Enrofloxacin
{{Short description|Chemical compound}}
{{More citations needed|date=November 2016}}
{{Use dmy dates|date=April 2023}}
{{Drugbox
| Watchedfields = changed
| verifiedrevid = 443725793
| IUPAC_name = 1-cyclopropyl-7-(4-ethylpiperazin-1-yl)-6-fluoro-4-oxo-1,4-dihydroquinoline-3-carboxylic acid
| image = Enrofloxacin structure.svg
| tradename = Baytril, others
| Drugs.com = {{drugs.com|international|enrofloxacin}}
| DailyMedID = Enrofloxacin
| pregnancy_AU = B3
| routes_of_administration = By mouth, subcutaneous, intramuscular
| ATCvet = yes
| ATC_prefix = J01
| ATC_suffix = MA90
| ATC_supplemental = {{ATCvet|D06|BA51}}
| legal_AU = S4
| legal_UK = POM
| legal_US = Rx-only
| legal_US_comment = {{cite web | title=Baytril- enrofloxacin injection, solution | website=DailyMed | date=13 October 2022 | url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=258967db-9587-4c19-b846-ac143dada99a | access-date=13 April 2023}}{{cite web | title=Baytril- enrofloxacin injection, solution | website=DailyMed | date=22 March 2023 | url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a1ada9f6-24e2-4287-8b83-00e2b68666e5 | access-date=13 April 2023}}{{cite web | title=Baytril- enrofloxacin tablet, chewable | website=DailyMed | date=25 November 2021 | url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=606b1dd3-24ed-4f8c-8885-6b22fd7b8883 | access-date=13 April 2023}}
| bioavailability = 80% in dogs, 65-75% in sheep {{cite book | vauthors = Plumb DC | chapter = Enrofloxacin | title = Veterinary Drug Handbook | edition = fifth }}
| metabolism = Kidney and non-kidney
| elimination_half-life = 4–5 hours in dogs, 6 hours in cats, 1.5 - 4.5 hours in sheep
| excretion = Bile duct (70%); kidney (30%){{cite web | title = Baytril: Excretion and Elimination |url=http://www.animalhealth.bayer.com/5175.0.html | publisher = Bayer HealthCare AG |access-date=2014-01-06 |url-status=dead |archive-url=https://web.archive.org/web/20140106234031/http://www.animalhealth.bayer.com/5175.0.html |archive-date=2014-01-06 }}
| CAS_number_Ref = {{cascite|correct|??}}
| CAS_number = 93106-60-6
| PubChem = 71188
| DrugBank_Ref =
| DrugBank = DB11404
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 64326
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = 3DX3XEK1BN
| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = D02473
| ChEBI_Ref = {{ebicite|correct|EBI}}
| ChEBI = 35720
| ChEMBL_Ref = {{ebicite|correct|EBI}}
| ChEMBL = 15511
| C=19 | H=22 | F=1 | N=3 | O=3
| smiles = O=C(O)\C3=C\N(c2cc(N1CCN(CC)CC1)c(F)cc2C3=O)C4CC4
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C19H22FN3O3/c1-2-21-5-7-22(8-6-21)17-10-16-13(9-15(17)20)18(24)14(19(25)26)11-23(16)12-3-4-12/h9-12H,2-8H2,1H3,(H,25,26)
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = SPFYMRJSYKOXGV-UHFFFAOYSA-N
| melting_point = 219
| melting_high = 221
}}
Enrofloxacin, sold under the brand name Baytril, among others, is a fluoroquinolone antibiotic used for the treatment of animals. It is a bactericidal agent.
The bactericidal activity of enrofloxacin is concentration-dependent, with susceptible bacteria cell death occurring within 20–30 minutes of exposure. Enrofloxacin has demonstrated a significant post-antibiotic effect for both Gram-negative and Gram-positive bacteria and is active in both stationary and growth phases of bacterial replication. Enrofloxacin is partially deethylated by CYP450 into the active metabolite ciprofloxacin, which is also a fluoroquinolone antibiotic.
In September 2005, the FDA withdrew approval of enrofloxacin for use in water to treat flocks of poultry, as the practice was noted to promote the evolution of fluoroquinolone-resistant strains of the bacterium Campylobacter, a human pathogen.{{cite web |url=https://www.fda.gov/cvm/FQWithdrawal.html |title=Enrofloxacin for Poultry | publisher = U.S. Food and Drug Administration (FDA) |access-date=2007-03-07 |url-status=dead |archive-url=https://web.archive.org/web/20070210231646/https://www.fda.gov/cvm/FQWithdrawal.html |archive-date=2007-02-10 }} Enrofloxacin is available as a fixed-dose combination medication with silver sulfadiazine for the treatment of canine otitis externa.{{cite web | title=Baytril Otic- enrofloxacin, silver sulfadiazine emulsion | website=DailyMed | date=27 March 2023 | url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5012fe70-6394-45f5-be75-04297e39574d | access-date=13 April 2023}} It is available as a generic medication.
