Indication |
For the specific and symptomatic treatment of bacterial or protozoal diarrhea and enteritis caused by susceptible organisms. |
Pharmacodynamics |
Furoxone has a broad antibacterial spectrum covering the
majority of gastrointestinal tract pathogens including E. coli,
staphylococci, Salmonella, Shigella, Proteus, Aerobacter aerogenes,
Vibrio cholerae and Giardia lamblia. Its bactericidal activity is based
upon its interference with DNA replication and protein production; this
antimicrobial action minimizes the development of resistant organisms. |
Mechanism of action |
Furazolidone and its related free radical products are believed to
bind DNA and induce cross-links. Bacterial DNA is particularly
susceptible to this drug leading to high levels of mutations
(transitions and transversions) in the bacterial chromosome. |
Absorption |
Radiolabeled drug studies indicate that furazolidone is well absorbed following oral administration |
Volume of distribution |
Not Available |
Protein binding |
Not Available |
Metabolism |
Furazolidone is rapidly and extensively metabolized; the primary
metabolic pathway identified begins with nitro-reduction to the
aminofuran derivative. Two major metabolites are produced:
3-amino-2-oxazolidone (AOZ) or beta-hydroxyethylhydrazine (HEH). AOZ is
responsible for monoamine oxidase inhibition. Detoxification and
elimination of the drug is done primarily by conjugation with
glutathione. |
Route of elimination |
Not Available |
Half life |
10 minutes |
Clearance |
Not Available |
Toxicity |
Reactions to Furoxone have been reported including a fall in blood
pressure, urticaria, fever, arthralgia, and a vesicular morbilliform
rash. Other adverse effects can include a brown discoloration of the
urine; hemolysis can occur in G6PDH-deficient patients. The drug has a
monoamine oxidase (MAO) inhibitory effect and should never be given
concurrently to individuals already taking MAO inhibitors. |