered to a nursing woman.
Contraindication
The use of Spectinomycin Sterile Powder is contraindicated in patients previously found hypersensitive to it.
Acute Overdose
Information on overdosage in humans is not available. Hemodialysis has been reported to aid in the removal of intravenously administered Spectinomycin from the body.
Storage Condition
Store between 20-25°C. Reconstituted solution should be used within 24 hr after preparation.
Innovators Monograph
You find simplified version here Spectinomycin
Spectinomycin contains Spectinomycin see full prescribing information from innovator Spectinomycin Monograph, Spectinomycin MSDS, Spectinomycin FDA label
FAQ
What is Spectinomycin used for?
Spectinomycin is an antibiotic. It fights bacteria in the body.
Spectinomycin is used in the treatment of gonorrhea.
Spectinomycin may also be used for purposes other than those listed here.
How should I take Spectinomycin?
Spectinomycin will be administered as an injection by a healthcare provider.
What are the common side effects of Spectinomycin?
The common sde effects of Spectinomycin are include:
- nausea;
-
- dizziness;
-
- soreness at the injection site; or
-
- fever.
Is Spectinomycin safe during breastfeeding?
Do not use Spectinomycin without first talking to your doctor if you are pregnant or could become pregnant during treatment.
Is Spectinomycin safe during pregnancy?
It is not known whether Spectinomycin passes into breast milk. Do not take Spectinomycin without first talking to your doctor if you are breast-feeding a baby.
How many days should I take Spectinomycin?
A minimum of 10 days of therapy is recommended.
How do I give a Spectinomycin injection?
Inject 5 mL intramuscularly for a 2-gram dose. This is also the recommended dose for patients being treated after failure of previous antibiotic therapy.
Can Spectinomycin cure typhoid?
Effective Against Disease for Which No cure Was Known 3 doctors reports find of 5 Persons Treated During Experiments, 3 Were Cured by Philadelphia Physicians.
Can Spectinomycin cure staphylococcus?
Spectinomycin and Kanamycin were once effective against Staphylococcal infections. They have developed resistance by modifying enzymes, changing the ribosomal attachment sites and by actively pushing out the drug from the bacteria.
Is Spectinomycin a plant?
Spectinomycin formulations used in plant agriculture are produced using Streptomyces griseus subsp. griseus, which carries strA for self-resistance to the antibiotic.
Who should not take Spectinomycin?
The risk is higher if you have kidney disease, if you are receiving high doses of this medication, if you use this drug for a long time, if you are an older adult (older than 60 years), or if you develop a severe loss of body water (become dehydrated).
Is Spectinomycin an antifungal?
Spectinomycin is an antibiotic antifungal drug, an antibiotic fungicide and a member of Spectinomycin.
Is Spectinomycin used for tuberculosis?
Spectinomycin is an aminoglycoside antibiotic derived from Streptomyces griseus that is used in the treatment of tuberculosis and sensitive Gram-negative infections.
What bacteria does Spectinomycin target?
Spectinomycin is an antibiotic that inhibits both Gram-positive and Gram-negative bacteria, and is therefore a useful broad-spectrum antibiotic.
Is Spectinomycin effective against E coli?
Spectinomycin treatment enhances the growth of E. coli by nitrate respiration.
Why is Spectinomycin so effective?
Spectinomycin is an effective antibiotic because its structure is similar to that of the anticodons that would usually bind to the ribosome.
What happens if I miss a dose?
Since Spectinomycin is usually administered as a single injection, missing dose is not likely to occur.
What happens if I overdose?
Seek emergency medical attention if an overdose of spectinomycin is suspected.
Symptoms of a spectinomycin overdose are not known.
