fusidic acid

Brand Name :

Fucidin

Synonyms :

fusidic acid

Class :

Antibiotic

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Actions and Spectrum: 

fusidic acid is a narrow-spectrum antibiotic that is mainly used to treat infections caused by bacteria such as Staphylococcus aureus and Streptococcus species. It works by inhibiting bacterial protein synthesis, specifically by binding to elongation factor G (EF-G) and preventing the release of ribosomes from mRNA during translation. This leads to the inhibition of bacterial protein synthesis and ultimately results in the death of the bacteria. 

fusidic acid is a bacteriostatic antibiotic, meaning that it slows down the growth and replication of bacteria rather than killing them outright. It is effective against Gram-positive bacteria, including many strains of Staphylococcus aureus resistant to other antibiotics. 

fusidic acid is mainly used to treat skin and soft tissue infections, such as impetigo, dermatitis, and infected wounds. It is also used with other antibiotics to treat more severe infections, such as osteomyelitis, endocarditis, and pneumonia. 

DRUG INTERACTION

fusidic acid

&

  • Pembrolizumab / Berahyaluronidase
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  • fusidic acid / hydrocortisone acetate
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  • sodium phosphate
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  • sodium fusidate
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  • sodium metabisulfite
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  • taspoglutide
  • glyclopyramide
  • tolnaftate, gentamicin, iodochlorohydroxyquinoline, chlorocresol, betamethasone valerate
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  • triamterene / benzthiazide
  • tribenoside / lidocaine
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  • triprolidine/dextromethorphan  
  • vitamins/minerals/omega-3 Fatty acids
  • soyabean oil
  • sucralfate/oxethazaine
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  • sodium cromoglycate
  • aloe vera/liquid paraffin/white soft paraffin
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  • alprazolam/paracetamol
  • alprazolam/melatonin
  • azithromycin/ambroxol
  • atorvastatin/clopidogrel/aspirin
  • aceclofenac, paracetamol and serratiopeptidase
  • alfacalcidol, vitamin B-complex, minerals and antioxidants
  • alpha- lipoic acid, vitamin b complex and vitamin c
  • alpha-galactosidase and simethicone
  • alpha-galactosidase, amylase, proteases, lipase and lactase
  • amikacin and cefepime
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  • finasteride/tamsulosin
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  • linoleic acid and sodium lactate
  • troxerutin
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  • mecobalamin/ginkgo Biloba
  • spirulina
  • loperamide and furazolidone
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  • lercanidipine/atenolol
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  • levarterenol
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  • itopride/methyl polysiloxane
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  • gliclazide/metformin/pioglitazone
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  • haemocoagulase
  • halometasone
  • hesperidin
  • imipramine/chlordiazepoxide
  • idebenone / l-arginine / zinc sulphate/selenium/proanthocyanidin
  • mecobalamin and piracetam
  • mesterolone
  • mosapride and pantoprazole
  • atorvastatin, co enzyme q10, vitamin e, zinc, and selenium
  • azithromycin and benzalkonium chloride
  • beta carotene, vitamin c, vitamin e, minerals, lutein, eicosapentaenoic acid, docosahexenoic acid and vit b12
  • alpha-galactosidase
  • aloe vera gel/vitamin e/lactic acid
  • aloe vera gel/jojoba/vitamin e/glycerine
  • famotidine and domperidone
  • faropenem medoxomil
  • nedosiran
  • fluconazole/ornidazole/azithromycin
  • ebastine/montelukast
  • eberconazole
  • dienogest/estradiol valerate
  • ambroxol/salbutamol
  • benzoic acid/salicylic acid/ichthammol/ triamcinolone acetonide
  • desloratadine/ambroxol
  • dexibuprofen/paracetamol
  • atorvastatin/ramipril
  • diastase
  • diastase and simethicone
  • diazepam and propranolol
  • dexrabeprazole / domperidone
  • dexrabeprazole
  • dexketoprofen /paracetamol
  • beta carotene/vitamin C/minerals
  • aloe vera gel/urea
  • aloe vera gel/glycerine
  • alpha-lipoic acid/benfotiamine/chromium/folic acid/mecobalamin / vit b6
  • alprazolam/propranolol
  • alprazolam /sertraline
  • ibuprofen/dextropropoxyphene
  • ambroxol/cetirizine/phenylephrine/ guaiphenesin/menthol
  • dextropropoxyphene/dexchlorpheniramine maleate/bromhexine
  • promegestone
  • batroxobin
  • bencyclane
  • benfluorex
  • acetylpheneturide
  • abarelix
  • abetimus
  • naftidrofuryl
  • nalorphine
  • oxiracetam
  • letosteine
  • lafutidine
  • leuprorelin
  • levodropropizine
  • glutaral
  • losartan/ramipril
  • gallopamil
  • lanatoside c
  • lauromacrogol
  • gestodene
  • aceclofenac/methyl salicylate/menthol/linseed oil/capsaicin
  • aceclofenac/paracetamol/tizanidine
  • alginic acid/magaldrate/simethicone
  • aceclofenac/paracetamol
  • aceclofenac/rabeprazole
  • alginic acid
  • pantoprazole and domperidone
  • urokinase
  • rimiterol
  • olanzapine/fluoxetine
  • normethadone/hydroxyephedrine
  • myrtol
  • moxonidine
  • propylhexedrine
  • sodium hypochlorite solution
  • sodium chloride/sodium citrate
  • Hepatitis B Vaccine (Recombinant [Adjuvanted])
  • Hepatitis B Vaccine (Recombinant)
  • aceclofenac and serratiopeptidase
  • levosulpiride
  • niaprazine
  • tromantadine
  • trimetazidine
  • vinburnine
  • mizoribine
  • molgramostim
  • mosapride
  • eugenol
  • tolperisone
  • etamsylate
  • etynodiol
  • mizolastine
  • metenolone
  • reproterol
  • rebamipide
  • mephenoxalone
  • metandienone
  • furosemide/spironolactone
  • hydroxycarbamide
  • tenonitrozole
  • fenoverine
  • fenquizone
  • tiapride
  • tibolone
  • furazolidone
  • furosemide & amiloride
  • fosfestrol
  • fluclorolone
  • flubendazole
  • tertatolol
  • tetracosactide
  • tetryzoline
  • tolciclate
  • trapidil
  • troxipide
  • temoporfin
  • telbivudine
  • teprenone
  • hexamidine
  • mebhydrolin
  • mepartricin
  • fencamfamin
  • medazepam
  • theodrenaline
  • thiamazole
  • thiocolchicoside
  • psilocybin
  • veralipride
  • pyritinol
  • opipramol
  • oprelvekin
  • betamethasone + gentamicin
  • betamethasone + neomycin
  • betamethasone + salicylic acid
  • oxedrine
  • bopindolol
  • orgotein (investigational)
  • oxaceprol
  • ormeloxifene
  • bevantolol
  • bifemelane
  • clebopride
  • demoxytocin
  • cicletanine
  • cefsulodin
  • chlortalidon
  • sisomicin
  • somatrem
  • carbazochrome
  • caroverine
  • cathine
  • ipriflavone
  • isepamicin
  • silymarin
  • simethicone
  • sermorelin
  • diloxanide
  • dimethindene
  • diosmin/hesperidin
  • calamine
  • canrenone
  • captodiame
  • imidapril
  • cefetamet
  • cefodizime
  • cefoperazone + sulbactam
  • ivermectin + albendazole
  • serrapeptase
  • bromisoval
  • beraprost
  • pridinol
  • proglumide
  • bamipine
  • barnidipine
  • bamifylline
  • benzbromarone
  • betamethasone/fusidic acid
