Thursday, July 4, 2013

Kaempferia parviflora Wall. ex Baker


Local name: Kalahalood (Chakma), Cepaimba (Marma), Black Ginger
Latin name: Kaempferia parviflora Wall. ex Baker; Family (Zingiberaceae)
Synonym: Kaempferia rubromarginata (S.Q.Tong) R.J.Searle; Stahlianthus rubromarginatus S.Q.Tong
Description: A stemless, small, rhizomatous herb, up to 20 cm tall. Rhizome small, deep purple within. Leaves 1-several, 8-16 cm long, obovate to elliptic, slightly unequal sided, acute or acuminate, base, subcordate, peliole short, channeled. Flowers few in a sessile central tuft; corolla white; lip ovate-cuneate, emerginate, white with purple blotch at the middle.

Kaempferia parviflora Wall. ex Baker; Family (Zingiberaceae)
Distribution:
Thailan, Viet Nam. available in the homestead of tribal healers.
Chemical Constituents: The chemical constituents from Kaempferia parviflora are consisting of 5,7-dimethoxyflavone, 5-hydroxy-3,7,4′-trimethoxyflavone and 5-hydroxy-3,7-dimethoxyflavone and almost major flavones compounds.
Ethnopharmacology:
- Black Ginger or Krachai Dam in Thai (Kaempferia parviflora) is an herbaceous plant belonging to the Zingiberaceae family. Since ancient time, it has traditionally been used as a health promoting, stimulating and vitalizing agent.
- This plant is very popular for using stimulate sexual performance mostly in male, have various products form viable in the market. In Thai traditional medicine this plant is one of all popular plant have been use for a long time.
Rejuvenation and sex enhancement
- Black Ginger has many interesting activity and the one of the most interest is sex enhancement and rejuvenation. Black Ginger contains substantial amounts of PDE5 inhibitors, which act like Viagra, and it also enhances sex performance by increase blood-flow to the testis and stimulates dopaminergic function in hypothalamus.
- Moreover, Black Ginger can help increasing sperm density and promotes health by its other effects such as adaptogenic activity, reducing triglycerides, preventing diabetes and etc.
Benefits:
- Aphrodisiac activity (enhance sexual desire, sexual motivation and sexual performance)
- Increase sperm density and increase condensation of lysosome in the basal part of Sertoli cells
- Antiplasmodial, antifungal and mild antimycobacterial
- Excellent antioxidant
- Anti-inflammatory
- Adaptogenic activity
- Anti-allergic activity
- Anticholinesterase activity (prevent and cure Alzheimer’s disease)
- Anti-gastric ulcer effect
- Antiobesity effects
- Anxiolytic and antidepressant effects.
Quality Control:
5,7-dimethoxyflavone and 5-hydroxy-3,7,4′-trimethoxyflavoneis is the flavones which are used for standardization of crude extract by HPLC fingerprints for control a quality.
Side effects:
Kaempferia has mild side effects which include underarm sweating and increased body temperature. More serious side effects on high doses include heart beat speeding and arrhythmia or irregular heart rhythm. This limits the usefulness of this herb in high doses.
Dosage and Safety
Maximum dose depends on each country’s FDA restrict
- Should not use if under 25 years of age, who are diagnosed with Hypertension, tumors/cancer in Prostate and Benign Prostatic Hyperplasia (BPH).
Common Names: Kapok, Ceiba, Silk-cotton tree
Botanic name: Ceiba pentandra (L.) Gaertn.
Synonyms: Eriodendron anfractuosum DC. (1824).

Ceiba pentandra (L.) Gaertn.
Ceiba pentandra (L.) Gaertn.

Uses
Ceiba pentandra has two main uses, being an important source of fibre and of timber. Historically it has been most important as a source of kapok fibre, the floss derived from the inner fruit wall. Kapok fibre is used for stuffing cushions, pillows and mattresses, and for insulation, absorbent material and tinder. The use of kapok fibre declined in the late 20th century after the introduction of synthetic substitutes. However, there is a renewed interest in the potential of kapok, using new processing techniques, especially in textile applications. The fibre may also have potential as a biodegradable alternative to synthetic oil-sorbent materials, due to its hydrophobic-oleophilic properties.
Currently, the main use of Ceiba pentandra is as a source of timber. The wood (trade names: ‘fuma’, ‘ceiba’) is mostly used in plywood manufacturing, but also for making boxes and crates, and for lightweight joinery. Traditionally, entire trunks are hollowed out as dugout canoes, and the wood is used for lightweight furniture, utensils, containers, musical instruments, mortars, carvings and similar items. It is suitable for insulation, wooden sandals, heels, rafts, floats, lifeboats, models, insulation and particle board. The buttresses are made into doors, table tops, plates and trays.
The wood is suitable for papermaking. Although it has been recorded to be used as fuelwood in DR Congo, it is not considered very suitable as such, because it onlysmoulders. The wood can be used for fumigating huts or clothes. Wood ash is used as kitchen salt and for soap making. The bark is used for making hut walls and doors and yields a gum and a reddish brown dye. The leaves and shoots are fodder for goats, sheep and cattle. The leaves, flowers and young fruits are eaten cooked into sauces. The flowers are visited by bees, producing an amber-coloured honey with a characteristic taste. Ash from the fruits is locally made into snuff.
A use that has attracted commercial interest is as a source of seed oil, which has been used in soap, and pharmaceutical manufacturing. The oil can also be used for illumination, paint manufacturing and lubrication. It has been used for culinary purposes, but this is not advisable for health reasons. The seed cake is good as feed or as fertilizer. The seeds are eaten roasted or they are pounded and ground into meal or cooked in soup. They are, however, said to upset the digestion.
Ceiba pentandra finds wide application in African traditional medicine. The root forms part of preparations to treat leprosy. Pulverized roots and root decoctions are taken against diarrhoea and dysentery. Root decoctions are oxytocic. Macerations of the root bark are drunk against dysmenorrhoea and hypertension. The root and stem barks are credited with emetic and antispasmodic properties. Stem bark decoctions are used in mouth washes for treating toothache and mouth problems, and are taken to treat stomach problems, diarrhoea, hernia, gonorrhoea, heart trouble, oedema, fever, asthma and rickets; they are also applied on swollen fingers, wounds, sores, furuncles and leprous macules. Bark extracts are considered emetic; they are drunk or applied as an enema. Macerations of the bark are a cure for heart trouble and hypertension, and are credited with stimulant and anthelminthic properties. The powdered bark is applied on wounds. Gum from the bark is an astringent and is used to treat diarrhoea and as an abortifacient. The leaves are credited with emollient and sedative properties. They are used against scabies, diarrhoea, fatigue and lumbago, and as an alterative, laxative and abortifacient. Young leaves are warmed and mixed with palm oil to be eaten against heart problems. Pounded leaves are applied as a dressing on sores, tumours, abscesses and whitlows. Leaf sap is applied on skin infections, and drunk to treat mental illness. Leaf macerations are drunk or used in baths against general fatigue, stiffness of the limbs, headache and bleeding of pregnant women. Leaf preparations are used as an eye-bath to remove foreign bodies from the eye. A decoction of the leaves is applied to treat conjunctivitis and wounds in the eye, and is used for bathing and massage to treat fever. In veterinary medicine a decoction of the leaves is given to treat trypanosomiasis. The flowers are taken to treat constipation, and flowers and fruits are credited with emollient properties. The powdered fruit is taken with water against intestinal parasites and stomach-ache. Kapok fibre is used for cleaning wounds. The seed oil is rubbed in for treatment of rheumatism and applied to heal wounds.
Ceiba pentandra is planted as a wayside and shade tree. The tree is sometimes left by farmers after clearing the forest for agricultural land, to serve as a shade tree for cultivation of crops such as coffee and tea. It is increasingly planted as an ornamental in subtropical areas. The kapok tree has sacred significance for local peoples in many parts of the world, including tropical Africa, where it often serves as a tree under which meetings are held.

