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Retapamulin

    DEA Class; Rx

    Common Brand Names; Altabax

    • Antibacterials, Topical; 
    • Pleuromutilin

    Topical pleuromutilin antibiotic
    Used for treatment of impetigo due to methicillin-susceptible S. aureus and S. pyogenes
    Safety in patients younger than 9 months not established

    Indicated for impetigo caused by MSSA or Streptococcus pyogenes

    Application site irritation (2%)

    Not for oral, intranasal, ophthalmic or intravaginal use; efficacy and safety for mucosal surfaces not established

    Discontinue if sensitization or severe local irritation develops

    Epistaxis reported with use on nasal mucosa

    Not evaluated on mucosal surfaces

    There are no available data on use in pregnant women to inform any drug associated risk for major birth defects, miscarriage or adverse maternal or fetal outcomes

    There are no data available on presence of drug in human milk, its effects on breastfed infant or on milk production

    Adults

    Do not apply to more than 100 cm2 in total area.

    Geriatric

    Do not apply to more than 100 cm2 in total area.

    Adolescents

    Do not apply to more than 2% total body surface area.

    Children

    Do not apply to more than 2% total body surface area.

    Infants

    9 to 11 months: Do not apply to more than 2% total body surface area.
    1 to 9 months: Safety and efficacy have not been established.

    Neonates

    Safety and efficacy have not been established.

    Retapamulin

    ointment

    • 1% (5, 10, 15g tubes)