  • para-chlorophenol
  • pantethine
  • nomifensine
  • pemoline
  • parnaparin
  • pentolinium
  • nialamide
  • novobiocin
  • nicergoline
  • octocrylene
  • octisalate
  • oftasceine
  • oxolamine
  • oxyphencyclimine
  • penfluridol
  • pentoxyverine
  • phenoxymethylpenicillin
  • picloxydine
  • pilsicainide hydrochloride
  • piperazine
  • pirarubicin
  • policresulen
  • prifinium bromide
  • prethcamide
  • pristinamycin
  • pirenzepine
  • piribedil
  • pimethixene
  • pargyline
  • phosphatidyl choline
  • phthalylsulfathiazole
  • phytomenadione
  • pranlukast
  • pinazepam
  • oxyphenonium
  • noxytiolin
  • periciazine
  • pethidine
  • phenindamine
  • histidine
  • isoleucine
  • proline
  • lauric acid
  • lymecycline
  • hypromellose
  • abiraterone acetate and niraparib
  • ichthammol
  • levamisole
  • naftazone
  • nefopam
  • oxprenolol
  • oxybuprocaine
  • elranatamab-bcmm
  • lapyrium
  • isoaminile
  • iotrolan
  • mazindol
  • masoprocol
  • lypressin
  • meradimate
  • molsidomine
  • monobenzone
  • mequinol/gluconolactone/ lactobionic acid/ arbutin
  • medifoxamine
  • mebutamate
  • metergoline
  • methantheline
  • methdilazine
  • metocurine
  • micronomicin
  • metaraminol
  • mephenesin
  • menadione
  • medrysone
  • metixene
  • levobetaxolol
  • guaiacol glycerol ether
  • eucalyptol
  • sodium tetradecyl sulfate
  • sugammadex
  • carbetocin
  • certoparin
  • chlorcyclizine/pseudoephedrine
  • cephapirin
  • indecainide
  • iobitridol
  • iomeprol
  • chlorphenesin
  • msud analog
  • msud maxamum
  • iceland moss
  • glutethimide
  • hexachlorophene
  • haloprogin
  • deferoxamine
  • ethchlorvynol
  • dexpanthenol topical
  • etilefrine
  • deslanoside
  • carbocromen
  • diazolidinylurea
  • dibenzepin
  • etofamide
  • guanoxan
  • halazepam
  • guanadrel sulfate
  • dapiprazole
  • soapwort
  • debrisoquine
  • l-tryptophan
  • chlormerodrin
  • chlorquinaldol
  • cetrimonium
  • carbocisteine
  • chlorcyclizine/codeine
  • technetium Tc-99m tetrofosmin
  • technetium Tc-99m disofenin
  • technetium Tc-99m gluceptate
  • technetium Tc-99m labeled red blood cells
  • amylmetacresol/dextromethorphan hydrobromide
  • anileridine phosphate
  • pyrethrins
  • pyrantel pamoate
  • quinagolide
  • spiramycin
  • standard hyperkalemic cardioplegia solution
  • technetium tc-99m mertiatide
  • technetium tc-99m medronate
  • bemotrizinol / bisoctrizole
  • benfotiamine
  • bemotrizinol + titanium dioxide + zinc oxide
  • technetium Tc-99m oxidronate
  • technetium Tc-99m pentetate
  • technetium Tc-99m pyrophosphate
  • benziodarone
  • octinoxate/bisoctrizole
  • bicisate dihydrochloride
  • technetium Tc-99m bicisate
  • norelgestromin/ethinyl estradiol
  • norgestimate/ethinyl estradiol
  • ximelagatran (investigational)
  • xamoterol
  • trioxsalen
  • poly-urea urethane
  • rilmenidine
  • pemirolast
  • oxitriptan
  • beclomethasone, intranasal
  • thimerosal
  • camphor gel
  • camphor
  • mumps virus vaccine, live
  • rubella virus vaccine, live
  • aluminum chloride (dental)
  • alum irrigation
  • framycetin, phenylephrine, and gramicidin
  • ombitasvir, paritaprevir, ritonavir, and dasabuvir
  • olipudase alfa
  • etonogestrel/ethinyl estradiol
  • mycophenolate
  • fluoroestradiol F 18
  • donor organ cardioplegia solution
  • fluciclovine F 18
  • fusidic acid (ophthalmic)
  • fusidic acid and hydrocortisone
  • framycetin, dexamethasone, and gramicidin
  • fludeoxyglucose F-18
  • fluorouracil/salicylic acid
  • indium In-111 oxyquinoline
  • indium In-111 pentetreotide
  • indium In-111 capromab pendetide
  • lusutrombopag
  • mitomycin (ophthalmic)
  • mifepristone and misoprostol
  • minoxidil (systemic)
  • methyl aminolevulinate (topical)
  • methyl folate, methylcobalamin, and acetylcysteine
  • ciclesonide/formoterol/tiotropium
  • nedocromil (Oral Inhalation)
  • batefenterol (Investigational)
  • neostigmine and glycopyrrolate
  • nepafenac ophthalmic
  • netupitant/palonosetron
  • meperidine and promethazine
  • mepivacaine and levonordefrin
  • maltodextrin
  • medical cannabis
  • medium chain triglycerides
  • mometasone/glycopyrrolate (glycopyrronium)/ indacaterol
  • moxifloxacin ophthalmic
  • neomycin/fluocinolone
  • nadroparin
  • iodine I-125 iothalamate
  • amikacin liposome (oral inhalation)
  • bupivacaine liposome
  • natamycin
  • lopinavir and ritonavir
  • lysine
  • macitentan and tadalafil
  • mitomycin pyelocalyceal
  • moclobemide
  • mometasone and indacaterol
  • efinaconazole
  • blue-green algae
  • indocyanine green
  • follitropin beta
  • lumasiran
  • glycerin/lidocaine
  • edrophonium/atropine
  • indigo carmine
  • lutropin alfa
  • instant glucose/intravenous dextrose
  • iobenguane I-123
  • ixekizumab
  • isosulfan blue dye
  • levofloxacin ophthalmic
  • levonorgestrel oral/ferrous bisglycinate/ ethinylestradiol
  • ethinyl estradiol/levonorgestrel transdermal
  • hydroquinone
  • hydroxypropyl methylcellulose
  • icodextrin
  • lipid emulsion (soybean, medium-chain triglyceride, olive, and fish oils; [SMOF])
  • iodinated I 125 albumin
  • iodinated I 131 albumin
  • lipid emulsion (plant oil-based)
  • levonorgestrel intrauterine
  • levonorgestrel/ethinyl estradiol
  • lactic acid and sodium-PCA
  • lactated Ringer solution
  • ketotifen (systemic)
  • lanolin
  • leuprolide and norethindrone
  • levodopa and benserazide
  • gonadorelin acetate
  • hemodialysis solutions
  • nirsevimab
  • gentian violet
  • gallium ga-68 dotatate
  • fusidic acid and betamethasone
  • gallium citrate Ga-67
  • gadopentetate dimeglumine
  • gadofosveset
  • follitropin delta
  • follitropin alfa and lutropin alfa
  • follitropin alfa
  • rocatinlimab
  • grass pollens allergen extract
  • flotufolastat F18
  • fluorescein ophthalmic
  • barium
  • balanced salt solution
  • air polymer type A intrauterine device
  • clodronate
  • bentoquatam
  • clobetasone
  • alfacalcidol
  • citric acid/glucono-delta-lactone/magnesium carbonate
  • benzoin
  • desirudin
  • immune globulin IV (IGIV)
  • dequalinium
  • pseudoephedrine/desloratadine
  • clofedanol
  • cyproterone and ethinyl estradiol
  • dextranomer and hyaluronic acid or derivatives
  • diatrizoate meglumine and diatrizoate sodium
  • glucosamine sulfate, chondroitin sulfate and Msm
  • squill
  • gotu kola
  • blessed thistle
  • bitter melon
  • apraclonidine
  • chlophedianol/dexbrompheniramine/pseudoephedrine
  • wild jujube
  • chitosan
  • cilazapril/hydrochlorothiazide
  • dexbrompheniramine and phenylephrine
  • diethylene triamine penta-acetic acid
  • dexchlorpheniramine and pseudoephedrine
  • lily of the valley
  • diflucortolone
  • corydalis
  • lemon balm
  • MSM
  • calcium polystyrene sulfonate
  • caprylidene
  • peppermint oil
  • efavirenz/lamivudine/tenofovir DF
  • emtricitabine/tenofovir DF /efavirenz
  • dutasteride/tamsulosin
  • milk thistle
  • centaury
  • horseweed
  • lycopus
  • agrimony
  • alfalfa
  • kava
  • cetrorelix
  • cetylpyridinium
  • chlophedianol and dexbrompheniramine
  • betahistine
  • choline C-11
  • boric acid vaginal suppository
  • aluminum acetate
  • aluminum chloride hexahydrate
  • 14-C urea breath test
  • absorbable collagen
