Tilmicosin is a macrolide antibiotic. It is used in veterinary medicine for the treatment of bovine respiratory disease and ovine respiratory disease associated with Mannheimia (Pasteurella) haemolytica.

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| IUPAC name[(2R,3R,4E,6E,9R,11R,12S,13S,14R)-12-{[3,6-Dideoxy-3-(dimethylamino)-β-D-glucopyranosyl]oxy}-11-{2-[(3R,5S)-3,5-dimethylpiperidin-1-yl]ethyl}-2-ethyl-14-hydroxy-5,9,13-trimethyl-8,16-dioxooxacyclohexadeca-4,6-dien-3-yl]methyl 6-deoxy-2,3-di-O-methyl-β-D-allopyranoside | |
| Other names Micotil; 20-Deoxy-20-(3,5-dimethylpiperidin-1-yl)-desmycosin |
| CAS Number | 108050-54-0 |
| ChEMBL | ChEMBL206342 |
| ChemSpider | 4445656 |
| Jmol interactive 3D | Image |
| PubChem | 16667713 |
| UNII | XL4103X2E3 |
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| Chemical formula | C46H80N2O13 |
| Molar mass | 869.15 g·mol−1 |
| Solubility in water | 566 μg/mL |
| ATCvet code | QJ01FA91 |