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Macrolide antibiotics
1. Mr. Aejaz Ahmed (HOD & Associate
Professor)
Department of Pharmaceutical Chemistry
ALI-ALLANA COLLEGE OF PHARMACY, AKKALKUWA
Medicinal Chemistry –III
UNIT-II
2. MACROLIDES
Macrolides are among the many antibiotics isolated from
the actinomycetes is the group of chemically related
compounds called the macrolides.
In 1950, Picromycin, the first of this group to be identified
as a macrolide compound, was first reported.
In 1952, erythromycin and carbomycin were reported as
new antibiotics, and they were followed in subsequent
years by other macrolides.
Currently, more than 40 such compounds are known, and
new ones are likely to appear in the future.
3. Chemistry
The macrolide antibiotics have three common chemical
characteristics:
(a) a large lactone ring (which prompted the name macrolide),
(b) a ketone group, and
(c) a glycosidically linked amino sugar. Usually, the lactone
ring has 12, 14, or 16 atoms in it, and it is often unsaturated,
with an olefinic group conjugated with the ketone function.
They may have, in addition to the amino sugar, a neutral sugar
that is linked glycosidically to the lactone ring.
Because of the dimethylamino group on the sugar moiety, the
macrolides are bases that form salts with pKa values between
6.0 and 9.0.
This feature has been used to make clinically useful salts.
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16. • In general, it is more active against Gram-negative bacteria and less active
against Gram-positive bacteria than its close relatives.
• The greater activity of azithromycin against H. influenzae, M. catarrhalis,
and M. pneumoniae coupled with its extended half-life permits a 5-day dosing
schedule for the treatment of respiratory tract infections caused by these
pathogens.
• The clinical efficacy of azithromycin in the treatment of urogenital and other
sexually transmitted infections caused by Chlamydia trachomatis, N.
gonorrhoeae, H. ducreyi, and Ureaplasma urealyticum suggests that singledose
therapy with it for uncomplicated urethritis or cervicitis may have advantages
over use of other antibiotics.