  • valoctocogene roxaparvovec-rvox
  • amlodipine and celecoxib
  • aspirin and omeprazole
  • azilsartan and chlorthalidone
  • landiolol (Pending FDA approval)
  • isosorbide dinitrate/hydralazine
  • losartan/hydrochorothiazide
  • udenafil
  • dextromethorphan/quinidine
  • onasemnogene abeparvovec
  • orphenadrine/aspirin/caffeine
  • Trace elements
  • sodium phenylbutyrate/ taurursodiol
  • fish oil triglycerides
  • infant formula
  • glutamine
  • chloroquine phosphate
  • afatinib
  • quinidine gluconate
  • methylergonovine
  • prothrombin complex concentrate, human
  • BCG intravesical live
  • capivasertib
  • cedazuridine
  • carbonyl iron
  • iron dextran complex
  • lovotibeglogene autotemcel (FDA Approval Pending)
  • sodium benzoate/sodium phenylacetate
  • mineral oil otic
  • zolmitriptan transdermal
  • midazolam intranasal
  • fosinopril/hydrochlorothiazide
  • caplacizumab
  • arginine
  • sodium phenylbutyrate
  • meloxicam/rizatriptan
  • manganese
  • acetaminophen/pamabrom/pyridoxine
  • varicella zoster immune globulin, human
  • amitriptyline/perphenazine
  • narsoplimab (Pending FDA Approval)
  • amlodipine/perindopril
  • imiglucerase
  • canagliflozin/metformin
  • tafamidis meglumine
  • somatrogon-ghla
  • glimepiride/rosiglitazone
  • becaplermin
  • lithium
  • loxapine inhaled
  • nicotine transdermal
  • tixagevimab and cilgavimab (Investigational)
  • muromonab CD3
  • ansuvimab
  • coal tar bath products
  • fibrin sealant
  • arimoclomol (FDA Approval Pending)
  • varenicline intranasal
  • aducanumab
  • oxycodone/naloxone
  • ritlecitinib
  • sodium polystyrene sulfonate
  • calcipotriene/betamethasone
  • calcium hydroxylapatite
  • cantharidin topical
  • doxepin cream
  • clocortolone
  • formaldehyde topical
  • sodium sulfide topical
  • collagenase
  • selegiline transdermal
  • foscarbidopa/foslevodopa (FDA approval pending)
  • saxagliptin/metformin
  • linagliptin/metformin
  • linzagolix (FDA approval pending)
  • efgartigimod/hyaluronidase SC
  • Elamipretide
  • rozanolixizumab
  • diazoxide
  • glimepiride/pioglitazone
  • cipaglucosidase alfa
  • dihydroergotamine intranasal
  • delandistrogene moxeparvovec
  • beremagene geperpavec
  • hyaluronic acid and derivatives
  • hyaluronic acid, non-animal stabilized
  • eplontersen (FDA Approval Pending)
  • nitric oxide gas
  • sodium phenylbutyrate and taurursodiol
  • treprostinil SC
  • viltolarsen
  • albuterol/ipratropium
  • budesonide inhaled
  • budesonide rectal
  • palovarotene
  • sodium sulfate/potassium chloride/magnesium sulfate/polyethylene glycol
  • amino acids mixture
  • aminobenzoate potassium
  • elivaldogene autotemcel
  • naproxen and sumatriptan
  • sumatriptan intranasal
  • alglucerase
  • metformin/rosiglitazone
  • ertugliflozin/metformin
  • elosulfase alfa
  • calcium carbonate/magnesium hydroxide
  • starch suppository
  • abicipar pegol (FDA Approval Pending)
  • riboflavin 5′-phosphate ophthalmic
  • povidone ophthalmic
  • glycerin oropharyngeal
  • dimethicone topical
  • menthol topical, dimethicone topical
  • pramoxine topical, menthol topical and dimethicone topical
  • phosphorated carbohydrate
  • brilliant blue G ophthalmic
  • brolucizumab intravitreal
  • purified water, ophthalmic
  • hydroxyethyl cellulose ophthalmic
  • ranibizumab intravitreal implant
  • sodium chloride hypertonic, ophthalmic 
  • cetirizine ophthalmic
  • phentolamine ophthalmic
  • ganciclovir ophthalmic
  • triamcinolone intravitreal
  • ocriplasmin intravitreal
  • atoltivimab/maftivimab/odesivimab
  • pegcetacoplan intravitreal
  • triamcinolone acetonide extended-release injectable suspension
  • tobramycin/loteprednol ophthalmic
  • 2-octyl cyanoacrylate
  • vitamins A & D topical
  • diphenhydramine/allantoin topical
  • pyrethrins/piperonyl butoxide
  • lodoxamide ophthalmic
  • obeticholic acid
  • fluocinolone intravitreal implant
  • sincalide
  • linaclotide
  • nedocromil ophthalmic
  • cysteamine ophthalmic
  • avacincaptad pegol intravitreal
  • azelastine ophthalmic
  • bacitracin ophthalmic
  • propylene glycol ophthalmic
  • rimexolone ophthalmic
  • metoclopramide intranasal
  • mirikizumab
  • netarsudil ophthalmic
  • cenegermin
  • dexamethasone ophthalmic insert
  • prednisolone ophthalmic
  • phenylephrine and cocoa butter rectal
  • phenylephrine and witch hazel topical
  • phenylephrine, pramoxine, glycerin and petrolatum rectal
  • bisacodyl rectal
  • aluminum hydroxide/magnesium carbonate
  • aluminum hydroxide/magnesium hydroxide
  • hyoscyamine spray
  • methenamine/methylene blue/ hyoscyamine/ sodium phosphate monobasic/ phenyl salicylate
  • phenylephrine
  • chlorophyll
  • castor oil
  • cholic acid
  • phenol oropharyngeal
  • articaine/epinephrine
  • antithymocyte globulin equine
  • aluminum hydroxide/magnesium trisilicate
  • methenamine/hyoscyamine
  • hydrocortisone topical/pramoxine topical 
  • sodium fluoride topical
  • mesna
  • C1 esterase inhibitor recombinant
  • menthol and pectin
  • menthol oropharyngeal
  • pectin oropharyngeal
  • gepirone
  • Goldenseal
  • polyethylene glycol and electrolytes
  • polyethylene glycol/electrolytes/sodium ascorbate/ascorbic acid
  • brompheniramine/pseudoephedrine/dextromethorphan
  • brompheniramine phenylephrine
  • acetaminophen/doxylamine/phenylephrine
  • doxylamine/acetaminophen/pseudoephedrine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan/phenylephrine
  • eslicarbazepine
  • fluticasone and salmeterol
  • codeine, acetaminophen, butalbital and caffeine
  • codeine, chlorpheniramine and phenylephrine
  • iodine
  • povidone iodine
  • butalbital/aspirin/caffeine/codeine
  • polyethylene glycol 400/propylene glycol ophthalmic 
  • pegvaliase
  • amivantamab
  • iopamidol
  • codeine and pseudoephedrine
  • emtricitabine, rilpivirine, tenofovir DF
  • penicillin G aqueous
  • miconazole topical
  • miconazole vaginal
  • ciprofloxacin inhaled (Pending FDA approval)
  • ceftazidime/avibactam
  • ceftolozane/​tazobactam
  • aztreonam inhalation
  • amphotericin B cholesteryl sulfate
  • miconazole oral
  • elvitegravir/cobicistat/emtricitabine/tenofovir DF
  • isavuconazonium sulfate
  • dapivirine intravaginal (FDA Approval Pending)
  • lamivudine/raltegravir
  • codeine/triprolidine/pseudoephedrine
  • cadexomer iodine
  • brompheniramine/pseudoephedrine
  • codeine/acetaminophen
  • codeine/guaifenesin
  • beclomethasone inhaled
  • epoetin beta/methoxy polyethylene glycol
  • voreloxin(Orphan Drug)
  • rociletinib
  • pitcher plant
  • phosphatidylserine
  • telotristat ethyl
  • copper CU 64 dotatate
  • urea topical
  • exenatide subdermal implant
  • asenapine transdermal
  • ethiodized oil
  • urea oral
  • miglustat
  • acalisib(Investigational)
  • acetophenazine
  • guggul
  • aceneuramic acid
  • mestranol/norethindrone
  • reishi
  • lactitol
  • vonoprazan fumarate
  • motherwort
  • silver nitrate
  • salicylic acid/sulfur shampoo
  • salicylic acid topical
  • ketorolac ophthalmic
  • ketoconazole topical
  • Japanese encephalitis virus vaccine
  • dibucaine topical ointment
  • ketorolac intranasal
  • ketorolac/phenylephrine ophthalmic
  • rotavirus oral vaccine, live
  • guarana
  • hops
  • krill oil