Saturday, May 18, 2013

Common Name: Texas frogfruit, Turkey tangle fogfruit, Frogfruit
Botanical Name: Phyla nodiflora (L.) Greene, Family - Verbenaceae.
Local name: Lức dây, Lức lan, Dây lưỡi, Sài đất giả, Chè rừng

Phyla nodiflora (L.) Greene, Family - Verbenaceae.
Phyla nodiflora (L.) Greene, Family - Verbenaceae.

Friday, May 17, 2013

3.9 Tetracyclines


The tetracyclines are a conglomerate of broad spectrum orally active actinomycete antibiotics produced by cultures of Streptomyces species, and possessing appreciable therapeutic value. Chlortetracycline was the first bonafide member of this group isolated from Streptomycesaureofaciens and discovered by Duggar in 1948. It was immediately followed by oxytetracycline in 1950 from the cultures of Streptomyces rimosus; and in 1953 tetracycline was eventually discovered in the antibiotic mixture from S. aureofaciens as a minor antibiotic.
tetracycline

Consequently, the intensive and extensive research and development in the selection of mutant strains, and specifically in the manipulations and manifestations to monitor and control both ‘methylation’ and ‘chlorination’ procedures have resulted in the fermentative production of a good number of tetracycline variants, namely: demeclocycline, methacycline, doxycycline, minocycline, lymecycline as given below:
These compounds shall now be discussed individually as under:
3.9.1 Tetracycline
Synonyms Deschlorobiomycin; Tsiklomitsin; Abricycline; Ambramycin; Bio-Tetra; Cyclomycin; Dumocyclin; Tetradecin;
Biological Source It is obtained from a Streptomyces species cultured in an appropriate nutrient medium.
Preparation It may be prepared by removal of chlorine from chlortetracycline and subjecting it to hydrogenation.
Chemical Structure Please see Section 3.9.
Characteristic Features
1. It is obtained as a yellow crystalline powder; odourless, and stable in air.
2. It usually darkens on exposure to strong sunlight.
3. Its potency is seriously affected in solutions of pH < 2.
4. It is destroyed rapidly by alkali hydroxide solutions.
5. It is found to be more soluble than chlortetracycline.
6. It is rather more stable within the physiological and moderately alkaline spectrum of pH.
7. The solutions of tetracycline gets darkened more rapidly than chlortetracycline but less than oxytetracycline.
8. The pH of an aqueous suspension (1 mg . mL–1) ranges between 3.0 to 7.0.
9. Its dissociation constant pKa are: 3.3; 7.7; 7.9.
10. Solubility Profile: 1g is soluble in ~ 2500 mL water; ~ 50 mL ethanol; freely soluble in dilute HCl or alkali hydroxide solutions; and almost insoluble in ether or chloroform.
Uses
1. It is found to be useful in the treatment of toxoplasmosis.
2. The GI side effects are comparatively less than those from chlortetracycline and oxytetracycline but more than from demeclocycline.
3. The plasma half-life ranges between 6 to 11 hours in patients with normal renal function. Tetracycline Hydrochloride [C22H24N2O8.HCl] [Synonyms Achro; Achromycin; Ala Tet; Ambracyn; Ambramicina; Bristaciclina; Cefracycline; Cyclopar; Diocyclin; Hostacyclin;Mephacyclin; Panmycin; Polycycline; Quadracycln; Remicyclin; Sanclomycine; Supramycin; Tetramycin; Topicycline; Totomycin; Unicin.
Characteristic Features
1. The crystals of tetracycline hydrochloride are obtained from butanol + HCl which decomposes at 214°C.
2. Its specific optical rotation [α]D25-257.9° (C = 0.5 in 0.1 N HCl).
3. It is freely soluble in water; soluble in methanol, ethanol; and insoluble in ether and hydrocarbons.
4. The pH of a 2% (w/v) aqueous solution ranges between 2.1-2.3.
3.9.2 Chlortetracycline
Synonyms 7-Chlorotetracycline; Acronize; Aureocina; Aureomycin; Biomitsin; Centraureo; Chrysomykine; Orospray.
Biological Source It is obtained from the substrate of Streptomyces aureofaciens.
Chemical Structure Please refer to Section 9.3.9.
Characteristic Features
1. It is obtained as golden-yellow crystals having mp 168-169°C.
2. It has specific optical rotation [α]D23-275.0° (methanol).
3. It has uvmax (0.1 N HCl): 230, 262.5, 267.5 nm, and (0.1N NaOH): 255, 285, 345 nm.
4. Its solubility in water ranges between 0.5-0.6 mg mL–1, very soluble in aqueous solutions above pH 8.5; freely soluble in the cellosolves, dioxane and carbitol; slightly soluble in methanol, ethanol, butanol, acetone, benzene, ethyl acetate; and almost insoluble in ether and petroleum ether.
Uses
1. It exerts antiamebic activity.
2. It is the first tetracycline antibiotic available for topical application, including ophthalmic purposes.
3. Though its general use has been replaced by other tetracycline antibiotics in human beings, but it is still employed in veterinary medicine.
3.9.3 Oxytetracycline
Synonyms Glomycin; Riomistin; Hydroxytetracycline.
Biological Sources It is an antibiotic substance obtained from the elaboration products of the actinomycete, Streptomyces rimosus, grown on a suitable medium. Oxytetracycline may also be obtained from Streptomyces xanthophaeus.
Chemical Structure Refert to Section 3.9.
Characteristic Features
1. It is obtained as pale yellow to tan, odourless, crystalline powder.
2. It is fairly stable in air, but an exposure to strong sunlight gets darkened.
3. Like tetracycline it also gets deteriorated in solution of pH less than 2, and is quickly destroyed by alkali hydroxide solutions.
4. Its saturated solution is almost neutral to litmus and shows a pH ~ 6.5.
5. Solubility Profile: 1g in 4150 mL water; 100 ml ethanol; > 10,000 ml chloroform; 6250 mL ether; and freely soluble in diluted HCl or alkaline solutions.
6. Stability: Its crystals exhibit no loss in potency on heating for a duration of 4 days at 100°C; whereas the hydrochloride crystals show < 5% inactivation after 4 months at 56°C. It has been observed that the aqueous solutions of the hydrochloride at pH 1.0 to 2.5 are quite stable for at least 30 days at 25°C. It has been observed that the aqueous solutions of the hydrochloride at pH 1.0 to 2.5 are quite stable for at least 30 days at 25°C. However, its solutions at pH 3.0 to 9.0 show no detectable loss in potency on storage at + 5°C for at least 30 days. Half life in hours at aqueous oxytetracycline solutions at 37°C: pH 1.0 = 114; pH 2.5 = 134; pH 4.6 = 45; pH 5.5 = 45; pH 7.0 = 26; pH 8.5 = 33; and pH 10.0 = 14.
Oxytetracycline Hydrochloride [C22H24N2O9.HCl] [Synonyms Alamycin, Duphacycline; Engemycin; Geomycin; Oxlopar; Oxybiocycline; Oxycyclin Oxy-Dumocyclin; Oxytetracid; Oxytetrin; Tetran; Vendarcin]
It is obtained as yellow platelets from water and is found to be extremely soluble in water (1g/mL). It is also soluble in absolute ethanol: 12,000 g/mL; and in 95% (v/v) ethanol: 33,000 g/mL.
Note: Its concentrated aqueous solutions at neutral pH hydrolyze on standing and consequently deposit crystals of oxytetracycline. Oxytetracycline Dihydrate [C22H24N2O9.2H2O] [Synonyms Abbocin; Clinimycin; Oxymycin; Stevacin; Terramycin; Unimycin]
It is obtained as needles from water or methanol which decompose at 181-182°C. Its specific optical rotations are: [α]D25-2.1° (0.1N NaOH); and [α]D25-196.6 (0.1N HCl). It has uvmax (pH 4.5 phosphate buffer 0.1 M): 249, 276, 353 nm (E1%1cm 240, 322, 301). It is found to be soluble in water at 23°C at various pH's: pH 1.2 = 31, 400 g/mL; pH 2.0 = 4600 γ/mL; pH 3.0 = 1400 γ/mL; and pH 9.0 = 38,600 γ/mL. It is soluble in absolute ethanol 12,000 γ/mL and in 95% (v/v) ethanol 200 g/mL.
3.9.4 Demeclocycline
Synonyms Bioterciclin; Declomycin; Deganol; Ledermycin; Periciclina; Demethylchlortetracycline (obsolete).
Biological Source Demeclocycline is related to tetracycline and produced by Streptomyces aureofaciens.
