Colistin
ALIMENTARY TRACT AND METABOLISM
Also known as: colimycin, colistin sulfate, colistins sulfate, Polymyxin E
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Colistin is a drug catalogued in DrugCentral. It was first approved by the FDA in 1962. DrugCentral lists 6 molecular targets, including MC3R, MC5R and MC4R. Recorded indications include Enterobacter Infection, Infection due to Escherichia coli, Klebsiella Infections and Mastoidectomy Cavity Infections.
- Molecular targets: MC3R, MC5R, MC4R and FYN (6 listed in DrugCentral).
- Indications: Enterobacter Infection, Infection due to Escherichia coli, Klebsiella Infections, Mastoidectomy Cavity Infections and Otitis externa and others.
- ATC code: A07AA10 (Antibiotics).
- Molecular formula: C105H198N32O26; molecular weight 2324.94 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (6)
- Enterobacter Infection
- Infection due to Escherichia coli
- Klebsiella Infections
- Mastoidectomy Cavity Infections
- Otitis externa
- Pseudomonas Aeruginosa Infections
Off-label uses (2)
- Chronic purulent otitis media
- Pseudomonas Respiratory Tract Infection in Cystic Fibrosis
Contraindications (11)
- Bullous myringitis
- Fungal ear infection
- Herpes simplex
- Herpes zoster auricularis
- Kidney disease
- Myasthenia gravis
- Neuromuscular block, function
- Perforation of tympanic membrane
- Pseudomembranous enterocolitis
- Tuberculosis of ear
- Viral ear infection
Mechanism & targets
Molecular targets (6)
| Target | Gene | Action | Activity |
|---|---|---|---|
| Melanocortin receptor 3 | MC3R | unknown | Ki 6.78 |
| Melanocortin receptor 5 | MC5R | unknown | Ki 6.60 |
| Melanocortin receptor 4 | MC4R | unknown | Ki 6.09 |
| Tyrosine-protein kinase Fyn | FYN | unknown | IC50 6.02 |
| Epidermal growth factor receptor | EGFR | unknown | IC50 5.82 |
| Receptor tyrosine-protein kinase erbB-2 | ERBB2 | unknown | IC50 5.65 |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 1962-05-17 | FDA | — | PAR STERILE PRODUCTS |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
A07AA10 | ALIMENTARY TRACT AND METABOLISM › ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS › INTESTINAL ANTIINFECTIVES › Antibiotics |
J01XB01 | ANTIINFECTIVES FOR SYSTEMIC USE › ANTIBACTERIALS FOR SYSTEMIC USE › OTHER ANTIBACTERIALS › Polymyxins |
Reported adverse-event signals
Strongest FDA FAERS disproportionality signals (log-likelihood ratio). A signal is a statistical association in spontaneous reports, not proof that the drug causes the event.
| MedDRA term | LLR |
|---|---|
| Drug resistance | 515.3 |
| Pathogen resistance | 382.5 |
| Choroiditis | 316.3 |
| Septic shock | 303.4 |
| Multiple organ dysfunction syndrome | 289.5 |
| Drug ineffective | 267.4 |
| Infective pulmonary exacerbation of cystic fibrosis | 245.1 |
| Endophthalmitis | 221.2 |
| Pseudomonas infection | 180.0 |
| Intraocular pressure increased | 174.7 |
| Geotrichum infection | 172.3 |
| Klebsiella infection | 144.3 |
Chemical structure
| Molecular formula | C105H198N32O26 |
|---|---|
| Molecular weight | 2324.94 g/mol |
| CAS number | 1066-17-7 |
| InChIKey | — |
| PubChem CID | 5311054 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Colistin used for?
DrugCentral lists the following indications for Colistin: Enterobacter Infection, Infection due to Escherichia coli, Klebsiella Infections, Mastoidectomy Cavity Infections, Otitis externa and Pseudomonas Aeruginosa Infections.
How does Colistin work?
Its molecular targets in DrugCentral include MC3R, MC5R, MC4R and FYN.
When was Colistin first approved?
Colistin was first approved by the FDA in 1962.
What is the chemical formula of Colistin?
Colistin has the molecular formula C105H198N32O26 and a molecular weight of 2324.94 g/mol.
Browse: all drugs starting with C · drug guides by category · protein targets A–Z.
Sources
- DrugCentral drug card 4425 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL1201441 — compound record and bioactivity
- PubChem CID 5311054 — chemical identifiers
- DrugBank DB00803 — drug record
- FDA UNII Z67X93HJG1 — substance identity
- DailyMed: FDA labels for Colistin — current prescribing information (label search)
- UniProt P41968 (MC3R) — target protein
- UniProt P33032 (MC5R) — target protein
- UniProt P32245 (MC4R) — target protein
- UniProt P06241 (FYN) — target protein
- UniProt P00533 (EGFR) — target protein
- UniProt P04626 (ERBB2) — target protein
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
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