Name Gramacidin
Classes Antiinfective Agent
Antibiotic
Diseases Infectious Disease
Otitis
Superficial Infection

Gramacidin

Gramacidin is a bactericidal antibiotic belonging to the class of polymyxins. It disrupts bacterial cell membranes, leading to the leakage of intracellular contents and ultimately causing cell death. Gramacidin primarily targets Gram-negative bacteria and is effective against a variety of pathogens.

Gramacidin is indicated for the treatment of infections caused by susceptible strains of Gram-negative bacteria. It is commonly used for topical applications in conditions such as skin and eye infections.

Dosage and administration of Gramacidin depend on the specific formulation and the type and severity of the infection. It is generally applied topically to the affected area, following the recommended guidelines provided by the healthcare provider.

Common adverse reactions associated with the use of Gramacidin may include:

  • Local irritation at the application site
  • Allergic dermatitis
  • Itching or burning sensation
  • Redness or swelling
  • Skin rash

Physicians should be aware of the following warnings and precautions when prescribing Gramacidin:

  • Neurotoxicity: Systemic absorption of Gramacidin may lead to neurotoxic effects, especially with prolonged use or in patients with compromised renal function. Monitor patients for signs of neurotoxicity, such as dizziness, vertigo, and muscle weakness.

  • Allergic Reactions: Patients may develop allergic reactions, including severe dermatitis. Discontinue use if signs of allergy occur and institute appropriate therapy.

  • Photosensitivity: Gramacidin may cause increased sensitivity to sunlight. Advise patients to protect treated areas from direct sunlight to minimize the risk of photosensitivity reactions.

  • Pregnancy and Lactation: Use Gramacidin with caution in pregnant or lactating women, considering the potential risks and benefits.

Contraindication

Gramacidin is contraindicated in the following situations:

  • Known hypersensitivity to Gramacidin or any component of the formulation.

Gramacidin is contraindicated in the following situations:

  • Severe renal impairment or insufficiency.
  • Pre-existing neurologic disorders.
  • Use in newborns and infants.