Nitrosamines can be formed through various chemical processes, including the reaction between nitrites and secondary amines in certain conditions. It is a N-Nitroso of secondary amine present in Vancomycin. Nitrosamines are part of a broader class of compounds known as N-nitroso compounds. Vancomycin works by inhibiting bacterial cell wall synthesis, disrupting the formation of peptidoglycan, a key component of the bacterial cell wall. This mechanism of action is different from many other antibiotics, making vancomycin effective against bacteria that are resistant to other classes of antibiotics.
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