Bacitracin for Injection, USP
To reduce the development of drug-resistant bacteria and maintain the effectiveness
of Bacitracin and other antibacterial drugs, Bacitracin should be used only
to treat or prevent infections that are proven or strongly suspected to be caused
For Intramuscular Use
Nephrotoxicity: Bacitracin in parenteral (intramuscular) therapy may cause renal failure due to tubular and glomerular necrosis. Its use should be restricted to infants with staphylococcal pneumonia and empyema when due to organisms shown to be susceptible to bacitracin. It should be used only where adequate laboratory facilities are available and when constant supervision of the patient is possible.
Renal function should be carefully determined prior to and daily during therapy.
The recommended daily dose should not be exceeded and fluid intake and urinary
output maintained at proper levels to avoid kidney toxicity. If renal toxicity
occurs the drug should be discontinued. The concurrent use of other nephrotoxic
drugs, particularly streptomycin, kanamycin, polymyxin B, polymyxin E (colistin),
and neomycin should be avoided.
Sterile Bacitracin USP is an antibiotic for intramuscular administration. Bacitracin
is derived from cultures of Bacillus subtilis (Tracey). It is a white to pale
buff, hygroscopic powder, odorless or having a slight odor. It is freely soluble
in water; insoluble in acetone, chloroform, and ether. While soluble in alcohol,
methanol, and glacial acetic acid, there is some insoluble residue. It is precipitated
from its solutions and inactivated by many of the heavy metals.
The structural formula is:
The molecular formula is: C66H103N17O16S.
Bacitracin is comprised of a polypeptide complex and Bacitracin A is the major
component in this complex. The molecular weight of Bacitracin A is 1422.71.
What are the possible side effects of bacitracin injection (Baci-IM)?
Get emergency medical help if your child has any of these signs of an allergic reaction: hives; difficulty breathing; swelling of the face, lips, tongue, or throat.
While receiving bacitracin injection, your child will be watched for the following serious side effects:
- urinating more than usual or more often;
- urinating less than usual, or not at all (fewer wet diapers);
- blood in the urine;
- lower back pain; or
- painful urination.
Less serious side effects include:
- nausea, vomiting;
- mild skin rash;...
Read All Potential Side Effects and See Pictures of Bacitracin »
Last reviewed on RxList: 5/5/2008
This monograph has been modified to include the generic and brand name in many instances.