  • salicylic acid/coal tar shampoo
  • sufentanil SL
  • pancrelipase
  • passion flower
  • pepdite one plus
  • nivolumab and relatlimab
  • relatlimab (Pending FDA Approval)
  • benzalkonium chloride/benzocaine
  • ketotifen, drug-eluting contact lens
  • calcitriol topical
  • oxymetazoline topical
  • alclometasone topical
  • capsaicin topical
  • diclofenac/misoprostol
  • diclofenac ophthalmic
  • diclofenac topical
  • pramoxine/calamine topical
  • veverimer
  • tolazoline
  • olopatadine ophthalmic
  • lutetium lu 177-dota-tate
  • lutetium lu 177 vipivotide tetraxetan
  • strontium 89 chloride
  • interferon alfa n3
  • lutetium Lu 177- Diethylenetriamine Pentaacetic acid-omburtamab (FDA Approval Pending)
  • samarium sm 153 lexidronam
  • cytomegalovirus immune globulin (CMV IG)
  • antithymocyte globulin rabbit
  • inolimomab (Pending FDA Approval)
  • olopatadine intranasal
  • olopatadine intranasal/​mometasone, intranasal
  • benzocaine/butamben/tetracaine topical
  • antipyrine/benzocaine/phenylephrine
  • dyclonine/menthol
  • surufatinib
  • fruquintinib
  • dostarlimab
  • hepatitis B immune globulin (HBIG)
  • remestemcel-L
  • benzocaine/menthol oropharyngeal
  • interferon beta 1b
  • tetracaine/oxymetazoline intranasal
  • benzocaine oropharyngeal
  • benzalkonium chloride/menthol/petrolatum topical
  • inamrinone
  • alpha 1 proteinase inhibitor
  • potassium bicarbonate/potassium citrate
  • potassium phosphate/sodium acid phosphate
  • asparaginase Erwinia chrysanthemi recombinant
  • motixafortide
  • pegloticase
  • etesevimab
  • Rho(D) immune globulin
  • tetanus immune globulin (TIG)
  • reltecimod (pending FDA approval)
  • avasopasem
  • trimethoprim/polymyxin B ophthalmic
  • naphazoline ophthalmic
  • sulfacetamide topical
  • sirolimus intravitreal (pending FDA approval)
  • sirolimus protein bound
  • sirolimus topical
  • glycopyrronium tosylate topical
  • sofpironium
  • olmesartan, amlodipine and hydrochlorothiazide
  • dovitinib (Pending FDA Approval)
  • epinephrine inhaled
  • quizartinib (Pending FDA Approval)
  • ranibizumab intravitreal injection
  • sodium hyaluronate
  • bacitracin and lidocaine topical
  • brimonidine topical
  • benzoyl peroxide and tretinoin topical
  • talquetamab
  • betrixaban
  • acetaminophen/caffeine/pyrilamine
  • fentanyl transmucosal
  • bacitracin topical
  • buprenorphine,long-acting injection
  • buprenorphine buccal
  • nalmefene intranasal
  • sulbactam/durlobactam
  • metronidazole topical 
  • daratumumab/hyaluronidase
  • glofitamab
  • rituximab-hyaluronidase
  • drospirenone/ethinyl estradiol/levomefolate
  • loncastuximab tesirine
  • ingenol mebutate topical
  • momelotinib
  • trastuzumab/deruxtecan
  • trastuzumab/hyaluronidase
  • trastuzumab duocarmazine
  • lifileucel
  • umbralisib
  • eflornithine/sulindac
  • cytarabine/daunorubicin liposomal
  • doxorubicin liposomal
  • epcoritamab
  • lanadelumab  
  • esomeprazole/naproxen 
  • terbinafine topical
  • ravulizumab
  • clotrimazole topical
  • choline magnesium trisalicylate
  • tacrolimus ointment
  • mechlorethamine topical
  • donislecel
  • pozelimab (Pending FDA Approval)
  • human rabies immune globulin (HRIG)
  • melphalan flufenamide
  • sintilimab (Pending FDA Approval)
  • oportuzumab monatox (Pending FDA Approval)
  • sotorasib
  • irinotecan liposomal
  • sulfur topical
  • silver sulfadiazine
  • capsaicin transdermal
  • sutimlimab
  • tretinoin topical
  • acetaminophen rectal
  • menthol topical
  • naftifine
  • oatmeal, colloidal topical
  • oxiconazole
  • methylsalicylate/menthol topical
  • C1 inhibitor human
  • lifitegrast ophthalmic
  • prednisolone/sulfacetamide ophthalmic
  • mannitol inhalation
  • ofloxacin otic
  • petrolatum & mineral oil topical
  • clascoterone topical
  • gefapixant (Pending FDA Approval)
  • colesevelam
  • technetium Tc 99m succimer
  • nebivolol/valsartan
  • ciprofloxacin/fluocinolone acetonide, otic
  • finafloxacin otic
  • magnesium hydroxide/mineral oil
  • phenylephrine/mineral oil/petrolatum rectal
  • carbamide peroxide oral
  • atropine ophthalmic
  • sodium sulfacetamide/sulfur
  • sulfacetamide ophthalmic
  • lucinactant
  • benzonatate
  • besifloxacin ophthalmic
  • benzhydrocodone/acetaminophen
  • beractant
  • trimagnesium citrate anhydrous
  • vitamin b2
  • carbamide peroxide otic
  • mineral oil topical
  • ethyl alcohol intranasal
  • boric acid/alcohol otic
  • absorbable gelatin compressed sponge, USP
  • absorbable gelatin sponge, USP
  • vincristine liposomal
  • technetium Tc 99m albumin aggregated injection
  • metaproterenol
  • budesonide inhaled/formoterol/glycopyrrolate inhaled
  • epinephrine racemic
  • umeclidinium bromide/vilanterol inhaled
  • indacaterol, inhaled/glycopyrrolate inhaled
  • betaine  
  • laronidase 
  • estrogens esterified/methyltestosterone            
  • cerliponase alfa
  • ertugliflozin/sitagliptin
  • hawthorn
  • shepherd’s purse
  • thiamine
  • naphazoline/glycerin ophthalmic
  • oxymetazoline ophthalmic
  • dorzolamide
  • dexamethasone intraocular
  • dexamethasone/ciprofloxacin
  • dexamethasone ophthalmic
  • metipranolol ophthalmic
  • timolol ophthalmic
  • boron
  • fezolinetant
  • pegunigalsidase alfa-iwxj
  • biotin
  • pantothenic acid
  • silicon
  • sodium acid phosphate
  • hypochlorous acid topical
  • methenamine/sodium acid phosphate
  • aviptadil 
  • bremelanotide
  • glucagon intranasal
  • metformin and repaglinide
  • bai ji
  • pau d’arco
  • juzentaihoto
  • mistletoe
  • quercetin
  • rosemary
  • sheng di huang
  • chasteberry
  • maitake
  • grapefruit
  • lentinan
  • juniper
  • nettle
  • parsley
  • rose hips
  • tongkat ali
  • horny goat weed
  • damiana
  • yohimbe
  • insulin NPH
  • aprocitentan
  • noni Juice
  • sodium iodide I-131
  • green tea
  • sea cucumber
  • wheat germ extract
  • fenofibrate micronized 
  • rogisen
  • danshen
  • lutein
  • witch hazel
  • dextroamphetamine transdermal
  • amphetamine/dextroamphetamine
  • hoodia
  • kolanut
  • boswellia
  • opuntia ficus indica
  • lavender
  • nadh
  • tea tree oil
  • metformin/sitagliptin 
  • dapagliflozin/ metformin/saxagliptin  
  • antihemophilic factor recombinant
  • inclisiran
  • bempedoic acid/ezetimibe
  • volanesorsen  
  • omega 3 carboxylic acids
  • pericyazine
  • levomepromazine (methotrimeprazine)
  • betaxolol ophthalmic
  • respiratory syncytial virus vaccine, adjuvanted
  • phenylephrine hydrochloride and tropicamide ophthalmic
  • alirocumab
  • neomycin/polymyxin B/gramicidin ophthalmic
  • factor IX
  • gentamicin topical
  • ansofaxine (Pending FDA Approval)
  • zuranolone
  • factor IX, recombinant
  • factor IX complex
  • factor XIII A-subunit, recombinant
  • factor X, human
  • mesalamine rectal
  • etrasimod
  • anti-inhibitor coagulant complex
  • factor IX, recombinant/albumin fusion protein
  • fibrinogen, human
  • aminocaproic acid
  • metyrosine
  • nonoxynol-9 vaginal
  • progesterone intravaginal gel
  • ipecac syrup
  • botulinum antitoxin, heptavalent
  • pentetate calcium trisodium
  • crotalidae polyvalent immune FAB (ovine)
  • dehydrated alcohol injection 
  • gold sodium thiomalate (Discontinued)
  • lactic acid/citric acid/potassium bitartrate vaginal
