Chemical Structure / Formula of Streptomycin
Formula: C21H39N7O12
Contains an aminocyclitol ring linked to amino sugars.

Mechanism of Action
Binds to the 30S ribosomal subunit, preventing proper mRNA translation.
Causes misreading of mRNA, leading to defective protein synthesis and bacterial death (bactericidal).
Uses
First-line drug for tuberculosis (TB) in combination therapy.
Used for plague (Yersinia pestis) and tularemia (Francisella tularensis).
Sometimes used for enterococcal endocarditis (with penicillin).
Side Effects
Ototoxicity (irreversible) – affects hearing and balance.
Nephrotoxicity (reversible) – kidney damage.
Neuromuscular blockade – rare but can cause respiratory paralysis.