Fusidic acid binding to serum albumin and interaction with binding of bilirubin

Acta Paediatr Scand. 1985 Nov;74(6):874-80. doi: 10.1111/j.1651-2227.1985.tb10051.x.

Abstract

Sodium fusidate, an antibiotic used in staphylococcal infections, is strongly bound to human serum albumin, competitively with bilirubin. It is given in molar amounts sufficient to occupy a considerable fraction of circulating albumin. In order to avoid a risk of bilirubin encephalopathy, induced by displacement of bilirubin, fusidate should be given with caution to newborn infants, particularly if patients are prematurely born, icteric or acidotic. Fusidate does not interfere with albumin binding of warfarin or diazepam.

MeSH terms

  • Adult
  • Bilirubin / metabolism*
  • Binding, Competitive
  • Dapsone / analogs & derivatives
  • Dapsone / blood
  • Diazepam / blood
  • Fusidic Acid / blood*
  • Humans
  • Methods
  • Oxidation-Reduction
  • Serum Albumin / metabolism*
  • Warfarin / blood

Substances

  • Serum Albumin
  • Fusidic Acid
  • Warfarin
  • Dapsone
  • monoacetyldapsone
  • Diazepam
  • Bilirubin