  • von Willebrand factor, recombinant
  • luspatercept
  • digoxin immune FAB (Antidote)
  • crotalidae immune FAB (equine)
  • magnesium (Antidote)
  • pyridoxine (Antidote)
  • edetate calcium disodium
  • albumin IV
  • nitroglycerin sublingual
  • obiltoxaximab
  • anthrax immune globulin
  • nitroglycerin topical
  • dextrose
  • nesiritide
  • estradiol vaginal
  • bazedoxifene/conjugated estrogens
  • botulism immune globulin iv
  • amoxicillin/omeprazole/rifabutin
  • synthetic human angiotensin II
  • nitroglycerin IV
  • nitroglycerin translingual
  • nitroprusside sodium
  • tetrahydrozoline/zinc sulfate/hypromellose ophthalmic
  • sodium citrate/citric acid
  • pemetrexate
  • Methicillin
  • plasminogen 
  • acai
  • american ginseng
  • cordyceps
  • tramadol/acetaminophen
  • belladonna alkaloids/phenobarbital
  • erythromycin topical/benzoyl peroxide
  • glucosamine sulfate
  • panax ginseng (suppl/herb)
  • tolnaftate
  • sulopenem etzadroxil/probenecid
  • sulfur hexafluoride
  • sotrovimab
  • arbaclofen
  • rifampin/isoniazid
  • clindamycin /tretinoin topical
  • benzoyl peroxide/clindamycin topical
  • apremilast
  • antivenins, centuroides (scorpion)
  • bamlanivimab and etesevimab
  • vilobelimab
  • gadobenate
  • pentosan polysulfate sodium
  • methylsalicylate/menthol/camphor topical
  • antivenin, black widow spider
  • benzoyl peroxide and hydrocortisone
  • clindamycin topical
  • isometheptene, dichloralphenazone and acetaminophen
  • acetaminophen and phenyltoloxamine
  • erythromycin topical
  • erythromycin ophthalmic
  • alpha hydroxy acids, topical
  • buprenorphine transdermal
  • butalbital/acetaminophen/caffeine
  • buprenorphine/samidorphan
  • buprenorphine subdermal implant
  • celecoxib/tramadol
  • drospirenone/ethinyl estradiol
  • resorcinol/sulfur
  • eflornithine
  • rifampin/isoniazid/pyrazinamide
  • tofersen
  • devil’s claw
  • ticarcillin/clavulanate
  • atropine/pralidoxime
  • aprepitant
  • suramin
  • phenelzine 
  • artichoke
  • american dogwood
  • attapulgite
  • atlantic cedar
  • axalimogene filolisbac
  • sodium thiosulfate & sodium nitrite
  • ataluren
  • omidubicel-onlv
  • capsicum
  • ginger
  • cryoprecipitate
  • bictegravir/emtricitabine/tenofovir DF
  • emtricitabine/tenofovir DF
  • fo-ti
  • siberian ginseng
  • granulocytes
  • zinc substituted heme C
  • zinc trihydroxide
  • ashwagandha 
  • cat’s claw
  • glandular products
  • SAMe
  • shark cartilage
  • altovis
  • feverfew
  • horse chestnut
  • magnesium aspartate
  • octacosanol
  • pleurisy root
  • star anise
  • butterbur
  • elderberry
  • licorice (Suppl/herb)
  • aconite
  • pentetate zinc trisodium
  • menthol topical/zinc oxide topical
  • corn-starch/kaolin/zinc oxide topical
  • 5-hydroxytryptophan (5-htp)
  • butcher’s broom
  • articulin
  • bearberry
  • goldenrod
  • progesterone, natural
  • black cohosh
  • wild yam
  • cranberry
  • dong quai
  • phytoestrogens
  • norethindrone
  • false Unicorn Root
  • raspberry Leaf
  • asafoetida
  • turmeric
  • dehydroepiandrosterone (DHEA)
  • hyaluronan
  • aliskiren/amlodipine
  • octreotide (Antidote)
  • tranexamic acid injection
  • duocal
  • neocate infant formula
  • pediatric Eo28
  • aloe
  • red clover
  • propolis
  • androstenedione
  • heartsease
  • comfrey
  • bilberry
  • chamomile
  • eyebright
  • calendula
  • sage
  • yucca
  • polypody
  • odevixibat
  • vinpocetine
  • olanzapine/samidorphan
  • creatine
  • yerba mate
  • spesolimab
  • azficel-T
  • tiludronate
  • estetrol and drospirenone
  • pseudoephedrine/fexofenadine
  • lincomycin
  • neomycin oral
  • fluocinolone acetonide, otic
  • tretinoin/ hydroquinone/ fluocinolone
  • halobetasol topical
  • hydrocortisone/​iodoquinol
  • penicillin G procaine /penicillin G benzathine
  • hydrocortisone probutate topical
  • colistin/neomycin/hydrocortisone/thonzonium otic
  • ebola zaire vaccine
  • hepatitis a/​b vaccine
  • vibegron
  • lindane
  • nystatin topical
  • respiratory syncytial virus (RSV) vaccine
  • chikungunya vaccine, live
  • tenecteplase
  • reteplase
  • anthrax vaccine adsorbed, adjuvanted
  • meningococcal ABCWY pentavalent vaccine
  • eculizumab
  • cholestyramine
  • tinzaparin
  • taurolidine/​citrate/​heparin
  • protein C concentrate
  • antithrombin alfa
  • antithrombin III
  • multivitamins, vision
  • ibuprofen/​chlorpheniramine/​pseudoephedrine
  • acetaminophen/ibuprofen
  • ibuprofen/pseudoephedrine
  • paclitaxel protein-bound
  • acetic acid vaginal
  • acetic acid otic
  • hydrocodone/ ibuprofen
  • methyl salicylate / isopropanol/ citronellyl acetate/ citric acid
  • ibuprofen and phenylephrine
  • acetylcysteine (Antidote)
  • iron/​folic acid/​vitamin/​mineral
  • iobenguane I-131
  • dolutegravir/rilpivirine
  • chlorhexidine topical
  • chlorhexidine oral
  • thyroid desiccated
  • proparacaine ophthalmic
  • podophyllum resin
  • phendimetrazine
  • phenoxybenzamine
  • polidocanol
  • phentermine and topiramate
  • piflufolastat F18
  • piperacillin/tazobactam
  • prednisolone and gentamicin ophthalmic
  • promethazine and codeine
  • poractant alfa
  • protamine sulfate
  • aflibercept intravitreal
  • prednicarbate
  • promethazine/dextromethorphan
  • codeine, phenylephrine, and promethazine
  • potassium phosphate
  • glatiramer acetate
  • gentamicin (Ophthalmic)
  • leniolisib
  • rezafungin
  • fluorometholone
  • dalfampridine
  • hydrocortisone topical 
  • empagliflozin and linagliptin
  • triamcinolone topical
  • minocycline topical
  • minocycline dental
  • ketotifen ophthalmic
  • darunavir and cobicistat
  • lidocaine topical
  • neomycin/polymyxin B/bacitracin/lidocaine (OTC)
  • lidocaine/ hydrocortisone
  • lidocaine anesthetic
  • lidocaine ophthalmic
  • lidocaine/tetracaine
  • desonide
  • dabigatran
  • fexofenadine
  • fluoride
  • decitabine and cedazuridine
  • dasiglucagon
  • hydroxypropyl cellulose ophthalmic
  • epoetin alfa
  • ibritumomab tiuxetan
  • trimethobenzamide
  • dexamethasone/ tobramycin
  • tafasitamab
  • valacyclovir
  • mebendazole
  • levoleucovorin
  • flaxseed
  • germanium
  • glutathione
  • lycopene
  • pygeum
  • horseradish
  • ziv-aflibercept
  • micafungin
  • trofinetide
  • taliglucerase alfa
  • tildrakizumab
  • sulopenem (Pending FDA Approval)
  • thyrotropin alfa
  • birch
  • thrombin, topical
  • tivozanib
  • tafluprost
  • methohexital
  • urea and hydrocortisone
  • unoprostone ophthalmic
  • trihexyphenidyl
  • ezetimibe
  • evolocumab
  • trifluridine and tipiracil
  • methenamine
  • misoprostol
  • miltefosine
  • rimantadine
  • maralixibat
  • coenzyme Q10
  • chlorella
  • garlic
  • forskolin
  • zavegepant
  • menotropins
  • margetuximab
  • meprobamate
  • melarsoprol
  • evening primrose oil
  • lemongrass
  • molindone
  • fenugreek
  • phytosterols
  • red yeast rice
  • uridine triacetate
  • tropicamide
  • incobotulinumtoxinA
  • Grape Seed Extract
  • carbachol ophthalmic
  • cosyntropin
  • cyclopentolate and phenylephrine
  • carteolol ophthalmic
  • pentazocine/naloxone
  • pentazocine/acetaminophen
  • casimersen
  • carisoprodol, aspirin, and codeine
  • carisoprodol
  • carboprost tromethamine
  • flurandrenolide
fusidic acid + 