Preparation A suitable strain of S. aureofaciens is grown in an appropriate liquid nutrient medium under controlled experimental parameters of pH, temperature, and extent of aeration. Subsequently, the duly harvested broth is acidified carefully and filtered. The demeclocycline is isolated from the resulting filtrate, either by solvent extraction or by chemical precipitation.
Chemical Structure Refer to section 3.9.
Characteristic Features
Demeclocycline Hydrochloride [C21H21ClN2O8.HCl] [Synonyms: Clortetrin; Demetraciclina; Detravis; Meciclin; Mexocine]
1. It is obtained as yellow, crystalline powder, odourless and having a bitter taste.
2. The pH of 1 in 100 solution is ~ 2.5.
3. It essentially has three distinct dissociation constants, namely: pKa1, 2, 3: 3.3, 7.2, 9.3 attributed by three separate zones in its complex molecule as shown below:
Demeclocycline Hydrochloride
4. Solubility Profile: 1g soluble in ~ 60 mL water; 200 mL ethanol or 50 mL methanol; sparingly soluble in alkali hydroxides or carbonates; and almost insoluble in chloroform.
Uses
1. It is an intermediate-acting tetracycline and causes comparatively a greater extent of phytotoxicity than other members of its class.
2. Its better absorption and slower exeretion by the body render blood levels that distinctly afford certain minor therapeutic advantages than other members of its class.
Demeclocycline Sesquihydrate It has mp 174-178°C (decomposes); and specific optical rotation [α]25D-258° (C = 0.5 in 0.1 N H2SO4).
3.9.5 Methacycline
Synonyms Metacycline, Bialatan; 6-Methylene-5-hydroxytetracycline.
Biological Source It is broad spectrum, semi-synthetic antibiotic related to tetracycline, which is obtained from Streptomyces rimosus.
Preparation It may be prepared by a chemical dehydration reaction from oxytetracycline; besides, it has a methylene function at C-6 position.
Chemical Structure Please refer to Section 3.9.
Characteristic Features
Methacycline Hydrochloride [C22H22N2O8.HCl] [Synonyms Adriamicina; Ciclobiotic;
Germiciclin; Metadomns; Metilenbiotic; Londomycin; Optimycin; Physiomycine; Rindex; Rondomycin]:
1. It is invariably obtained as crystals containing 0.5 mole water and 0.5 mole methanol; and also from a mixture of methanol + acetone + concentrated HCl + ether. It is a yellow crystalline
powder which decompose at ~ 205°C and has a bitter taste.
2. It has uvmax (methanol + 0.1 N HCl): 253, 345 nm (log e 4.37, 4.19).
3. It is found to be soluble in water; sparingly soluble in ethanol; and practically insoluble in chloroform and ether.
Uses
1. The utility of methacycline is particularly associated with good oral absorption.
2. It has a prolonged serum half-life.
3.9.6 Doxycycline
Synonyms Jenacylin; Supracyclin; Vibramycin.
Preparation Methacycline (i.e., 6-deoxy-6-demethyl-6-methylene-5-oxytetracycline) is either dissolved or suspended usually in an inert organic solvent, for instance: methanol and subjected to hydrogenation under the influence of catalytic quantities of noble metals, namely: Rhodium or Palladium to yield a mixture of the 6α-and 6β-methyl epimers. The desired epimer i.e., α-6-deoxy-5-hydroxytetracycline, is subsequently isolated by specific chromatographic methods (US Pat 3,200,149).
Chemical Structure Refer to Section 3.9.
Characteristic Features
Doxycycline Hydrochloride Hemiethanolate Hemihydrate [C22H25Cl N2O8.1/2C2H60.1/2H2O]
[Synonyms Doxycycline hyclate; Azudoxat; Diocimex; Doxatet; Doxychel hyclate; Duradoxal; Hydramycin; Paldomycin; Sigadoxin; Tetradox; Unacil; Vibramycin hyclate; Vibra-Tabs; Zadorin]:
1. It is obtained as light yellow, crystalline powder from ethanol + HCl; and gets charred without melting at ~ 201°C.
2. It has specific optical rotation [α]25D-110°C (C = 1 in 0.01 N methanolic HCl).
3. It has uvmax (0.01N methanolic HCl): 267, 351 nm (log ε 4.24, 4.12).
4. It is found to be soluble in water.
5. Both the inherant ethanol and water of crystallization (1/2 mol of each) are usually lost by subject to drying at 100°C under reduced pressure.
6. Its dissociation constant has three values, namely: pKa 3.4, 7.7, and 9.7 (see demeclocycline).
7. Solubility Profile: It is very slightly soluble in water; freely soluble in dilute acid or alkali hydroxide solution; sparingly soluble in ethanol; and practically insoluble in ether or chloroform.
Uses
1. The 6α-isomer of doxycycline is found to be more active biologically than the corresponding 6β-epimer hydrochloride.
2. It is active against Gram-positive organisms wherein it is almost twice as potent as tetracycline; and having an exception that it is virtually 10 times as potent against Streptomyces viridans.
3. Interestingly, strains of Enterococcus fecalis that are observed to be more resistant to other tetracyclines may prove to be sensitive to this drug.
4. Against Gram-negative organisms it is found to be twice as potent as tetracycline.
5. It is considered to be the drug of first choice for the prophylaxis of traveler’s diarrhea, commonly caused by enterotoxigenic E. coli.
6. It is found to be the best amongst the ‘tetracyclines’ against anaerobes.
7. It is absorbed almost completely i.e., 90 to 100% through oral administration than the rest of tetracyclines, and its absorption does not seem to be retarded by intake of foods.
8. Its plasma-protein binding is almost 93%.
9. Its volume of distribution stands at 0.75 mL g–1.
10. It is found to penetrate rapidly body fluids, cavities and cells.
11. It is invariably eliminated upto 65% through hepatic metabolism, and the balance 35% through biliary/renal exertion.
12. The rate of exertion is rather slow and the half-life is the longest among the ‘tetracyclines’, namely, 12 to 22 hr.
Note: 1. Photosensitization usually takes place more frequently as compared to other shorteracting tetracyclines.
2. Complexation with Ca2+ is to a lesser extent than other tetracyclines; besides, it is not affected by either dairy products or foods.
3.9.7 Minocycline
Synonyms Minocyn.
Biological Source It is a semi-synthetic antibiotic obtained from 6-demethyl tetracycline.
Preparation 6-Demethyl tetracycline is first dissolved in tetrahydrofuran (solvent) containing aliquot quantity of methanesulphonic acid, and is subsequently reacted with dibenzyl azodicarboxylate to form 7-[1, 2-bis (carbobenzoxy) hydrazino]-6-demethyl-tetracycline. The resulting-product is subjected to Pd-catalyzed hydrogenation in the presence of formaldehyde to yield the desired product minocycline.
Chemical Structure Refer to section 3.9.
Characteristic Features
1. It is obtained as bright yellow-orange amorphous solid.
2. Its specific optical rotation [α]25D-116° (C = 0.524).
3. It has uvmax (0.1N HCl): 352, 263nm (log ε 4.16, 4.23); (01 N NaOH) : 380, 243 nm (log ε 4.30; 4.38).
Uses
1. It is readily absorbed from the intestinal tract.
2. It has a slow renal clearance to afford prolonged blood levels; and is normally characterized by relatively lower MICs as compared to other tetracycline antibiotics for certain pathogenic organisms.
Minocycline Hydrochloride [C23H27N2O7.HCl] [Synonyms Klinomycin Minomycin; Veetrin]
Characteristic Features
1. It is obtained as yellow, crystalline powder, odourless, slightly bitter taste and slightly hygroscopic in nature.
2. It is fairly stable in air when protected from light and moisture; however, strong uv-light and/or moist air causes it to darken rather rapidly.
3. Its potency* in solution is primarily affected on account of epimerization.
4. The pH of 1 in 100 solution ranges between 3.5 to 4.5.
5. It distinctly gives rise to four dissociation constant values, namely: pKa12.8; pKa2 5; pKa3 7.8; and pKa4 9.3; mainly due to an additional dimethylamino moiety at e-7 position (compare with demeclocycline, Section 9.4).
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* Potency: It is equivalent to not less than 785 mcg of minocycline mg–1.

