MedPath

Amphotericin B

Generic Name
Amphotericin B
Brand Names
Abelcet, Ambisome, Amphotec, Fungizone
Drug Type
Small Molecule
Chemical Formula
C47H73NO17
CAS Number
1397-89-3
Unique Ingredient Identifier
7XU7A7DROE

Overview

Amphotericin B shows a high order of in vitro activity against many species of fungi. Histoplasma capsulatum, Coccidioides immitis, Candida species, Blastomyces dermatitidis, Rhodotorula, Cryptococcus neoformans, Sporothrix schenckii, Mucor mucedo, and Aspergillus fumigatus are all inhibited by concentrations of amphotericin B ranging from 0.03 to 1.0 mcg/mL in vitro. While Candida albicans is generally quite susceptible to amphotericin B, non-albicans species may be less susceptible. Pseudallescheria boydii and Fusarium sp. are often resistant to amphotericin B. The antibiotic is without effect on bacteria, rickettsiae, and viruses.

Background

Amphotericin B shows a high order of in vitro activity against many species of fungi. Histoplasma capsulatum, Coccidioides immitis, Candida species, Blastomyces dermatitidis, Rhodotorula, Cryptococcus neoformans, Sporothrix schenckii, Mucor mucedo, and Aspergillus fumigatus are all inhibited by concentrations of amphotericin B ranging from 0.03 to 1.0 mcg/mL in vitro. While Candida albicans is generally quite susceptible to amphotericin B, non-albicans species may be less susceptible. Pseudallescheria boydii and Fusarium sp. are often resistant to amphotericin B. The antibiotic is without effect on bacteria, rickettsiae, and viruses.

Indication

Used to treat potentially life threatening fungal infections.

Associated Conditions

  • Coccidioidomycosis
  • Fungal Infections
  • Histoplasmosis
  • Invasive Aspergillosis
  • Invasive Fungal Infections
  • Leishmaniasis
  • Meningitis, Cryptococcal
  • Meningitis, Fungal
  • Mucocutaneous Leishmaniasis
  • Mycotic endophthalmitis
  • Penicillium marneffei infection
  • Visceral Leishmaniasis
  • Candidal cystitis
  • Disseminated Cryptococcosis
  • Fungal osteoarticular infections
  • Ocular aspergillosis
  • Refractory aspergillosis
  • Severe Coccidioidomycosis
  • Severe Cryptococcosis
  • Severe Fungal infection caused by Basidiobolus spp.
  • Severe Fungal infection caused by Conidiobolus spp.
  • Severe Fungal infection caused by sporotrichosis spp.
  • Severe Histoplasmosis
  • Severe Mucocutaneous leishmaniasis
  • Severe North American blastomycosis
  • Severe Systemic candidiasis

FDA Approved Products

AmBisome
Manufacturer:Astellas Pharma US, Inc.
Route:INTRAVENOUS
Strength:50 mg in 12.5 mL
Approved: 2018/02/06
NDC:0469-3051
ABELCET
Manufacturer:Leadiant Biosciences, Inc.
Route:INTRAVENOUS
Strength:5 mg in 1 mL
Approved: 2023/11/21
NDC:57665-101
Amphotericin B
Manufacturer:Eugia US LLC
Route:INTRAVENOUS
Strength:50 mg in 12.5 mL
Approved: 2022/11/18
NDC:55150-365
Amphotericin B
Manufacturer:Sun Pharmaceutical Industries, Inc.
Route:INTRAVENOUS
Strength:50 mg in 1 1
Approved: 2022/02/09
NDC:62756-233
Amphotericin B
Manufacturer:XGen Pharmaceuticals DJB, Inc.
Route:INTRAVENOUS
Strength:50 mg in 10 mL
Approved: 2021/08/14
NDC:39822-1055

Singapore Approved Products

AMBISOME FOR INJECTION 50 mg/vial
Manufacturer:GILEAD SCIENCES INC, JUBILANT HOLLISTERSTIER LLC, OSO Biopharmaceuticals Manufacturing LLC, Gilead Sciences Inc, Nippon Fine Chemical Co., Ltd. (Drug product Intermediate)
Form:INJECTION, POWDER, FOR SOLUTION
Strength:50 mg/vial
Online:Yes
Approved: 2002/07/15
Approval:SIN12021P

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