Gramicidin S vs Polymyxin B — mechanism, half-life, dosing, and research status compared. Which is right for your protocol?
Gramicidin S (Soviet gramicidin) is a cyclic decapeptide antibiotic discovered in 1942 by Soviet scientists Gause and Brazhnikova from Bacillus brevis, during World War II. It became a frontline topical wound antiseptic for Soviet forces....
Calculate Gramicidin S dose →Polymyxin B is a cyclic lipopeptide antibiotic from Bacillus polymyxa that was approved in the 1960s and fell out of favor due to nephrotoxicity, but has experienced a major clinical resurgence as a last-resort treatment for carbapenem-resistant Gram-negative infections (Acinetob...
Calculate Polymyxin B dose →| Parameter | Gramicidin S | Polymyxin B |
|---|---|---|
| Category | Antimicrobial Peptide | Antimicrobial Peptide |
| Research | Approved (topical, certain countries) | FDA Approved |
| Half-Life | Hours (topical) | 6-8 hours |
| Typical Dose | 0.1-0.5% in topical preparations | 15,000-25,000 units/kg/day IV |
| Frequency | As needed | Every 12 hours IV |
| Route | Topical | IV / IM / Topical / Intrathecal |
| FDA Status | Not FDA approved (approved in USSR/Russia, used in Europe) | Approved (systemic Gram-negative infections) |
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