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PJ Online homeThe Pharmaceutical Journal
Vol 280 No 7487 p110
2 February 2008

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New topical antibiotic retapamulin launched

Altargo

Altargo is indicated for short-term treatment of impetigo

Certain skin infections could by tackled with a new topical antibiotic — retapamulin — launched by GlaxoSmithKline last week.

Marketed as Altargo, the 1 per cent retapamulin ointment is indicated for short-term treatment of impetigo and of infected small lacerations, abrasions or sutured wounds.

Retapamulin, a pleuromutilin derivative, is predominantly bacteriostatic against Staphylococcus aureus and Streptococcus pyogenes. The drug selectively inhibits bacterial protein synthesis by interacting at a unique site on the 50S subunit of the bacterial ribosome that is distinct from the binding sites of other non-pleuromutilin antibacterial agents that interact with the ribosome.

Patients who do not respond to treatment within two or three days should be reassessed and considered for a different treatment. The safety and efficacy of retapamulin ointment has not been established for children younger than nine months.

Retapamulin should not be used to treat infections caused by meticillin-resistant S aureus, because, for reasons unknown, patients with open wounds secondarily infected with MRSA saw inadequate response to the drug in clinical studies.

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