LYCOS RETRIEVER
Rifampin: Drugs
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Rifampin or rifampicin (USAN) is a bacteriocidal antibiotic drug of the rifamycin group. It is a semisynthetic compound derived from Streptomyces mediterranei, and may be abbreviated as RIF, RMP, RD or R.
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Rifampin has been observed to increase the requirements for anticoagulant drugs of the coumarin type. In patients receiving anticoagulants and rifampin concurrently, it is recommended that the prothrombin time be performed daily or as frequently as necessary to establish and maintain the required dose of anticoagulant.
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Rifampin is the most potent drug used in the treatment of disease due to Mycobacterium kansasii. A 69-bp fragment of rpoB, the gene that encodes the subunit of the bacterial RNA polymerase, was sequenced and found to be identical in five rifampin-susceptible clinical isolates of M.kansasii. This sequence showed 87% homology with the Mycobacterium tuberculosis gene, with an identical deduced amino acid sequence. In contrast, missense mutations were detected in the same fragment amplified from five rifampin-resistant isolates. A rifampin-resistant strain generated in vitro ... harbored an rpoB gene missense mutation that was not present in the parent isolate. All mutations detected (in codons 513,526,and 531) have previously been described in rifampin-resistant M.tuberculosis isolates.
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