methylergometrine 

may enhance the serum concentration of Ergot Derivatives

phenobarbital

it increases the concentration of CYP3A4 substrates in serum

carbamazepine

it increases the concentration of CYP3A4 substrates in serum

efavirenz

it increases the concentration of CYP3A4 substrates in serum

isoniazid

it increases the concentration of CYP3A4 substrates in serum

propofol

it increases the concentration of CYP3A4 substrates in serum

curcumin

it increases the concentration of CYP3A4 substrates in serum

glecaprevir

it increases the concentration of CYP3A4 substrates in serum

caspofungin

it increases the concentration of CYP3A4 substrates in serum

abiraterone

it increases the concentration of CYP3A4 substrates in serum

mibefradil

it increases the concentration of CYP3A4 substrates in serum

efavirenz

it increases the concentration of CYP3A4 substrates in the serum

propofol

it increases the concentration of CYP3A4 substrates in the serum

alfentanil 

it increases the concentration of alfentanil in the serum

lenacapavir

it increases the concentration of CYP3A4 substrates in the serum

memantine/donepezil

it increases the concentration of CYP3A4 substrates in the serum

donepezil transdermal

it increases the concentration of CYP3A4 substrates in the serum

efavirenz

it increases the concentration of CYP3A4 substrates in the serum

primidone

may enhance the serum concentration when combined with CYP3A4 substrates

prednisolone

may enhance the concentration of serum when combined with CYP3A4 substrates

lenacapavir

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

abiraterone

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

mibefradil

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

citalopram

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

efavirenz

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

docetaxel

may increase the serum concentration of CYP3A4 substrates

ribociclib

it increases the concentration of CYP3A4 substrates in serum

selumetinib

it increases the concentration of CYP3A4 substrates in serum

domperidone

it increases the concentration of CYP3A4 substrates in serum

dienogest

it increases the concentration of CYP3A4 substrates in serum

hydrocodone/​chlorpheniramine/​pseudoephedrine 

may enhance the serum concentration of CYP3A4 substrates

deflazacort 

may enhance the serum concentration of CYP3A4 substrates

ospemifene 

may increase the serum concentration of CYP3A4 substrates

nisoldipine 

may increase the serum concentration of CYP3A4 substrates

azelastine/fluticasone intranasal 

may enhance the serum concentration

diltiazem 

may enhance the serum concentration of CYP3A4 substrates

cinacalcet 

may enhance the serum concentrations of CYP3A4 substrates

simeprevir 

may enhance the serum concentration of CYP3A4 inhibitors

elbasvir/​grazoprevir 

may enhance the serum concentration of CYP3A4 inhibitors

lidocaine topical 

may increase the serum concentration of CYP3A4 Substrates

lovastatin 

may increase the adverse effect of HMG-CoA Reductase Inhibitors

buprenorphine buccal 

may increase the serum concentration of CYP3A4 Substrates

leuprolide and norethindrone 

may enhance the serum concentration of CYP3A4 Substrates

etonogestrel 

may enhance the serum concentration of CYP3A4 substrates

alprazolam 

When alprazolam and fusidic acid is used together, this leads to reduction in the alprazolam’s metabolism

encainide 

When encainide is used together with fusidic acid, this leads to a reduction in the encainide’s metabolism

adenine 

When fusidic acid is used together with adenine, this leads to a reduction in the fusidic acid metabolism

axitinib

may enhance the serum levels of CYP3A4 substrates

ibrutinib

may enhance the serum levels of CYP3A4 substrates

vandetanib

may enhance the serum levels of CYP3A4 substrates

erdafitinib

may enhance the serum levels of CYP3A4 substrates

toremifene

it may increase the plasma concentration of CYP3A4 substrates

sugammadex 

may decrease the therapeutic effect of each other when combined

 

Dosage Forms & Strengths 

Tablet-sodium fusidate 

250mg 

500mg  

Suspension 

250mg/5ml 

Susceptible Infections 

Indicated for Susceptible staphylococcal infections such as osteomyelitis, septicemia, endocarditis, superinfected cystic fibrosis, cutaneous infections, pneumonia, and wound infections
:


Tablets-Administer 250mg twice a day or 500 to 1000mg thrice a day Suspension-750 to 1000mg thrice a day



 

Dosage Forms & Strengths 

Tablet-sodium fusidate 

250mg 

500mg 

Suspension 

250mg/5ml 

Susceptible Infections 

Indicated for Susceptible staphylococcal infections such as osteomyelitis, septicemia, endocarditis, superinfected cystic fibrosis, cutaneous infections, pneumonia, wound infections
:


<1 year old:
Suspension-Administer 50 mg/kg/day divided thrice a day
1 to 5 years old:
Suspension-Administer 250mg thrice a day
>5 to 12 years old:
Tablets-Administer 250 to 500 mg thrice a day
Suspension-500 to 1000mg thrice a day



 

Refer adult dosing 

Contraindications/caution: 

Contraindications: 

  • fusidic acid is not recommended for individuals who have a history of hypersensitivity to the medicine or its components. It is also contraindicated in patients with a history of liver disease, as fusidic acid can cause liver toxicity. In addition, fusidic acid should not be used in patients with pre-existing muscle disorders, as it may exacerbate these conditions. 
  • As fusidic acid is predominantly eliminated via the kidneys and may accumulate in people with impaired renal function, it should be taken with care in those who have renal impairment. Patients who have a history of myasthenia gravis should also take it with caution since it might make it worse. 
  • fusidic acid should not be used during pregnancy or breastfeeding unless the potential benefits outweigh the potential risks to the fetus or infant. There is limited information on the safety of fusidic acid in these populations. 

