Tosufloxacin

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Tosufloxacin

Chemical structure of Tosufloxacin

Tosufloxacin is a fluoroquinolone antibiotic used in the treatment of various bacterial infections. It is particularly effective against Gram-positive bacteria and some Gram-negative bacteria. Tosufloxacin is known for its broad-spectrum antibacterial activity and is used in clinical settings to treat infections such as respiratory tract infections, urinary tract infections, and skin infections.

Mechanism of Action

Tosufloxacin works by inhibiting bacterial DNA gyrase and topoisomerase IV, enzymes that are crucial for bacterial DNA replication and transcription. By interfering with these enzymes, tosufloxacin prevents the bacteria from multiplying and repairing their DNA, leading to bacterial cell death.

Pharmacokinetics

Tosufloxacin is well absorbed from the gastrointestinal tract when administered orally. It has a high bioavailability and is widely distributed throughout the body, including in tissues and fluids. The drug is metabolized in the liver and excreted primarily through the kidneys.

Clinical Uses

Tosufloxacin is used to treat a variety of infections, including:

Side Effects

Common side effects of tosufloxacin include nausea, vomiting, diarrhea, and headache. Like other fluoroquinolones, it may also cause more serious side effects such as tendonitis and tendon rupture, particularly in older adults and those on concurrent corticosteroid therapy.

Contraindications

Tosufloxacin should not be used in patients with a known hypersensitivity to fluoroquinolones. Caution is advised in patients with a history of seizures or central nervous system disorders.

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Contributors: Prab R. Tumpati, MD