Name: | Rifampin |
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PubChem Compound ID: | 5381226 |
Description: | A semisynthetic antibiotic produced from Streptomyces mediterranei. It has a broad antibacterial spectrum, including activity against several forms of Mycobacterium. In susceptible organisms it inhibits DNA-dependent RNA polymerase activity by forming a stable complex with the enzyme. It thus suppresses the initiation of RNA synthesis. Rifampin is bactericidal, and acts on both intracellular and extracellular organisms. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p1160) |
Molecular formula: | C43H58N4O12 |
Molecular weight: | 822.94 g/mol |
Synonyms: |
Rimactane (TN); Riforal; Rimactane; Rifadin I.V.; 8-(((4-Methyl-1-piperazinyl)imino)methyl)rifamycin SV; Rifagen; AIDS088820; Rimazid; Ramp; Rifoldin.
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Rimactane (TN); Riforal; Rimactane; Rifadin I.V.; 8-(((4-Methyl-1-piperazinyl)imino)methyl)rifamycin SV; Rifagen; AIDS088820; Rimazid; Ramp; Rifoldin; Rifobac; Rifampicinum; Rimactan; 2,7-(epoxy[1,11,13]pentadecatrienoimino)naphtho[2,1-b]furan-1,11(2H)-dione, 21-(acetyloxy)-5,6,9,17,19-pentahydroxy-23-methoxy-2,4,12,16,18,20,22-heptamethyl-8-[(E)-[(4-methyl-1-piperazinyl)imino]meth; NSC 113926; Rifampicine; 8-[[(4-Methyl-1-piperazinyl)imino]methyl]rifamycin sv; Dione 21-acetate; HSDB 3181; 5,6,9,17,19,21-Hexahydroxy-23-methoxy-2,4,12,16,18,20,22-heptamethyl-8-(N-(4-methyl-1-piperazinyl)formimidoyl)-2,7-(epoxypentadeca(1,11,13)trienimino)naphtho(2,1-b)furan-1,11(2H)-dione 21-acetate; 8-[[(4-Methylpiperazinyl)imino]methyl]rifamycin sv; R-Cin; Rifater; Rifampicin (JP15); Rifadin; Rifampicin & EEP; Rifomycin SV, 8-(N-(4-methyl-1-piperazinyl)formidoyl)-; Rifampicin & Propolis; 8CI); Rifampicin; Rf; Sinerdol; 13292-46-1; Doloresum; Fenampicin; AIDS032285; Benemicin; AIDS-007228; 3-(((4-Methyl-1-piperazinyl)imino)methyl)rifamycin SV; Archidyn; Famcin; Rifampin & CRL8131; NSC113926; Rifadine; Rifampin (USP); Rifa; RMP; 5,6,9,17,19,21-hexahydroxy-23-methoxy-2,4,12,16,18,20,22-heptamethyl-8-[N-(4-methyl-1-piperazinyl)formimidoyl]-, 21-acetate; Ba 41166/E; Rifampicina [INN-Spanish]; Rifampin; 3-(4-Methylpiperazinyliminomethyl)-rifamycin SV; Rifampin [USAN]; 3-[(4-Methyl-1-piperazinyl)iminomethyl]rifamycin SV; Rifadin (TN); Rifoldine; 8-[[(4-Methyl-1-piperazinyl)imino[methyl]rifamycin; Rifampicin SV; 3-([(4-Methyl-1-piperazinyl)imino]methyl)rifamycin SV; Tubocin; Eremfat; Rifcin; AIDS007228; RFP; C06688; Rifamycin, 3-[[(4-methyl-1-piperazinyl)imino]methyl]-; Rifamycin AMP; 2,7-(Epoxypentadeca(1,11,13)trienimino)naphtho(2,1-b)furan-1,11(2H)-dione, 5,6,9,17,19,21-hexahydroxy-23-methoxy-2,4,12,16,18,20,22-heptamethyl-8-(N-(4-methyl-1-piperazinyl)formimidoyl)-, 21-acetate (; Rifampicinum [INN-Latin]; Arzide; Rifaprodin; 3-[[(4-Methyl-1-piperazinyl)imino]-methyl]rifamycin; 2,7- (Epoxypentadeca[1,11,13]trienimino)naphtho[2, 1-b]furan-1,11(2H)-dione, 5,6,9,17,19,21-hexahydroxy-23-methoxy-2, 4,12,16,18,20, 22-heptamethyl-8-[N-(4-methyl-1-piperazinyl)formimidoyl]-, 21-acetate; yl]-, (2S,12Z,14E,16S,17S,18R,19R,20R,21S,22R,23S,24E)-; Rifaldazine; Arficin; EINECS 236-312-0; Rifamycin, 3-[[ (4-methyl-1-piperazinyl)imino]methyl]-; Rifinah; CCRIS 551; Rimactazid; Rifamor; Rifaldin; D00211; Ba 41166; Rifamycin, 3-(((4-methyl-1-piperazinyl)imino)methyl)-; Rimactizid; Rifampicine [French]; Prestwick_833; 5,6,9,17,19,21-Hexahydroxy-23-methoxy-2,4,12,16,18,20,22-heptamethyl-8-(N-(4-methyl-1-piperazinyl)formimidoyl)-2,7-(epoxypentadeca(1,11,13)trienimino)naphtho(2,1-beta)furan-1,11(2H)-dione 21-acetate; DRG-0109; AIDS-088820; 8-(4-Methylpiperazinyliminomethyl) rifamycin SV; Rifomycin sv, 8-[N-(4-Methyl-1-piperazinyl)formidoyl]-; Rifaldazin; RIF; AIDS-032285; Rifam; L-5103 Lepetit; 2,7-(Epoxypentadeca(1,11,13)trienimino)naphtho(2,1-b)furan-1,11(2H)-dione, 5,6,9,17,19,21-hexahydroxy-23-methoxy-2,4,12,16,18,20,22-heptamethyl-8-(N-(4-methyl-1-piperazinyl)formimidoyl)-, 21-acetate (8CI); Abrifam; R/AMP
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Name: | Rifampin |
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Name (isomeric): | DB01045 |
Drug Type: | small molecule |
Description: | A semisynthetic antibiotic produced from Streptomyces mediterranei. It has a broad antibacterial spectrum, including activity against several forms of Mycobacterium. In susceptible organisms it inhibits DNA-dependent RNA polymerase activity by forming a stable complex with the enzyme. It thus suppresses the initiation of RNA synthesis. Rifampin is bactericidal, and acts on both intracellular and extracellular organisms. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p1160) |
Synonyms: |
RFP
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Brand: | Rifaprodin, Riforal, Archidyn, Rifaldazine, Rifadin IV, Rifamycin, Rifadine, Rimactan, Rifoldin, L-5103 Lepetit, Rifaldin, Rifaldazin, Rimactane, R/AMP, Rifagen, RAMP, Tubocin, Rifamycin Amp, Rifoldine, Rifadin, Rifampicin SV, Rifa, Rifampicin, Rofact, Rimactin, Rfamipicin, Rimazid |
Brand name mixture: | Rifamate(Rifampin + Isoniazid), Rifater(Isoniazid + Pyrazinaamide + Rifampin) |
Category: | Antibiotics, Antituberculosis Agents, Enzyme Inhibitors, Nucleic Acid Synthesis Inhibitors, Antibiotics, Antitubercular, Leprostatic Agents |
CAS number: | 13292-46-1 |
Indication: | For the treatment of Tuberculosis and Tuberculosis-related mycobacterial infections. |
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Pharmacology: |
Rifampin is an antibiotic that inhibits DNA-dependent RNA polymerase activity in susceptible cells. Specifically, it interacts with bacterial RNA polymerase but does not inhibit the mammalian enzyme. It is bactericidal and has a very broad spectrum of activity against most gram-positive and gram-negative organisms (including Pseudomonas aerugino...
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Rifampin is an antibiotic that inhibits DNA-dependent RNA polymerase activity in susceptible cells. Specifically, it interacts with bacterial RNA polymerase but does not inhibit the mammalian enzyme. It is bactericidal and has a very broad spectrum of activity against most gram-positive and gram-negative organisms (including Pseudomonas aeruginosa) and specifically Mycobacterium tuberculosis. Because of rapid emergence of resistant bacteria, use is restricted to treatment of mycobacterial infections and a few other indications. Rifampin is well absorbed when taken orally and is distributed widely in body tissues and fluids, including the CSF. It is metabolized in the liver and eliminated in bile and, to a much lesser extent, in urine, but dose adjustments are unnecessary with renal insufficiency.
