Togamycin
Togamycin Uses, Dosage, Side Effects, Food Interaction and all others data.
Togamycin 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.
Togamycin 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 | Togamycin |
| 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
Togamycin 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 Togamycin works
Togamycin 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
Togamycin 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.
Togamycin 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 Togamycin 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.
Togamycin 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 Togamycin in pregnant women, and because animal reproduction studies are not always predictive of human responses, Togamycin 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 Togamycin is administered to a nursing woman.
Contraindication
The use of Togamycin 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 Togamycin 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 Togamycin
Togamycin contains Spectinomycin see full prescribing information from innovator Togamycin Monograph, Togamycin MSDS, Togamycin FDA label
FAQ
What is Togamycin used for?
Togamycin is an antibiotic. It fights bacteria in the body.
Togamycin is used in the treatment of gonorrhea.
Togamycin may also be used for purposes other than those listed here.
How should I take Togamycin?
Togamycin will be administered as an injection by a healthcare provider.
What are the common side effects of Togamycin?
The common sde effects of Togamycin are include:
- nausea;
-
- dizziness;
-
- soreness at the injection site; or
-
- fever.
Is Togamycin safe during breastfeeding?
Do not use Togamycin without first talking to your doctor if you are pregnant or could become pregnant during treatment.
Is Togamycin safe during pregnancy?
It is not known whether Togamycin passes into breast milk. Do not take Togamycin without first talking to your doctor if you are breast-feeding a baby.
How many days should I take Togamycin?
A minimum of 10 days of therapy is recommended.
How do I give a Togamycin 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 Togamycin 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 Togamycin cure staphylococcus?
Togamycin 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 Togamycin a plant?
Togamycin 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 Togamycin?
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 Togamycin an antifungal?
Togamycin is an antibiotic antifungal drug, an antibiotic fungicide and a member of Togamycin.
Is Togamycin used for tuberculosis?
Togamycin is an aminoglycoside antibiotic derived from Streptomyces griseus that is used in the treatment of tuberculosis and sensitive Gram-negative infections.
What bacteria does Togamycin target?
Togamycin is an antibiotic that inhibits both Gram-positive and Gram-negative bacteria, and is therefore a useful broad-spectrum antibiotic.
Is Togamycin effective against E coli?
Togamycin treatment enhances the growth of E. coli by nitrate respiration.
Why is Togamycin so effective?
Togamycin 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 Togamycin 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.