6. Solubility Profile: 1 g in nearly 60 mL water and ~ 70 mL alcohol; soluble in solutions of alkali hydroxides or carbonates; and almost insoluble in chloroform and ether.
Uses
1. Generally, it is found to be 2-4 times as potent as tetracycline against majority of Gram-positive bacteria.
2. It is found to exhibit an equally low-potency against Enterococcus fecalis.
3. It is almost 8 times as potent as tetracycline against Streptococcus viridans.
4. It is 2 to 4 times as potent as tetracycline against Gram-negative organisms.
5. It is now the drug of choice for treating infections caused by Mycobacterium marinum.
Note: It particularly differs from other tetracyclines wherein the bacterial resistance to the drug is not only of low incidence but also of a lower order; which is especially true to staphylococci, in which cross-resistance is observed to be as low as 4%.
6. It is absorbed by the oral route to the extent of 90-100%.
7. Diminution in absorption is caused exclusively by food and milk and substantially by iron preparations and nonsystemic antacids.
8. It is normally protein-bound in plasma between 70-75%.
9. Its ‘volume of distribution’* ranges between 0.14 to 0.7 mLg–1.
10. Its half-life varies between 11 to 17 hours.
3.9.8 Lymecycline
Synonyms Armyl; Ciclolysol; Mucomycin; Tetralisal; Tetramyl; Tetralysal; N-Lysinomethyl tetracycline.
Biological Source It is a semi-synthetic antibiotic related to tetracycline. It is a classic example of an antibiotic developed by qualified chemical modification of the primary amide function at C-2.
Preparation It may be prepared by the method suggested by Tubaro and Raffaldoni.**
Chemical Structure Refer to Section 3.9.
Characteristic Features
Lymecycline Sodium [C29H37N4NaO10]: It has uvmax (CH3OH): 376 nm. It is used as a potent antibacterial agent.
3.9.9 Biosynthesis of Chlortetracycline
The various steps involved in the biosynthesis of chlortetracycline are as stated below:
1. A malonamyl-CoA residue probably caters for as a ‘primer’; and eight such malonate entities undergo stepwise condensations with the addition of C2units and followed by decarboxylation to yield a linear C19 polyketide.
2. Subsequently, the carbonyl-methylene condensations give rise to the tetracyclic pretetramide nucleus.
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* Volume of Distribution It is pharmacokinetic parameter representing a proportionality constant that relates drug
concentration in a reference fluid, typically plasma, to the amount of drug distributed throughout the body.
** Tubaro and Raffaldoni, Bull. Chim. Farm., 100, 9 (1961).

