User:Mr. Ibrahem/Oritavancin

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Mr. Ibrahem/Oritavancin
Clinical data
Pronunciation/ˌrɪtəˈvænsɪn/
oh-RIT-ə-VAN-sin
Trade namesOrbactiv, Kimyrsa, Tenkasi, others
Other namesLY333328
AHFS/Drugs.comMonograph
MedlinePlusa614042
License data
Routes of
administration
Intravenous
Drug classAntibiotic (lipoglycopeptide)[1]
Legal status
Legal status
Identifiers
  • (4R)-22-O-(3-Amino-2,3,6-trideoxy-3-C-methyl-α-L-arabinohexopyranosyl)-N3-(p-(p-chlorophenyl)benzyl)vancomycin
Chemical and physical data
FormulaC86H97Cl3N10O26
Molar mass1793.12 g·mol−1
3D model (JSmol)
  • C[C@H]1[C@@H]([C@@](C[C@@H](O1)O[C@H]2[C@H]3C(=O)N[C@H](C4=C(C(=CC(=C4)O)O)C5=C(C=CC(=C5)[C@H](C(=O)N3)NC(=O)[C@H]6C7=CC(=C(C(=C7)OC8=C(C=C(C=C8)[C@H]([C@H](C(=O)N[C@H](C(=O)N6)CC(=O)N)NC(=O)[C@@H](CC(C)C)NC)O)Cl)O[C@H]9[C@@H]([C@H]([C@@H]([C@H](O9)CO)O)O)O[C@H]1C[C@]([C@H]([C@@H](O1)C)O)(C)NCC1=CC=C(C=C1)C1=CC=C(C=C1)Cl)OC1=C(C=C2C=C1)Cl)O)C(=O)O)(C)N)O
  • InChI=1S/C86H97Cl3N10O26/c1-35(2)22-51(92-7)77(110)98-67-69(105)42-15-20-55(49(88)24-42)120-57-26-44-27-58(73(57)125-84-74(71(107)70(106)59(34-100)122-84)124-62-32-86(6,76(109)37(4)119-62)93-33-38-8-10-39(11-9-38)40-12-17-45(87)18-13-40)121-56-21-16-43(25-50(56)89)72(123-61-31-85(5,91)75(108)36(3)118-61)68-82(115)97-66(83(116)117)48-28-46(101)29-54(103)63(48)47-23-41(14-19-53(47)102)64(79(112)99-68)96-80(113)65(44)95-78(111)52(30-60(90)104)94-81(67)114/h8-21,23-29,35-37,51-52,59,61-62,64-72,74-76,84,92-93,100-103,105-109H,22,30-34,91H2,1-7H3,(H2,90,104)(H,94,114)(H,95,111)(H,96,113)(H,97,115)(H,98,110)(H,99,112)(H,116,117)/t36-,37-,51+,52-,59+,61-,62-,64+,65+,66+,67+,68-,69+,70+,71-,72+,74+,75-,76-,84-,85-,86-/m0/s1 ☒N
  • Key:VHFGEBVPHAGQPI-MYYQHNLBSA-N ☒N
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Oritavancin, sold under the brand name Orbactiv among others, is an antibiotic used to treat skin and skin structure infections such as cellulitis and skin abscesses.[1][4] It is also effective against MRSA.[1] It is given by injection into a vein.[1]

Common side effects include diarrhea, nausea, dizziness, headache, itchiness, fever, and liver problems.[1] Safety in pregnancy is unclear.[5] It is a glycopeptide specifically a lipoglycopeptide and is similar to vancomycin.[1] It works by stopping bacteria from making their cell wall.[4]

Oritavancin was approved for medical use in the United States in 2014 and Europe in 2015.[1][4] In the United States a course of treatments costs about 3,000 USD.[6] It; however, is not commercially available in the United Kingdom or Europe as of 2021.[7]

References[edit]

  1. ^ a b c d e f g h i "Oritavancin Monograph for Professionals". Drugs.com. Archived from the original on 28 January 2021. Retrieved 8 November 2021.
  2. ^ "Orbactiv- oritavancin injection, powder, lyophilized, for solution". DailyMed. Archived from the original on 24 March 2021. Retrieved 18 December 2020.
  3. ^ "Kimyrsa- oritavancin diphosphate injection, powder, lyophilized, for solution". DailyMed. Archived from the original on 19 April 2021. Retrieved 31 March 2021.
  4. ^ a b c d e "Orbactiv EPAR". Archived from the original on 2020-12-28. Retrieved 2021-09-05.
  5. ^ "Oritavancin Use During Pregnancy". Drugs.com. Archived from the original on 29 November 2020. Retrieved 8 November 2021.
  6. ^ "Orbactiv Prices, Coupons & Savings Tips - GoodRx". GoodRx. Archived from the original on 13 June 2016. Retrieved 8 November 2021.
  7. ^ "Oritavancin". SPS - Specialist Pharmacy Service. 28 September 2015. Archived from the original on 9 November 2021. Retrieved 8 November 2021.