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Withdrawn from the market (safety)

Sparfloxacin

ZAGAM

What it isSparfloxacin is a broad-spectrum fluoroquinolone antibacterial that inhibits bacterial DNA gyrase and topoisomerase IV.

Why this oneIt offered enhanced activity against gram-positive respiratory pathogens such as Streptococcus pneumoniae for community-acquired pneumonia and other respiratory infections.

What limits itIts use was largely abandoned because of pronounced QT-interval prolongation and severe phototoxicity.

NO BOXED WARNINGS

Principal riskNo active FDA boxed warning; sparfloxacin was withdrawn/discontinued owing to QT prolongation and severe phototoxicity.

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Sparfloxacin ballicule

Sparfloxacin ballicule: receptor binding, kinetics and half-life diagram

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