Caution: 

fusidic acid should be used with caution in the following situations: 

  • Elderly patients: Elderly patients may be more susceptible to the adverse effects of fusidic acid due to age-related changes in renal and hepatic function. Dose adjustments may be necessary for this population. 
  • Pediatric patients: fusidic acid is generally safe and effective in children, but caution should be exercised in infants younger than one month. Dose adjustments may be necessary for pediatric patients with renal or hepatic impairment. 
  • Impaired renal or hepatic function: fusidic acid is primarily excreted by the kidneys and metabolized by the liver, so caution should be exercised in patients with impaired renal or hepatic function. Dose adjustments may be necessary for these patients. 
  • Concurrent use of other medications: fusidic acid may interact with other medications, such as anticoagulants, oral contraceptives, and immunosuppressants. Patients taking these medications should be closely monitored for potential drug interactions. 
  • Allergic reactions: fusidic acid may cause allergic reactions in some patients, including skin rash, itching, and swelling. Patients with a history of allergies or hypersensitivity reactions should be closely monitored while using this medication. 
  • Pregnancy and breastfeeding: fusidic acid should be used cautiously in pregnant and breastfeeding women, as there is limited information on the drug’s safety in these populations. Before using the medication on these patients, the potential benefits and risks should be carefully weighed. 

Pregnancy consideration: fusidic acid should not be used during pregnancy unless the potential benefits outweigh the potential risks to the fetus 

Lactation: Excretion of the drug in human breast milk is unknown 

Pregnancy category: 

Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester.   

Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. 

Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.    

Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.    

Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.    

Category N: There is no data available for the drug under this category 

Pharmacology: 

fusidic acid is an antibiotic that belongs to the class of steroidal compounds known as fusidanes. It selectively inhibits bacterial protein synthesis by binding to elongation factor G (EF-G) and preventing the release of ribosomes from mRNA during translation. This leads to the inhibition of bacterial protein synthesis and ultimately results in the death of the bacteria. 

fusidic acid is effective against Gram-positive bacteria, including many Staphylococcus aureus strains resistant to other antibiotics. It has a relatively narrow spectrum of activity and is ineffective against Gram-negative bacteria. 

fusidic acid is rapidly absorbed after oral administration and is distributed widely throughout the body, including into skin and soft tissues. It is highly protein-bound and is primarily metabolized by the liver and excreted in the urine. 

Pharmacodynamics: 

fusidic acid exhibits concentration-dependent killing, meaning that higher concentrations of the drug result in more significant bacterial killing. It has a post-antibiotic effect, which means bacterial growth may be suppressed even after the drug is no longer present. 

Resistance to fusidic acid can occur through mutations in the EF-G target site or other genes involved in the drug’s mode of action. Cross-resistance with other antibiotics is rare, and the development of resistance to fusidic acid is generally slow. 

Pharmacokinetics: 

Absorption 

fusidic acid is a lipophilic compound rapidly and almost completely absorbed after oral administration.  

Distribution 

It is highly protein-bound (approximately 99%) and has a large volume of distribution, indicating extensive tissue distribution. 

Metabolism 

The liver primarily metabolizes fusidic acid, with most of the drug being eliminated in the feces via biliary excretion. Only a tiny fraction of the drug is eliminated in the urine, indicating that renal excretion plays a minor role in eliminating fusidic acid. 

Elimination and Excretion 

The elimination half-life of fusidic acid is relatively short, ranging from 3 to 6 hours, depending on the dose and route of administration. As a result, the drug must be administered multiple times daily to maintain therapeutic levels in the body. 

Administration: 

fusidic acid can be administered by various routes, including oral, topical, and intravenous (IV) routes. The specific route of administration depends on the indication and severity of the infection being treated. 

  • Oral fusidic acid is typically administered two to three times daily, with or without food. The recommended dose and duration of treatment should be determined by a healthcare professional based on the nature and severity of the infection being addressed. 
  • fusidic acid is available in topical formulations to treat skin and soft tissue infections such impetigo and inflamed eczema. Depending on the severity of the illness, the topical medicines may be administered directly to the afflicted region two to three times each day. 
  • Intravenous fusidic acid is reserved for treating severe infections like osteomyelitis, endocarditis, and pneumonia. It is typically administered in a hospital setting by a healthcare professional. 

Patient information leaflet 

Generic Name: fusidic acid 

Why do we use fusidic acid? 

fusidic acid is primarily used to treat soft tissue and skin and infections caused by susceptible bacteria, such as Streptococcus pyogenes and Staphylococcus aureus. Some of the specific conditions that may be treated with fusidic acid include: 

  • Impetigo is a highly infectious skin condition that mostly affects youngsters and is distinguished by red lesions that leak and produce a honey-colored crust. 
  • Infected dermatitis: a skin condition characterized by inflammation and itching that may become infected with bacteria, leading to crusting, oozing, and pain. 
  • Infected wounds: wounds that become infected with bacteria and may require antibiotic treatment to prevent further complications. 
  • Osteomyelitis is a bone infection caused by various bacteria and typically requires long-term antibiotic therapy 
  • Pneumonia: a lung infection that bacteria, viruses, or fungi can cause. 
Content loading

fusidic acid

Brand Name :

Fucidin

Synonyms :

fusidic acid

Class :

Antibiotic

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No data available for drug.

Dosage Forms & Strengths 

Tablet-sodium fusidate 

250mg 

500mg  

Suspension 

250mg/5ml 

Susceptible Infections 

Indicated for Susceptible staphylococcal infections such as osteomyelitis, septicemia, endocarditis, superinfected cystic fibrosis, cutaneous infections, pneumonia, and wound infections
:


Tablets-Administer 250mg twice a day or 500 to 1000mg thrice a day Suspension-750 to 1000mg thrice a day



Dosage Forms & Strengths 

Tablet-sodium fusidate 

250mg 

500mg 

Suspension 

250mg/5ml 

Susceptible Infections 

Indicated for Susceptible staphylococcal infections such as osteomyelitis, septicemia, endocarditis, superinfected cystic fibrosis, cutaneous infections, pneumonia, wound infections
:


<1 year old:
Suspension-Administer 50 mg/kg/day divided thrice a day
1 to 5 years old:
Suspension-Administer 250mg thrice a day
>5 to 12 years old:
Tablets-Administer 250 to 500 mg thrice a day
Suspension-500 to 1000mg thrice a day



Refer adult dosing 

DRUG INTERACTION

fusidic acid

&

fusidic acid + 

methylergometrine 

may enhance the serum concentration of Ergot Derivatives

phenobarbital

it increases the concentration of CYP3A4 substrates in serum

carbamazepine

it increases the concentration of CYP3A4 substrates in serum

efavirenz

it increases the concentration of CYP3A4 substrates in serum

isoniazid

it increases the concentration of CYP3A4 substrates in serum

propofol

it increases the concentration of CYP3A4 substrates in serum

curcumin

it increases the concentration of CYP3A4 substrates in serum

glecaprevir

it increases the concentration of CYP3A4 substrates in serum

caspofungin

it increases the concentration of CYP3A4 substrates in serum

abiraterone

it increases the concentration of CYP3A4 substrates in serum

mibefradil

it increases the concentration of CYP3A4 substrates in serum

efavirenz

it increases the concentration of CYP3A4 substrates in the serum

propofol

it increases the concentration of CYP3A4 substrates in the serum

alfentanil 

it increases the concentration of alfentanil in the serum

lenacapavir

it increases the concentration of CYP3A4 substrates in the serum

memantine/donepezil

it increases the concentration of CYP3A4 substrates in the serum

donepezil transdermal

it increases the concentration of CYP3A4 substrates in the serum

efavirenz

it increases the concentration of CYP3A4 substrates in the serum

primidone

may enhance the serum concentration when combined with CYP3A4 substrates

prednisolone

may enhance the concentration of serum when combined with CYP3A4 substrates

lenacapavir

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

abiraterone

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

mibefradil

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

citalopram

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

efavirenz

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

docetaxel

may increase the serum concentration of CYP3A4 substrates

ribociclib

it increases the concentration of CYP3A4 substrates in serum

selumetinib

it increases the concentration of CYP3A4 substrates in serum

domperidone

it increases the concentration of CYP3A4 substrates in serum

dienogest

it increases the concentration of CYP3A4 substrates in serum

hydrocodone/​chlorpheniramine/​pseudoephedrine 

may enhance the serum concentration of CYP3A4 substrates

deflazacort 

may enhance the serum concentration of CYP3A4 substrates

ospemifene 

may increase the serum concentration of CYP3A4 substrates

nisoldipine 

may increase the serum concentration of CYP3A4 substrates

azelastine/fluticasone intranasal 

may enhance the serum concentration

diltiazem 

may enhance the serum concentration of CYP3A4 substrates

cinacalcet 

may enhance the serum concentrations of CYP3A4 substrates

simeprevir 

may enhance the serum concentration of CYP3A4 inhibitors

elbasvir/​grazoprevir 

may enhance the serum concentration of CYP3A4 inhibitors

lidocaine topical 

may increase the serum concentration of CYP3A4 Substrates

lovastatin 

may increase the adverse effect of HMG-CoA Reductase Inhibitors

buprenorphine buccal 

may increase the serum concentration of CYP3A4 Substrates

leuprolide and norethindrone 

may enhance the serum concentration of CYP3A4 Substrates

etonogestrel 

may enhance the serum concentration of CYP3A4 substrates

alprazolam 

When alprazolam and fusidic acid is used together, this leads to reduction in the alprazolam’s metabolism