3. Importantly, methylation at the C-6 position of the pretetramide is normally regarded an initial step in the biosynthesis of most tetracyclines; however, this particular step is usually left out in the creation of the naturally occurring dimethyl tetracyclines.
4. Hydroxylation at the C-4 position followed by dearomatization to produce a 4-keto intermediate appears to precede 7-chlorination.
5. It is necessary that halogenation should precede introduction of the 4-amino group, which is methylated in a stepwise manner.
6. Terminal reactions in the biosynthetic sequence are carried out in two stages: first, hydroxylation at C-6 position; and secondly, reduction of double bond in ring B.
7. It is, however, interesting to absence that the presence of a 7-halogen substituent evidently blocks 5-hydroxylation.
The various steps involved in the biosynthesis of chlortetracycline may be summarized as given below:
 biosynthesis of chlortetracycline

Tuesday, May 14, 2013

Ageratum conyzoides L.; Family Asteraceae


Latin name: Ageratum conyzoides L.; Family Asteraceae
Local names: Cây cứt lợn, Cây ngũ sắc, Cây ngũ vị, Cỏ hôi.
English names: White weed, appa grass, conyzoid floss-flower, bastard agrimony.
Description:
Herbs, annual, 50-100 cm tall, sometimes less than 10 cm, with inconspicuous main root. Stems robust, ca. 4 cm in diam. at base, simple or branched from middle, stems and branches reddish, or green toward apex, white powdery puberulent or densely spreading long tomentose. Leaves often with axillary abortive buds; petiole 1-3 cm, densely white spreading villous; median leaves ovate, elliptic, or oblong, 3-8 × 2-5 cm; upper leaves gradually smaller, oblong, sometimes all leaves small, ca. 1 × 0.6 cm, both surfaces sparsely white puberulent and yellow gland-dotted, basally 3-veined or obscurely 5-veined, base obtuse or broadly cuneate, margin crenate-serrate, apex acute. Capitula small, 4-14, in dense terminal corymbs; peduncle 0.5-1.5 cm, powdery puberulent; involucre campanulate or hemispheric, ca. 5 mm in diam.; phyllaries 2-seriate, oblong or lanceolate-oblong, 3-4 mm, glabrous, margin lacerate; corollas 1.5-2.5 mm, glabrous or apically powdery puberulent; limb purplish, 5-lobed. Achenes black, 5-angled, 1.2-1.7 mm, sparsely white setuliferous; pappus scales 5 or awned, 1.5-3 mm. Fl. and fr. year-round.

Ageratum conyzoides L
Ageratum conyzoides L.; Family Asteraceae

Distribution: Common weed everywhere.
Parts used: The whole plant, except the roots (Herba Agerati), is collected throughout the year. It is used fresh or dried.
Chemical composition:  The plant yields 0.7-2% essential oil consisting of ageratochromene, dimethoxy - ageratochromene, cadinene and caryophyllene; it also contains alkaloids and saponins.
Pharmacology: Anti-inflammatory, arresting pain and antibiosis.
Properties & Actions: Pungent, little bitter, cool. Clearing heat and detoxifying and arresting bleeding and pain.
Indications & Usage: Pyrexia induced by influenza, swelling and pain in the throat, empsyxis, non-traumatic hemorrhage, metrorrhagia and metrostaxis, pain in the gastric cavity and abdomen, rheumatic arthralgia. Oral administration: decocting, 15-30g; fresh products: doubled in amount; or powdered or smashed to extract juice. External application: appropriate amount, smashed; powdered to blow throat or infused with water or wine.
Examples 
1. Throat diseases:fresh leaves of tropic ageratum herb 30-60g, wash clean, squeeze juice, prepare with crystal sugar and drink, 3 times each day.
2. Pyrexia due to common cold: white sweet clover 60g. Decoct in water and swallow.
3. Epistaxis:knead the fresh leaves of white sweet clover and block nose.

Adenosma indianum (Lour.) Merr.


Botanical name: Adenosma indianum (Lour.) Merr.; Family Scrophulariaceae
Synonyms: Adenosma capitatum (Benth.) Benth. ex Hance; Manulea indiana Lour.; Pterostigma capitatum Benth.; Pterostigma spicatum Benth.; Stoechadomentha capitata Kuntze
Local names: Bồ bồ, Chè đồng, chè nội, chè cát, nhân trần hoa đầu
Description: Annuals, 19-60(-100 or more) cm tall, densely hairy. Stems erect, branched. Petiole 2-6 mm; leaf blade ovate to narrowly elliptic, 1.5-4.5 x 0.5-1.2 cm, densely glandular hairy, abaxially villous along veins and brown when dry, adaxially villous and blackish when dry, margin serrate, apex obtuse. Inflorescences globose to cylindric spicate, 0.7-2 X 0.7-1.1 cm, dense; bracts narrowly ovate, forming an involucre at base of spikes. Flowers sessile. Bracteoles linear, 3-4 mm. Calyx 4-5 mm; lobes narrowly ovate to oblong-lanceolate, 2-3 mm, apex acuminate. Corolla pale purple to dark blue, ca. 6 mm; throat hairy; lower lip lobes equal, suborbicular, ca. 1 X 1-1.2 mm; upper lip retuse to 2-lobed. Anterior anthers with 1 locule fertile; posterior anthers with both locules fertile. Ovary narrowly ovoid. Capsule ovoid, ca. 3 mm, 2-grooved. Seeds yellow. Fl. and fr. Sep-Nov..

Adenosma indianum (Lour.) Merr.
Adenosma indianum (Lour.) Merr.; Family Scrophulariaceae
Distribution:  Commonly found wild in mountainous regions, especially on hillsides and field-edges.
Parts used:The whole plant is collected in summer during its flowering period (Herba Adenosmatis Indiani). It is carefully washed then subjected to thorough air-drying.
Chemical composition:  The plants contain triterpenoid saponins, phenolic acids, coumarins and flavonoids. The volatile oil from the plant consists of L. fenchone 35%, limonene 22.6%, cineol 5.9%, piperitenon oxide and sesquiterpene oxide.
Therapeutic uses:
The whole plant, except the roots, constitutes an antibacterial, cholagogic, diuretic and stomachic remedy. It is useful for the treatment of jaundice in viral hepatitis, oliguria, biliuria, fever, ophthalmalgia, vertigo and dyspepsia in parturients. It is prescribed in a daily dose of 10 to 20g in the form of a decoction, extract or syrup.