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Mechanism of Action: | Rifampin acts via the inhibition of DNA-dependent RNA polymerase, leading to a suppression of RNA synthesis and cell death. |
Absorption: | Well absorbed from gastrointestinal tract. |
Protein binding: | 89% |
Biotransformation: | Primarily hepatic, rapidly deacetylated. |
Route of elimination: | Less than 30% of the dose is excreted in the urine as rifampin or metabolites. |
Half Life: | 3.35 (+/- 0.66) hours |
Clearance: | 0.19 +/- 0.06 L/hr/kg [300 mg IV] 0.14 +/- 0.03 L/hr/kg [600 mg IV] |
Toxicity: | LD50=1570 mg/kg (rat), chronic exposure may cause nausea and vomiting and unconsciousness |
Affected organisms: | Mycobacteria||Various gram-negative and gram-positive eubacteria |
Food interaction: |
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Drug interaction: |
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UniProt ID: | P0A8V2 | |||||
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Gene: | rpoB | |||||
Actions: | inhibitor | |||||
References: |
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UniProt ID: | P0A8T7 | |||||
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Gene: | rpoC | |||||
Actions: | inhibitor | |||||
References: |
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UniProt ID: | O75469 | ||
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Gene: | NR1I2 | ||
Actions: | agonist | ||
References: |
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UniProt ID: | P11712 | |||
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Gene: | CYP2C9 | |||
Actions: | substrate, inducer | |||
References: |
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UniProt ID: | P05177 | |
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Gene: | CYP1A2 | |
Actions: | inducer | |
References: |
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UniProt ID: | P10632 | |||
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Gene: | CYP2C8 | |||
Actions: | substrate, inhibitor, inducer | |||
References: |
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UniProt ID: | P08684 | ||
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Gene: | CYP3A4 | ||
Actions: | substrate, inducer | ||
References: |
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UniProt ID: | P20813 | |||
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Gene: | CYP2B6 | |||
Actions: | inducer | |||
References: |
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UniProt ID: | P22309 | ||
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Gene: | UGT1A1 | ||
Actions: | inducer | ||
References: |
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UniProt ID: | P33261 | |
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Gene: | CYP2C19 | |
Actions: | inducer | |
References: |
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UniProt ID: | P11509 | |
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Gene: | CYP2A6 | |
Actions: | substrate, inhibitor, inducer | |
References: |
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UniProt ID: | P05181 | |
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Gene: | CYP2E1 | |
Actions: | inducer | |
References: |
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UniProt ID: | Q9HB55 | |
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Gene: | CYP3A43 | |
Actions: | inducer | |
References: |
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UniProt ID: | P20815 | |
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Gene: | CYP3A5 | |
Actions: | inducer | |
References: |
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UniProt ID: | P24462 | |
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Gene: | CYP3A7 | |
Actions: | inducer | |
References: |
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UniProt ID: | Q02928 | |
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Gene: | CYP4A11 | |
Actions: | inducer | |
References: |
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UniProt ID: | P08183 | ||||||||||
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Gene: | ABCB1 | ||||||||||
Actions: | substrate, inhibitor, inducer | ||||||||||
References: |
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UniProt ID: | Q9NPD5 | |||
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Gene: | SLCO1B3 | |||
Actions: | substrate, inhibitor | |||
References: |
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UniProt ID: | P33527 | |
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Gene: | ABCC1 | |
Actions: | inhibitor | |
References: |
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UniProt ID: | O94956 | |
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Gene: | SLCO2B1 | |
Actions: | inhibitor | |
References: |
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UniProt ID: | O95342 | ||||
---|---|---|---|---|---|
Gene: | ABCB11 | ||||
Actions: | inhibitor | ||||
References: |
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UniProt ID: | P46721 | ||||
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Gene: | SLCO1A2 | ||||
Actions: | inhibitor | ||||
References: |
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UniProt ID: | Q9Y694 | |
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Gene: | SLC22A7 | |
Actions: | inhibitor | |
References: |
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UniProt ID: | Q9Y6L6 | ||||
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Gene: | SLCO1B1 | ||||
Actions: | inhibitor | ||||
References: |
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UniProt ID: | O15440 | |
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Gene: | ABCC5 | |
Actions: | inducer | |
References: |
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UniProt ID: | Q92887 | ||
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Gene: | ABCC2 | ||
Actions: | inducer | ||
References: |
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UniProt ID: | O15438 | |
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Gene: | ABCC3 | |
Actions: | inducer | |
References: |
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