Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Tobramycin
Drug ID BADD_D02232
Description Aminoglycosides, many of which are derived directly from _Streptomyces_ spp., are concentration-dependent bactericidal antibiotics with a broad spectrum of activity against Gram-positive and Gram-negative organisms.[A232294] Inhaled tobramycin is notable for its use in treating chronic _Pseudomonas aeruginosa_ infections in cystic fibrosis patients, as _P. aeruginosa_ is notoriously inherently resistant to many antibiotics.[A232294, A232299, L32739] However, tobramycin can also be administered intravenously and topically to treat a variety of infections caused by susceptible bacteria.[L32744, L32749] Its use is limited in some cases by characteristic toxicities such as nephrotoxicity and ototoxicity, yet it remains a valuable option in the face of growing resistance to front-line antibiotics such as β-lactams and cephalosporins.[A232294, A232349, L32739, L32749] Tobramycin was approved by the FDA in 1975 and is currently available in a variety of forms for administration by inhalation, injection, and external application to the eye (ophthalmic).[L32739, L32744, L32749]
Indications and Usage For the treatment of pseudomonas aeruginosa lung infections. Also being investigated for use in the treatment of sinus infections.
Marketing Status Prescription; Discontinued
ATC Code J01GB01; S01AA12
DrugBank ID DB00684
KEGG ID D00063
MeSH ID D014031
PubChem ID 36294
TTD Drug ID D07BCT
NDC Product Code 47335-171; 68788-7252; 65162-914; 63187-973; 51927-0226; 68083-312; 49502-401; 0078-0630; 68071-2272; 51927-2375; 53002-9230; 60760-583; 36000-242; 17478-290; 61314-643; 61919-598; 70644-899; 55700-747; 0404-7196; 76420-092; 0078-0494; 0093-4085; 70518-1370; 45865-427; 68180-962; 20076-2006; 42513-0011; 81861-0030; 49502-346; 0065-0644; 51846-1012; 68083-241; 0078-0813; 68071-4537; 51552-1520; 24492-850; 67457-473; 72266-163; 24208-290; 11014-0233; 50090-3569; 67457-428; 0065-0643; 50090-0486; 59651-129; 57885-0002; 68083-254; 53002-9232; 68083-374; 67877-678; 71205-101; 53002-9231; 61919-642; 36000-244; 13985-604; 45865-119; 39822-0412; 63187-024; 70700-173; 49502-345; 11722-073; 72266-196; 68083-253; 17478-340; 0093-3750; 63187-902; 10122-820; 53002-9233; 70069-131
Synonyms Tobramycin | Nebramycin Factor 6 | Tobramycin Sulfate | Sulfate, Tobramycin | Obracin | Tobracin | Brulamycin | Nebcin | Nebicin
Chemical Information
Molecular Formula C18H37N5O9
CAS Registry Number 32986-56-4
SMILES C1C(C(C(C(C1N)OC2C(C(C(C(O2)CO)O)N)O)O)OC3C(CC(C(O3)CN)O)N)N
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Nephropathy toxicL-lactate dehydrogenase A chainP00338T150533820859; 3573418; 2352376; 6519582
Nephropathy toxicBeta-hexosaminidaseP87258Not Available3820859; 3573418; 2352376; 6519582
Nephropathy toxicLysozyme CP61626T105863820859; 3573418; 2352376; 6519582
Toxicity to various agents1-phosphatidylinositol 4,5-bisphosphate phosphodiesterase beta-1Q9NQ66T26846Not Available
Toxicity to various agentsPhospholipase A2P04054T31479Not Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal discomfort07.01.06.001--Not Available
Abdominal distension07.01.04.001--
Abdominal pain07.01.05.002--
Acute respiratory failure22.02.06.001; 14.01.04.0040.000242%Not Available
Agranulocytosis01.02.03.001--Not Available
Alopecia23.02.02.001--
Anaemia01.03.02.001--
Anaphylactic shock24.06.02.004; 10.01.07.002--Not Available
Angioedema23.04.01.001; 10.01.05.009--Not Available
Anxiety19.06.02.002--
Aphonia22.02.05.024; 19.19.01.002; 17.02.08.0090.003404%
Apnoea22.02.01.001--
Application site pain12.07.01.004; 08.02.01.004--Not Available
Arthralgia15.01.02.001--
Aspartate aminotransferase increased13.03.01.006--
Asthenia08.01.01.001--Not Available
Asthma22.03.01.002; 10.01.03.0100.005261%Not Available
Attention deficit/hyperactivity disorder19.21.04.0010.001547%Not Available
Back pain15.03.04.005--
Blepharospasm17.17.02.001; 06.05.01.001--Not Available
Blister23.03.01.001; 12.01.06.002--Not Available
Blood bilirubin increased13.03.01.008--
Blood calcium decreased13.11.01.002--Not Available
Blood creatinine decreased13.13.01.003--Not Available
Blood creatinine increased13.13.01.0040.002166%
Blood glucose increased13.02.02.002--Not Available
Body temperature increased13.15.01.001--Not Available
Bone disorder15.02.04.004--Not Available
Bronchial obstruction22.03.01.0130.001547%
Bronchiectasis22.03.02.0050.004023%Not Available
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