Monday, May 13, 2013

NGU TRAO


Latin Name: Vitex negundo L. var. cannabifolia (Sieb. et Zucc.) Hand. -Mazz. Family (Verbenaceae)
English Name: Hempleaf Negundo Chastetree, Chastetree.
Description: Machaka or dungarunga; branchlet 4 angled. Leaf opposite, palmately compound leaf, leaflets 5, rarely 3; aphlebia lanceolate or elliptical lanceolate, tip gradually pointed, basal part wedge shaped, margin with thick sawtooth, surface green, backface light green, generally covered with soft hairs. Panicle basidixed, 10-20cm long; corolla light purple, fruit nearly spherical, black. Flowering: June to July; fruiting: August to November.

Vitex negundo L. var. cannabifolia (Sieb. et Zucc.) Hand. -Mazz
Vitex negundo L. var. cannabifolia (Sieb. et Zucc.) Hand. -Mazz
Vitex negundo L. var. cannabifolia (Sieb. et Zucc.) Hand. -Mazz. Family (Verbenaceae)

Distribution: Growing on hill-slopes, roadsides and in thickets. Distributed in Vietnam
Part Used: Medical part: fresh leaves. Chinese name: Mujingye.
Harvest & Processing: Collected in summer and autumn when leaves flourishing, removed stem branches.
Chemistry: Mainly contains essential oils: β-caryophyllene and sabinene andmyrcene, etc.
Pharmacology: Phlegm-eliminating, antitussive, pant-calming, blood-pressure-lowering, serum-protein-adjusting, sedative, hypnotic and anti-bacterial; toxic.
Properties & Actions: Little bitter, pungent, neutral. Dispelling phlegm, suppressing cough and calming panting.
Indications & Usage: Dyspnea with cough, chronic bronchitis. Oral administration: decocting 9-15g, fresh products up to 30-60g; or extracted juice to drink by pounding. External application: appropriate amount, smashed for applying; or decocted for fumigating and washing.
Examples:             
1. Treat common cold due to wind coldness: fresh hempleaf negundo chastetree leaves 24g, or add fresh common perilla leaves 12g. Decoct in water and swallow.
2. Prevent sunstroke: dried tender leaves of hempleaf negundo chastetree 6-9g. Decoct in water and drink as tea.
3. Treat acute gastroenteritis: fresh stem leaves of hempleaf negundo chastetree 30-60g. Decoct in water and swallow.

Sunday, May 12, 2013

3.8 Polypeptide Antibiotics


Interestingly, a plethora of polypeptides of bacterial origin that are found to comprise of D- and L-amino acids, do exert a marked and pronounced antibiotic activity. It is, however, pertinent to mention here that these specific antibiotics have two inherent major anomalies, namely: first, very poor absorption from the intestinal tract; and secondly, possess high degree of nephrotoxicity* when used systemically. Generally, the polypeptide antibiotics exert a predominantly Gram-positive spectrum; however, there are a few-exceptions that are solely active against Gram-negative organisms, such as: the strongly basic polymyxins.
It has been observed that these polypeptide antibiotics have a tendency to occur as mixtures of very close structurally related compounds. Nevertheless, the exact composition of commercial mixtures depend to a great extent upon the skilful usage of selected strains of producing organisms.
Besides, a precise and reliable strength of therapeutic response against certain susceptible organisms is exclusively based on the quantitative microbial assay.
The various important members of ‘polypeptide antibiotics’ are, namely: cycloserine; polymyxin-B; colistin (polymixin-E), bacitrasin; vanomycin; and teichoplanin, which shall now be treated separately as under:
3.8.1 Cycloserine
Synonyms Closina; Farmiserina; Micoserina; Orientomycin; Oxamycin; Seromycin; PA-94.
Biological Sources It is a polypeptide antibiotic substance produced by Streptomyces garyphalus sive orchidaceus.**
Preparation It may also be synthesized by the method of Stammer et al.***
Chemical Structure
Cycloserine
D-4-Amino-3-isoxazolidinone; C3H6N2O2.
Characteristic Features
1. It is obtained as crystals that decompose at 155-156°C.
2. Its specific optical rotations are: [α]D23 + 116° (C = 1.17); [α]25546 + 137° (C = 5 in 2N NaOH).
3. It has uvmax : 226 nm (E1%1cm 402).
4. Its aqueous solutions have a pH 6.
5. It is fairly soluble in water; and slightly soluble in methanol and propylene glycol.
6. It is found to form salts readily with acids and bases.
7. Its aqueous solutions buffered to pH 10 with Na2CO3 may be stored without any loss of activity upto a duration of one week between 0-10°C (i.e., at refrigerated temperatures).
Uses
1. It exhibits a fairly broad spectrum of activity; however, its therapeutic efficacy is exclusively associated with its inherent inhibitory effect on Mycobacterium tuberculosis.
2. It precisely inhibits alanine racemase, which action precludes the incorporation of D-alanine strategically into the pentapeptide side-chain of the specific murein* component of bacterial cell walls. Perhaps this unique features is solely responsible for its antibiotic activity.
3. It is invariably regarded as an ‘antibiotic of second choice’; and is frequently used in conjunction with isoniazid in the control, management and treatment of tuberculosis who usually fail to respond to the first-line agents.**
4. It is readily absorbed orally and is subsequently exerted quickly through the kidneys (i.e., newly 50% without any metabolic alteration whatsoever).

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* A toxic substance that causes damage to kidney tissues.
** Kuehl, Jr. et al. J. Am. Chem. Soc., 77, 2344, (1955).
*** Stammer et al. J. Am. Chem. Soc., 77, 2346, (1955).

