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PubChem
Name: Nalidixic Acid
PubChem Compound ID: 10036953
Description: A synthetic 1,8-naphthyridine antimicrobial agent with a limited bacteriocidal spectrum. It is an inhibitor of the A subunit of bacterial DNA GYRASE.
Molecular formula: C12H12N2O3
Molecular weight: 233.228 g/mol
DrugBank
Identification
Name: Nalidixic Acid
Name (isomeric): DB00779
Drug Type: small molecule
Description: A synthetic 1,8-naphthyridine antimicrobial agent with a limited bacteriocidal spectrum. It is an inhibitor of the A subunit of bacterial DNA GYRASE.
Brand: Nalidixate, Nevigramon, Uronidix, Naxuril, Dixiben, Cybis, Wintron, Wintomylon, Sicmylon, Nalidixin, Jicsron, Nalidic acid, Nalidixinic acid, Unaserus, Urisal, Nalidixic acid USP27, Dixinal, Nalix, Negram, Innoxalon, Nalurin, NegGram, Nalitucsan, Eucistin, naladixic acid, Nogram, Nalidixan
Category: Anti-Infective Agents, Enzyme Inhibitors, Nucleic Acid Synthesis Inhibitors
CAS number: 389-08-2
Pharmacology
Indication: For the treatment of urinary tract infections caused by susceptible gram-negative microorganisms, including the majority of <i>E. Coli</i>, <i>Enterobacter</i> species, <i>Klebsiella</i> species, and <i>Proteus</i> species.
Pharmacology:
Nalidixic acid is a quinolone antibacterial agent for oral administration. Nalidixic acid has marked antibacterial activity against gram-negative bacteria including Enterobacter species, Escherichia coli, Morganella Morganii; Proteus Mirabilis, Proteus vulgaris, and Providencia rettgeri. Pseudomonas ...
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Mechanism of Action: Evidence exists for Nalidixic acid that its active metabolite, hydroxynalidixic acid, binds strongly, but reversibly, to DNA, interfering with synthesis of RNA and, consequently, with protein synthesis.
Absorption: Following oral administration, nalidixic acid is rapidly absorbed from the gastrointestinal tract. Bioavailability is approximately 96%. Absorption may be delayed if taken with antacids.
Protein binding: Nalidixic acid is 93% bound to protein in the blood, and the active metabolite, hydroxynalidixic acid is 63% bound.
Biotransformation: Hepatic. 30% of administered dose is metabolized to the active metabolite, hydroxynalidixic acid. Rapid conjugation of parent drug and active metabolite to inactive metabolites. Metabolism may vary widely among individuals. In the urine, hydroxynalidixic acid represents 80 to 85% of the antibacterial activity.
Route of elimination: Following oral administration, NegGram is rapidly absorbed from the gastrointestinal tract, partially metabolized in the liver, and rapidly excreted through the kidneys. Approximately four percent of NegGram is excreted in the feces.
Half Life: 1.1 to 2.5 hours in healthy adult patients, and up to 21 hours in patients with impaired renal function.
Toxicity: ORAL (LD50): Acute: 1160 mg/kg [Rat]. 572 mg/kg [Mouse]. Toxic psychosis, convulsions, increased intracranial pressure, or metabolic acidosis may occur in patients taking more than the recommended dosage. Vomiting, nausea, and lethargy may also occur following overdosage.
Affected organisms: Enteric bacteria and other eubacteria
Interactions
Food interaction:
Take with food to reduce irritation. Drink liberally.
Drug interaction:
AcenocoumarolThe quinolone antibiotic, nalidixic acid, may increase the anticoagulant effect of acenocoumarol.
AnisindioneThe quinolone antibiotic, nalidixic acid, may increase the anticoagulant effect of anisindione.
DicumarolThe quinolone antibiotic, nalidixic acid, may increase the anticoagulant effect of dicumarol.
Calcium AcetateCalcium salts such as calcium acetate may decrease the absorption of quinolone antibiotics such as nalidixic acid. Of concern only with oral administration of both agents. Interactions can be minimized by administering oral quinolone at least 2 hours before, or 6 hours after, the dose of an oral calcium supplement. Monitor for decreased therapeutic effects of oral quinolones if administered with oral calcium supplements.
WarfarinThe quinolone antibiotic, nalidixic acid, may increase the anticoagulant effect of warfarin.

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