Nalidixic acid

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Nalidixic acid
Systematic (IUPAC) name
1-ethyl-7-methyl-4-oxo-[1,8]naphthyridine-3-carboxylic acid
Identifiers
CAS number 389-08-2
ATC code J01MB02
PubChem 4421
DrugBank APRD01133
Chemical data
Formula C12H12N2O3 
Mol. mass 232.235 g/mol
Pharmacokinetic data
Bioavailability  ?
Protein binding 90%
Metabolism Partially Hepatic
Half life 6-7 hours, significantly longer in renal impairment
Excretion  ?
Therapeutic considerations
Pregnancy cat.

B U.S.

Legal status
Routes Oral

Nalidixic acid (tradenames Neggram and Wintomylon) is the basis for quinolone antibiotics.

Nalidixic acid is effective against both gram-positive and gram-negative bacteria. In lower concentrations, it acts in a bacteriostatic manner; that is, it inhibits growth and reproduction. In higher concentrations, it is bactericidal, meaning that it kills bacteria instead of merely inhibiting their growth.

It is especially used in treating urinary tract infections, caused, for example, by Escherichia coli, Proteus, Shigella, Enterobacter, and Klebsiella.. It is also a tool in studies as a regulation of bacterial division. It selectively and reversibly blocks DNA replication in susceptible bacteria. Nalidixic acid and related antibiotics inhibit a subunit of DNA gyrase and induce formation of relaxation complex analogue. It also inhibits the nicking dosing activity on the subunit of DNA gyrase that release the positive binding stress on on the supercoiled DNA.

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