3.8.2 Polymixin B
Polymyxins represent a group of cycle polypeptide antibiotics produced by various species of Bacillus. However, polymyxins A to E were primarily isolated from Bacillus polymyxa. Subsequently, it was shown that both polymyxin B and polymycin E (or colistin) were mixtures of two components each. The structures of polymyxin B1 and polymyxin B2; and polymyxin E1 (colistin A) and polymyxin E2 (colistin B) are as given below:
Polymixin
Actually, these molecules essentially contain ten amino acids, of which six happen to be L-α-, γ-diaminobutyric acid (L-Dab), having a fatty acid*** strategically bonded to the N-terminus; besides, a cyclic peptide portion meticulously designed via an amide bond located in between the γ-amino of one of the Dab-residues and the carboxyl terminus. Interestingly, the γ-amino functions
of the remaining Dab residues distinctly attribute a rather strong basic property to the various
antibiotics. This particular characteristic feature confers detergent-like properties and perhaps permits
them to either get bound or cause damage to bacterial membranes.
Characteristic Features
Polymyxin Hydrochloride
1. It is obtained as nearly colourless powder that gets decomposed at 228-230°.
2. It has specific optical rotation [α]D23-40° (C = 1.05).
3. It is very soluble (> 40%) in water and methanol; the solubility decreases considerably in higher alcohols; and almost insoluble in ethers, esters, ketones, hydrocarbons and the chlorinated solvents.
4. It usually gives rise to water insoluble salts with the help of a host of precipitants, such as: helianthic acid (C7H9O4) picric acid; and Reinacke salt.
 picric acid; and Reinacke salt
Polymyxin B: It is a mixture of Polymyxins B1 and B2. The mixture also contains minimal amounts of the more toxic polymyxins A, C and D. Both polymyxins B1 and B2 essentially possess a cyclopeptidic structure and comprise of six residues of α, γ-diaminodutyric acid (DABs). However, the latter characteristic feature affords an exceptionally strong basic property to the polymixin antibiotics.
It has specific optical rotation [α]5461-106.3° (1N. HCl).
Uses
1. It is used topically in ointments (usually 5000 or 10,000 Units/g) and ophthalmic solutions (10,000 Units/ml).
2. It was employed formerly for control, management and treatment of infections of the intestinal tract caused by Shigella, Pseudomonas aeruginosa, and E. coli.
Polymyxin B Sulphate [Synonyms Aerosporin; Mastimyxin;]: It is the sulphate salt of a substance produced by the growth of Bacillus polymyxa (Prazmowski) Mignla belonging to the natural order Bacillaceae. It has a potency of not less than 600 Units of polymyxin B. mg–1, calculated on the anhydrous basis.
Preparation The filtered broth obtained from the fermentation process (section 3.7) is eventually treated with a ‘certified dye’, and the resulting polymyxin B-dye salt complex thus precipitated is collected by means of filtration, washed with water and finally treated with an alcoholic solution of a lower aliphatic amine sulphate. The polymyxin B sulphate thus produced is filtered off and subsequently purified and lypholized. Polymyxin B is a mixture of polymyxin B1 (C56H98N16O13),and polymyxin B2 (C55H96N16O13) the only vital point of difference is nothing but the composition of the N-acyl moiety (see Section 3.8.2).
Characteristic Features
1. It is a white to buff-coloured powder; either odourless or having a very faint odour.
2. It has dissociation constant pKa 8 to 9.
3. Its solutions are either slightly acidic or are neutral to litmus (pH 5 to 7.5).
4. It is found to be freely soluble in water; and slightly soluble in alcohol.
Uses
1. The antimicrobial spectrum of activity of polymyxin B sulphate for its in vitro and in vivo profile is solely restricted to Gram-negative organisms, namely: Aerobacter, Escherichia, Haemophilus, Klebsiella, Pasteurella, Pseudomonas, Salmonella, Shigella, most Vibrio and Yesinia; all strains of Pr. providencia and most of Serratio marceseens are found to be unaffected by this antibiotic.
2. It is used topically either for the treatment or the prevention and treatment of external ocular infections caused by susceptible microorganisms, especially Ps aeruginosa.
3. In topical therapy, it is invariably combined with neomycin, gramicidin and bacitracin.
4. It also forms an integral component in glucocorticoid ophthalmological topical preparations.
Note: Substances like soap, which is a triglyceride of fatty, acids, and hence specifically antagonize cationic surface-active agents, is found to impair the activity of the antibiotic.
Polymyxin B Sulphate mixture with Trimethoprim [Synonyms Polytrim]: The combination of polymyxin B sulphate with trimethoprim enhances the overall antibacterial profile rather than each one used alone.
Polymycin B1 [C56H98N16O13]
Polymyxin B1 Pentahydrochloride [C56H98N16O13.5HCl]: It is obtained as a white powder. It has specific optical rotation [α]D25-85.11° (C = 2.33 in 75% ethanol).
Polymycin B2 [C55H96N16O13]: It has specific optical rotation [a]225461-112.4° (2% acetic acid).


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* Murien: Chloride (Cl).
** Rifampin and Rifabutin.
*** 6-Methyloctanoic acid; or 6-Methylheptanoic acid.

3.8.3 Colistin
Synonyms Polymyxin E; Colimycin; Coly-Mycin; Colisticina; Totazina.
Biological Source It is a cyclopolypeptide antibiotic produced by Bacillus colistinus (Aerobacillus colistinus) first isolated from Japansese soil). It is comprised of colistins A, B and C.*
colistins A, B
DAB = α,β-diamobutyric acid
Polymyxin E1(Colistin A)       :  R = (+)-6-Methyloctanoyl
Polymyxin E2                                              :   R = 6-Methylheptanoyl
Uses This antibiotic has more or less the same spectrum and therapeutic application as that of polymyxin B.
Colistin Sodium Methanesulphonate [C58H105N16Na5O28S5] [Synonyms Colistimethate sodium; Alficetin; Methacolimycin]: It is the injectable form of colistin. It is soluble in water and fairly stable in the dry form. It is inactive in itself but releases active polymyxin in the body.
Colistin Sulphate [Synonyms Malimyxin; Multimycine]: It is mostly used either orally or topically.
Colistin Formaldehyde-Sodium Bisulphite*: It is obtained as crystals that decompose between 290-295°. It is found to be soluble in water; and slightly soluble in methanol, ethanol, acetone and ether.
Polymyxin E1 [C53H100N16O13] [Synonym Colistin A]: It has specific optical rotation [α]225461-93.3° (2% acetic acid).
Polymyxin E2 [C52H98N16O13]: It has specific optical rotation is [α]225461-94.5° (2% acetic acid).
Note: The use of methacolimycin nowadays is rarely justified on account of the availability of less toxic alternative antibiotics.

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* Suzuki et al., J. Biodiem. (Tokyo), 54, 25 (1963).