Activity and susceptibility data
Enrofloxacin is a synthetic antibacterial agent from the class of the fluoroquinolone carboxylic acid derivatives. It has antibacterial activity against a broad spectrum of Gram-negative and Gram-positive bacteria. It is effective against:
- Pseudomonas aeruginosa
- Klebsiella
- Escherichia coli
- Enterobacter
- Campylobacter
- Shigella
- Salmonella
- Aeromonas
- Haemophilus
- Proteus
- Yersinia
- Serratia
- Vibrio
- Brucella
- Chlamydia trachomatis
- Staphylococcus (including penicillinase-producing and methicillin-resistant strains)
- Mycoplasma
- Mycobacterium
Variable activity against:
Ineffective against:
The following data represent minimum inhibitory concentration ranges for a few medically significant bacterial pathogens:
- Escherichia coli - 0.022 - 0.03 μg/mL
- Staphylococcus aureus - 0.0925 - 64 μg/mL
- Pseudomonas aeruginosa - 0.05 μg/mL
Adverse effects/warnings
Enrofloxacin was banned for poultry use in the United States in 2005.{{cite news | url = https://www.washingtonpost.com/wp-dyn/content/article/2005/04/29/AR2005042901349.html | newspaper = Washington Post | date = April 30, 2005 | quote = FDA Calls Efforts For Bayer Illegal | title = Lawmakers' Help for Drug Firm Tests Limits | vauthors = Morgan D, Kaufman M }}
Overdosage/acute toxicity
It is unlikely that an acute overdose of either compound would result in symptoms more serious than either anorexia or vomiting, but the adverse effects noted above could occur. Dogs receiving 10 times the labeled dosage rate of enrofloxacin for at least 14 days developed only vomiting and anorexia. Death did occur in some dogs when fed 25 times the labeled rate for 11 days, however.
- Oral {{LD50}}: greater than 5000 mg/kg
- Dermal LD50: greater than 2000 mg/kg
- Inhalation LD50: greater than 3547 mg/m3 (4-hour exposure)
- Eye effects: irritant; reversible in less than 7 days.
In cats, enrofloxacin is retinotoxic and can produce sudden-onset blindness, often irreversible.{{cite journal |vauthors=Gelatt KN, van der Woerdt A, Ketring KL, Andrew SE, Brooks DE, Biros DJ, Denis HM, Cutler TJ |title=Enrofloxacin-associated retinal degeneration in cats |journal=Vet Ophthalmol |volume=4 |issue=2 |pages=99–106 |date=June 2001 |pmid=11422990 |doi=10.1046/j.1463-5224.2001.00182.x}}{{cite journal |vauthors=Wiebe V, Hamilton P |title=Fluoroquinolone-induced retinal degeneration in cats |journal=J Am Vet Med Assoc |volume=221 |issue=11 |pages=1568–71 |date=December 2002 |pmid=12479325 |doi=10.2460/javma.2002.221.1568}}{{cite journal |vauthors=Grabowski Ł, Gaffke L, Pierzynowska K, Cyske Z, Choszcz M, Węgrzyn G, Węgrzyn A |title=Enrofloxacin-The Ruthless Killer of Eukaryotic Cells or the Last Hope in the Fight against Bacterial Infections? |department=Review |journal=Int J Mol Sci |volume=23 |issue=7 |date=March 2022 |page=3648 |pmid=35409007 |pmc=8998546 |doi=10.3390/ijms23073648|doi-access=free }}{{cite journal |vauthors=Ramirez CJ, Minch JD, Gay JM, Lahmers SM, Guerra DJ, Haldorson GJ, Schneider T, Mealey KL |title=Molecular genetic basis for fluoroquinolone-induced retinal degeneration in cats |journal=Pharmacogenet Genomics |volume=21 |issue=2 |pages=66–75 |date=February 2011 |pmid=21150813 |doi=10.1097/FPC.0b013e3283425f44}}{{cite book |last1=Mercer |first1=Melissa A. |title=MSD Veterinary Manual |title-link=Merck Manual of Diagnosis and Therapy#The Merck Veterinary Manual |edition=11th |publisher=Merck & Co., Inc. |location=Rahway, NJ |orig-date=2016 |date=September 2022 |chapter=Quinolones, Including Fluoroquinolones, Use in Animals |chapter-url=https://www.msdvetmanual.com/pharmacology/antibacterial-agents/quinolones,-including-fluoroquinolones,-use-in-animals |access-date=2024-05-08 |isbn=978-0-911-91061-2}}
Degradation
The brown rot fungus Gloeophyllum striatum can degrade the fluoroquinolone enrofloxacin using hydroxyl radicals.{{cite journal | vauthors = Wetzstein HG, Schmeer N, Karl W | title = Degradation of the fluoroquinolone enrofloxacin by the brown rot fungus Gloeophyllum striatum: identification of metabolites | journal = Applied and Environmental Microbiology | volume = 63 | issue = 11 | pages = 4272–81 | date = November 1997 | pmid = 9361414 | pmc = 168747 | doi = 10.1128/AEM.63.11.4272-4281.1997 | bibcode = 1997ApEnM..63.4272W }}
References
{{Reflist}}
{{QuinoloneAntiBiotics}}
Category:Fluoroquinolone antibiotics