The antibiotics have been useful in our battles against infectious bacteria
and fungi for over 50 years. However, many antibiotics are used commercial
ly, or are potentially useful, in medicine for activities other than their
antibiotic action. They are used as antitumor agents, immunosuppressive age
nts, hypocholesterolemic agents, enzyme inhibitors, antimigraine agents, an
d antiparasitic agents. A number of these products were first discovered as
antibiotics which failed in their development as such, or as mycotoxins. I
n addition to the above alternative applications, new powerful antibiotics
have been discovered and commercialized in recent years and others are in c
linical testing at the moment. A few successful secondary metabolites appea
r to have no antibiotic activity. The recently increased development of res
istance to older antibacterial and antifungal drugs is being met with the u
se or clinical testing of older, underutilized or previously nondeveloped n
arrow-spectrum antibacterial products as well as powerful semisynthetic ant
ifungal agents.