3.8.4 Bacitracin
Synonyms Altracin; Ayfivin; Fortracin; Penitracin; Topitracin; Zutracin.
Biological Source It is a polypeptide antibiotic complex produced by Bacillus subtilis and licheniformis (family: Bacillaceae).** The commercial bacitracin is found to be a mixture of at least nine bacitracins. The purification of bacitracin may be affected by ‘carrier displacement method’.
Chemical Structure The major component of the mixture is ‘Bacitracin A’, which is essentially a dodecylpeptide having five of its amino-acid-residues arranged strategically in a cyclic structure as shown below:
Bacitracin A
Characteristic Features
1. It is obtained as a Grayish-white powder having a very bitter taste, odourless and hygroscopic in nature.
2. It is found to be soluble in water and ethanol; and almost insoluble in ether, chloroform, and acetone.
3. It is fairly stable in acid solution and unstable in alkaline solutions.
4. It affords a loss in potency most probably on account of the transformation of bacitracin A to bacitracin F, and the latter does not have any antimicrobial activity.
5. Its solutions undergo rapid deterioration at room temperature, and ultimately affords precipitation.
6. Its activity is significantly negated by salts of many of the heavy metals.
7. Its aqueous solutions invariably retain their potency for several weeks when stored in a refrigerator.
Uses
1. It is found to be effective exclusively against Gram-negative organisms.
2. Its applications are more or less limited to such infections only which may be treated either by topical application or by local infiltration.
3. It is significantly effective topically in the control, management and treatment of the following cutaneous bacterial infections where the pathogenic organism is specifically bacitracin-sensitive, such as: impetigo-contagiosa; falliculitis; pyoderma; ecthyma; furunculosis; decubitus, ulcer; infectious eczematoid dermatitis; scabies and dermatophytosis.
4. Bacitracin also finds its applications in the treatment of various ophthalmological conditions.
5. Its zinc salt invariably is preferred for topical therapy; and is the form most often incorporated into combinations.
6. It is mostly combined with neomycin and polymyxin B sulphate.
Note: 1. Due to the relatively high incidence of nephrotoxicity (albuminuria, cylindruria, azotemia, accumulation of drug) which essentially follows its parenteral administration precludes systemic usage except in life-endangering staphylococcal infections, such as: pneumonia, empyema, particularly in infants wherein other antibiotics have proved to be either ineffective or in the treatment of antibioticassociated (pseudomembranous)-enterocolitis caused by Cl difficile.
2. Development of bacterial resistance is much less frequent and slower for bacitracin as compared to penicillin, and for most organisms it is found to be almost nil.
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* Koyama et al. Japan. pat. 57, 4898 (1957).
** Anker et al. J. Bacteriol. 55, 249 (1948).

3.8.5 Vancomycin
Synonyms Vancocin; Vncoled; Lyphocin (Lyphomed).
Biological Source It is an amphoteric glycopeptide antibiotic substance produced by Streptomyces orientalis (Family: Streptomycetaceae) from Indonesian and Indian soil that essentially inhibits bacterial nucleopeptide biosynthesis by formation of complexes.
Chemical Structure The structure of the primary component of the mixture has been established beyond any reasonable doubt to be a complex tricyclic aglycone linked glycosidically to glucose and vincosamine functions. The vancomycin molecule essentially contains one free carboxylic acid moiety, two chloro substituted aromatic residues, and seven amide bonds, one of which is a prominent primary-amide.
The apparently novel feature of vancomycin is the tricyclic structure exclusively generated by three phenolic oxidative coupling reactions.
vancomycin
Preparation It is produced by the submerged fermentation process as described earlier under penicillins.
Characteristic Features
Vancomycin Monohydrochloride [C66H75Cl2N9O24.HCl] [Synonyms Lyphocin; Vancor;]:
1. It is obtained as white solid, free-flowing powder, odourless and having a bitter-taste.
2. It has uvmax (H2O): 282 nm (E1%1cm 40).
3. Its solubility in water is more than 100 mg. ml–1.
4. It is found to be moderately soluble in dilute methanol; and insoluble in the higher alcohols, acetone and ether.
5. Its solubility in neutral aqueous solutions is enhanced by low concentrations of urea.
6. The acidic solutions precipitate out the antibiotic on addition of either NaCl or (NH4)2 SO4.
Uses
1. It has a Gram-positive antibacterial spectrum.
2. It specifically acts on bacterial cell walls by inhibiting murein biosynthesis by virtue of its complexation with the D-alanyl-D-alanine precursor and hence is bactericidal, which eventually renders it particularly useful in serious infections besides in the immunocompromised patients.
3. It also exerts to a certain extent the ‘secondary modes of action’ i.e., enhancing cytoplasmic membrane permeability and impairing RNA synthesis.
4. Vancomycin hydrochloride is widely recommended for the control, management and treatment of serious infections, such as: septicemia, endocarditis, wound infections caused by Gram-positive bacteria, specifically in those patients who are allergic to β-lactam antibiotics.
5. Vancomycin HCl is also found to be effective in Enterococcus faecalis strains that are inadequately controlled and managed by β-lactam antibiotics.
6. Vancomycin is not absorbed orally; however, oral administration is usually recommended for the treatment of staphylococcal-enterocolitis and antibiotic-associated pseudomembranous colitis produced by Clostridium difficile.
7. IM administration is rather painful and very often associated with local necrosis; therefore, systemic therapy with vancomycin makes use of IV-infusion extended over a span of 20 to 30 minutes.
Note:
 (i) It is irritating to tissue and hence may cause thrombophlebitis, or pain at the site of injection and neurosis takes place if extravasted; also produces chills, fever, occasional urticaria and maculopapular rashes with hypotension (Red Man’s Syndrome), nephrotoxicity and ototoxicity and, rarely, thrombocytopenia and neuropathy.
(ii) Recently, the plasmid-mediated resistant strains of enterococcus have virtually clamped restriction for the use of vancomycin in hospitals with a view to control the spread of resistance.
3.8.6 Teicoplanin
Synonyms Tiecoplanin A2; Teichomycin A2; Targocid; Targosid; MDL-507.
Biological Source It is a glycopeptide antibiotic complex produced by Actinoplanes teichomyceticus nov. sp.; structurally related to vancomycin and comprised of a mixture of five teicoplanins, which essentially differ only in the nature and length of the fatty acid-chain attached to the sugar residue.
Characteristic Features
1. It is obtained as an amorphous powder having mp 260°C (decomposes).
2. It has uvmax in 0.1 N HCl 278 (E1%1cm 53); and in 0.1 N NaOH: 297 (E1%1cm 74).
3. It is found to be soluble in aqueous solution at pH 7.0; partially soluble in methanol, ethanol; and insoluble in dilute mineral acids, and also in non-polar organic solvents.
The various physical parameters of the five major components of teicoplanin are as follows:
(i) Teicoplanin A2-1: (C88H95Cl2N9O33): It is a white amorphous powder which darkens at 220°C and decomposes at 255°C.
(ii) Teicoplanin A2-2: (C88H97Cl2N9O33): It is a white amorphous powder, darkens at 210°C and gets decomposed at 250°C.
(iii) Teicoplanin A2-3: (C88H97Cl2N9O33): It is a white amorphous powder, darkens at 210°C and decomposed at 250°C.
(iv) Teicoplanin A2-4: (C88H99Cl2N9O33): It is a white amorphous powder, darkens at 210°C and gets decomposed at 250°C.
(v) Teicoplanin A2-5: (C89H99Cl2N9O33): It is a white amorphous powder, darkens at 210°C and gets decomposed at 250°C.
Uses
1. Teicoplanin has almost similar antibacterial profile to vancomycin (Section 9.3.8.5), but possesses a longer duration of action, and may be administered by IM as well as IV injection.
2. It is also employed against Gram-positive pathogens that are resistant to established antibiotics.
3. The ‘Red-Neck Syndrome’ as observed upon rapid administration of vancomycin is rarely seen, besides the incidence of autoxicity also seems to be reduced considerably.