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Withdrawn from the market (safety)

Sparfloxacin

ZAGAM

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

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.

Sparfloxacin molecular structure (skeletal formula)
Molecular structure: Sparfloxacin

Sparfloxacin prescription history

Animated chart of estimated U.S. prescriptions per year, Quinolone antibacterials (1964–2026). Sparfloxacin enters in 1997 (estimated).

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Principal riskNo active FDA boxed warning; sparfloxacin was withdrawn/discontinued owing to QT prolongation and severe phototoxicity.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

Therapeutic safety burden3 / 4
Overdose danger2 / 4
Sedation liability1 / 4
QT / Torsades3 / 4
Direct muscarinic antagonism0 / 4
Embryofetal risk2 / 4

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