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Polymyxin B

Generic Name
Polymyxin B
Brand Names
Casporyn HC, Cortisporin, Dioptrol, Diosporin, Diphen, Maxitrol, Neo-polycin, Neo-polycin HC, Neosporin Ointment, Neosporin Plus Maximum Strength, Neosporin Plus Maximum Strength Cream, Neosporin Solution, Polycin-B, Polysporin, Polytrim, Procomycin, Statrol, Triple Antibiotic
Drug Type
Small Molecule
Chemical Formula
C56H98N16O13
CAS Number
1404-26-8
Unique Ingredient Identifier
J2VZ07J96K

Overview

Polymyxin B was discovered in the 1940s. They are basic polypeptides of about eight amino acids and have cationic detergent action on cell membranes. Polymyxin B is used for infections with gram-negative organisms, but may be neurotoxic and nephrotoxic. All gram-positive bacteria, fungi, and the gram-negative cocci, are resistant. It is appropriate for treatment of infections of the urinary tract, meninges, and blood stream, caused by susceptible strains of Pseudomonas aeruginosa. Polymyxin B has a narrow therapeutic index and so its use is limited and unlikely to be used first line.

Background

Polymyxin B was discovered in the 1940s. They are basic polypeptides of about eight amino acids and have cationic detergent action on cell membranes. Polymyxin B is used for infections with gram-negative organisms, but may be neurotoxic and nephrotoxic. All gram-positive bacteria, fungi, and the gram-negative cocci, are resistant. It is appropriate for treatment of infections of the urinary tract, meninges, and blood stream, caused by susceptible strains of Pseudomonas aeruginosa. Polymyxin B has a narrow therapeutic index and so its use is limited and unlikely to be used first line.

Indication

Polymyxin B is indicated for the treatment of infections of the urinary tract, meninges, and blood stream, caused by susceptible strains of Pseudomonas aeruginosa.

Associated Conditions

  • Acute Otitis Media (AOM)
  • Bacteremia caused by Enterobacter aerogenes
  • Bacterial Conjunctivitis
  • Bacterial Infections
  • Chronic Otitis Media
  • Escherichia urinary tract infection
  • Klebsiella bacteraemia
  • Meningitis caused by Haemophilus influenzae
  • Meningitis, Bacterial
  • Ocular Inflammation
  • Otitis Externa
  • Otorrhoea
  • Superficial ocular infections of the conjunctiva caused by susceptible bacteria
  • Superficial ocular infections of the cornea caused by susceptible bacteria
  • Urinary Tract Infection
  • Ocular bacterial infections

FDA Approved Products

NEOMYCIN AND POLYMYXIN B SULFATES AND DEXAMETHASONE
Manufacturer:Advanced Rx Pharmacy of Tennessee, LLC
Route:OPHTHALMIC
Strength:10000 [USP'U] in 1 g
Approved: 2023/01/11
NDC:80425-0229
NEOMYCIN AND POLYMYXIN B SULFATES AND HYDROCORTISONE
Manufacturer:STAT RX USA LLC
Route:OPHTHALMIC
Strength:10000 [USP'U] in 1 mL
Approved: 2010/06/09
NDC:16590-347
NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE
Manufacturer:STAT RX LLC USA
Route:OPHTHALMIC
Strength:10000 U in 1 mL
Approved: 2010/06/09
NDC:16590-167
Neomycin and Polymyxin B Sulfates and Hydrocortisone
Manufacturer:A-S Medication Solutions
Route:AURICULAR (OTIC)
Strength:10000 [USP'U] in 1 mL
Approved: 2016/08/31
NDC:50090-0431
Neomycin and Polymyxin B Sulfates and Dexamethasone
Manufacturer:Bausch & Lomb Incorporated
Route:OPHTHALMIC
Strength:10000 [USP'U] in 1 g
Approved: 2023/06/01
NDC:24208-795

Singapore Approved Products

TERRAMYCIN OPHTHALMIC OINTMENT
Manufacturer:PT PFIZER INDONESIA
Form:OINTMENT
Strength:10000 iu/g
Online:Yes
Approved: 1998/04/06
Approval:SIN09695P
POLYDEXA EAR DROPS
Manufacturer:PHARMASTER
Form:SOLUTION
Strength:1000000 iu/100 ml
Online:Yes
Approved: 1990/07/16
Approval:SIN04945P
POLYGYNAX VAGINAL CAPSULE
Manufacturer:Catalent France Beinheim SA, SWISS CAPS AG, Innothera Chouzy
Form:CAPSULE
Strength:35000 iu
Online:Yes
Approved: 1994/06/15
Approval:SIN07745P
MAXITROL STERILE OPHTHALMIC SUSPENSION
Manufacturer:ALCON-COUVREUR NV
Form:SOLUTION
Strength:6000 iu/ml
Online:Yes
Approved: 1990/05/02
Approval:SIN04358P
POLYBAMYCIN OINT.
Manufacturer:SHIN POONG PHARMACEUTICAL CO LTD
Form:OINTMENT
Strength:5000 u/g
Online:Yes
Approved: 1990/05/03
Approval:SIN04413P

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