新生黴素鈉
Novobiocin Sodium
Novobiocin sodium
別名: Albadry Plus · Albamycin · Biodry · Delta Albaplex · crystallinic acid · PA-93 · streptonivicin · U-6591 · novobiocinum natricum · sodium novobiocin
由 VetSheet 獸醫團隊審訂更新於 2026年4月5日本內容以實證獸醫文獻為本
劑量為持牌獸醫專業人員的臨床參考。請務必對照最新藥品說明書及個別病患確認。
各物種劑量
🌎 NA — North America🌍 EU — Europe
狗
| 適應症 | 劑量 | 途徑 | 頻次 | 療程 | 地區 |
|---|---|---|---|---|---|
| Susceptible infections | 22 mg/kg of each antibiotic and 0.55 mg prednisolone PO q12h | PO | q12h | 48 hours | 🌎 NA |
- Susceptible infections: Using the combination product (with tetracycline and prednisolone)
牛
| 適應症 | 劑量 | 途徑 | 頻次 | 療程 | 地區 |
|---|---|---|---|---|---|
| Subclinical mastitis in dry cows | Infuse contents of one syringe into each quarter at the time of drying off; not later than 30 days prior to calving. | Intramammary | Once | — | 🌎 NA |
- Subclinical mastitis in dry cows: Shake well before using.
劑量為持牌獸醫專業人員的臨床參考。請務必對照最新藥品說明書及個別病患確認。
概覽
新生黴素是一種窄效抗生素,主要對某些革蘭氏陽性球菌有效。
- 獸醫用途: 獲FDA核准與青黴素G合併使用,作為乾乳期乳牛的乳房注入劑(治療乳腺炎)。在犬隻中,也有與四環黴素及培尼皮質醇(prednisolone)合併的口服製劑。
- 臨床要點: 由於有更安全且廣效的抗生素可供選擇,新生黴素在現代小動物臨床上的全身性使用相對少見,主要侷限於特定的複方產品。
作用機制
Novobiocin acts in a bactericidal manner through multiple mechanisms:
- Inhibits bacterial DNA gyrase → interferes with protein and nucleic acid synthesis.
- Interferes with bacterial cell wall synthesis.
- Note: The activity of the drug is significantly enhanced in an alkaline medium.
安全性與警告
禁忌症
- Known hypersensitivity to novobiocin
不良反應
- Fever
- Nausea
- Vomiting
- Diarrhea
- Rashes
- Blood dyscrasias
- Hepatotoxicity (reported in humans)
注意事項
Use with extreme caution in patients with preexisting hepatic or hematopoietic dysfunction. Safety during pregnancy has not been established; use only when clearly indicated.
藥物相互作用
Novobiocin may block tubular transport, potentially decreasing the elimination rates and prolonging the half-lives of these drugs.
監測
- Clinical efficacy
- Adverse effects
- Periodic liver function tests (if using long-term systemically)
- CBCs (if using long-term systemically)
藥物動力學
吸收
Well absorbed from the GI tract after oral administration. Peak levels occur within 1-4 hours. The presence of food can decrease peak concentrations.
分佈
Poorly distributed to body fluids (synovial, pleural, and ascitic fluid concentrations are less than plasma). Minimal quantities cross the blood-brain barrier, even with inflamed meninges. Highest concentrations are found in the small intestine and liver. Approximately 90% protein bound. Distributed into milk.
代謝
Can be metabolized into a yellow-colored product that may interfere with serum bilirubin determinations.
排除
Primarily eliminated in the bile and feces. Approximately 3% is excreted into the urine.
過量
Little information is available regarding overdoses. It is suggested that large oral overdoses be handled by emptying the gut following standard protocols; monitor and treat adverse effects symptomatically if necessary.
可用產品
劑型
- Intramammary syringe (combination)
- Oral tablets (combination)
獸醫用
- Albadry Plus® (Novobiocin 400 mg and Penicillin G Procaine 200,000 Units per 10 mL syringe)
- Delta Albaplex® (Novobiocin Sodium 60 mg, Tetracycline HCl 60 mg, Prednisolone 1.5 mg tablets)
- Delta Albaplex® 3X (Novobiocin Sodium 180 mg, Tetracycline HCl 180 mg, Prednisolone 4.5 mg tablets)
各地核准狀態
暫無法規資料: 🇺🇸 US · 🇪🇺 EU · 🇬🇧 UK · 🇭🇰 HK · 🇹🇼 TW · 🇯🇵 JP · 🇰🇷 KR · 🇦🇺 AU
儲存與穩定性
Store at room temperature in tight containers unless otherwise directed.
飼主須知
重要提示: 使用前請充分搖勻乳房注入劑。
- 請勿超過建議劑量或治療時間。
- 如果您的寵物出現嚴重的嘔吐、腹瀉或嗜睡,請聯繫您的獸醫。
VetSheet 藥物參考供持牌獸醫專業人員作臨床決策輔助之用,不能取代專業判斷或廠方最新藥品說明書。