encainide 

When encainide is used together with fusidic acid, this leads to a reduction in the encainide’s metabolism

adenine 

When fusidic acid is used together with adenine, this leads to a reduction in the fusidic acid metabolism

axitinib

may enhance the serum levels of CYP3A4 substrates

ibrutinib

may enhance the serum levels of CYP3A4 substrates

vandetanib

may enhance the serum levels of CYP3A4 substrates

erdafitinib

may enhance the serum levels of CYP3A4 substrates

toremifene

it may increase the plasma concentration of CYP3A4 substrates

sugammadex 

may decrease the therapeutic effect of each other when combined

Actions and Spectrum: 

fusidic acid is a narrow-spectrum antibiotic that is mainly used to treat infections caused by bacteria such as Staphylococcus aureus and Streptococcus species. It works by inhibiting bacterial protein synthesis, specifically by binding to elongation factor G (EF-G) and preventing the release of ribosomes from mRNA during translation. This leads to the inhibition of bacterial protein synthesis and ultimately results in the death of the bacteria. 

fusidic acid is a bacteriostatic antibiotic, meaning that it slows down the growth and replication of bacteria rather than killing them outright. It is effective against Gram-positive bacteria, including many strains of Staphylococcus aureus resistant to other antibiotics. 

fusidic acid is mainly used to treat skin and soft tissue infections, such as impetigo, dermatitis, and infected wounds. It is also used with other antibiotics to treat more severe infections, such as osteomyelitis, endocarditis, and pneumonia. 

Contraindications/caution: 

Contraindications: 

  • fusidic acid is not recommended for individuals who have a history of hypersensitivity to the medicine or its components. It is also contraindicated in patients with a history of liver disease, as fusidic acid can cause liver toxicity. In addition, fusidic acid should not be used in patients with pre-existing muscle disorders, as it may exacerbate these conditions. 
  • As fusidic acid is predominantly eliminated via the kidneys and may accumulate in people with impaired renal function, it should be taken with care in those who have renal impairment. Patients who have a history of myasthenia gravis should also take it with caution since it might make it worse. 
  • fusidic acid should not be used during pregnancy or breastfeeding unless the potential benefits outweigh the potential risks to the fetus or infant. There is limited information on the safety of fusidic acid in these populations. 

Caution: 

fusidic acid should be used with caution in the following situations: 

  • Elderly patients: Elderly patients may be more susceptible to the adverse effects of fusidic acid due to age-related changes in renal and hepatic function. Dose adjustments may be necessary for this population. 
  • Pediatric patients: fusidic acid is generally safe and effective in children, but caution should be exercised in infants younger than one month. Dose adjustments may be necessary for pediatric patients with renal or hepatic impairment. 
  • Impaired renal or hepatic function: fusidic acid is primarily excreted by the kidneys and metabolized by the liver, so caution should be exercised in patients with impaired renal or hepatic function. Dose adjustments may be necessary for these patients. 
  • Concurrent use of other medications: fusidic acid may interact with other medications, such as anticoagulants, oral contraceptives, and immunosuppressants. Patients taking these medications should be closely monitored for potential drug interactions. 
  • Allergic reactions: fusidic acid may cause allergic reactions in some patients, including skin rash, itching, and swelling. Patients with a history of allergies or hypersensitivity reactions should be closely monitored while using this medication. 
  • Pregnancy and breastfeeding: fusidic acid should be used cautiously in pregnant and breastfeeding women, as there is limited information on the drug’s safety in these populations. Before using the medication on these patients, the potential benefits and risks should be carefully weighed. 

Pregnancy consideration: fusidic acid should not be used during pregnancy unless the potential benefits outweigh the potential risks to the fetus 

Lactation: Excretion of the drug in human breast milk is unknown 

Pregnancy category: 

Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester.   

Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. 

Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.    

Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.    

Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.    

Category N: There is no data available for the drug under this category 

Pharmacology: 

fusidic acid is an antibiotic that belongs to the class of steroidal compounds known as fusidanes. It selectively inhibits bacterial protein synthesis by binding to elongation factor G (EF-G) and preventing the release of ribosomes from mRNA during translation. This leads to the inhibition of bacterial protein synthesis and ultimately results in the death of the bacteria. 

fusidic acid is effective against Gram-positive bacteria, including many Staphylococcus aureus strains resistant to other antibiotics. It has a relatively narrow spectrum of activity and is ineffective against Gram-negative bacteria. 

fusidic acid is rapidly absorbed after oral administration and is distributed widely throughout the body, including into skin and soft tissues. It is highly protein-bound and is primarily metabolized by the liver and excreted in the urine. 

Pharmacodynamics: 

fusidic acid exhibits concentration-dependent killing, meaning that higher concentrations of the drug result in more significant bacterial killing. It has a post-antibiotic effect, which means bacterial growth may be suppressed even after the drug is no longer present. 

Resistance to fusidic acid can occur through mutations in the EF-G target site or other genes involved in the drug’s mode of action. Cross-resistance with other antibiotics is rare, and the development of resistance to fusidic acid is generally slow. 

Pharmacokinetics: 

Absorption 

fusidic acid is a lipophilic compound rapidly and almost completely absorbed after oral administration.  

Distribution 

It is highly protein-bound (approximately 99%) and has a large volume of distribution, indicating extensive tissue distribution. 

Metabolism 

The liver primarily metabolizes fusidic acid, with most of the drug being eliminated in the feces via biliary excretion. Only a tiny fraction of the drug is eliminated in the urine, indicating that renal excretion plays a minor role in eliminating fusidic acid. 

Elimination and Excretion 

The elimination half-life of fusidic acid is relatively short, ranging from 3 to 6 hours, depending on the dose and route of administration. As a result, the drug must be administered multiple times daily to maintain therapeutic levels in the body. 

Administration: 

fusidic acid can be administered by various routes, including oral, topical, and intravenous (IV) routes. The specific route of administration depends on the indication and severity of the infection being treated. 

  • Oral fusidic acid is typically administered two to three times daily, with or without food. The recommended dose and duration of treatment should be determined by a healthcare professional based on the nature and severity of the infection being addressed. 
  • fusidic acid is available in topical formulations to treat skin and soft tissue infections such impetigo and inflamed eczema. Depending on the severity of the illness, the topical medicines may be administered directly to the afflicted region two to three times each day. 
  • Intravenous fusidic acid is reserved for treating severe infections like osteomyelitis, endocarditis, and pneumonia. It is typically administered in a hospital setting by a healthcare professional. 

Patient information leaflet 

Generic Name: fusidic acid 

Why do we use fusidic acid? 

fusidic acid is primarily used to treat soft tissue and skin and infections caused by susceptible bacteria, such as Streptococcus pyogenes and Staphylococcus aureus. Some of the specific conditions that may be treated with fusidic acid include: 

  • Impetigo is a highly infectious skin condition that mostly affects youngsters and is distinguished by red lesions that leak and produce a honey-colored crust. 
  • Infected dermatitis: a skin condition characterized by inflammation and itching that may become infected with bacteria, leading to crusting, oozing, and pain. 
  • Infected wounds: wounds that become infected with bacteria and may require antibiotic treatment to prevent further complications. 
  • Osteomyelitis is a bone infection caused by various bacteria and typically requires long-term antibiotic therapy 
  • Pneumonia: a lung infection that bacteria, viruses, or fungi can cause. 

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