Chemistry:Cloxacillin

From HandWiki
Short description: Beta-lactam antibiotic
Cloxacillin
Cloxacillin.svg
Cloxacillin-based-on-xtal-3D-bs-17.png
Clinical data
Trade namesCloxapen, others
AHFS/Drugs.comMicromedex Detailed Consumer Information
Pregnancy
category
  • US: B (No risk in non-human studies)
Routes of
administration
By mouth, IM
ATC code
Pharmacokinetic data
Bioavailability37 to 90%
Protein binding95%
Elimination half-life30 minutes to 1 hour
Excretionkidney and biliary
Identifiers
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
Chemical and physical data
FormulaC19H18ClN3O5S
Molar mass435.88 g·mol−1
3D model (JSmol)
  (verify)

Cloxacillin is an antibiotic useful for the treatment of a number of bacterial infections.[1] This includes impetigo, cellulitis, pneumonia, septic arthritis, and otitis externa.[1] It is not effective for methicillin-resistant Staphylococcus aureus (MRSA).[2] It can be used by mouth and by injection.[1]

Side effects include nausea, diarrhea, and allergic reactions including anaphylaxis.[1] Clostridium difficile diarrhea may also occur.[2] It is not recommended in people who have previously had a penicillin allergy.[1] Use during pregnancy appears to be relatively safe.[1] Cloxacillin is in the penicillin family of medications.[2]

Cloxacillin was patented in 1960 and approved for medical use in 1965.[3] It is on the World Health Organization's List of Essential Medicines.[4] It is not commercially available in the United States.[2]

Mechanism of action

It is semisynthetic and in the same class as penicillin. Cloxacillin is used against staphylococci that produce beta-lactamase, due to its large R chain, which does not allow the beta-lactamases to bind. This drug has a weaker antibacterial activity than benzylpenicillin, and is devoid of serious toxicity except for allergic reactions.[citation needed]

Society and culture

Cloxacillin was discovered and developed by Beecham (now GlaxoSmithKline).[5]

It is sold under a number of trade names, including Cloxapen, Cloxacap, Tegopen and Orbenin.[6]

See also

References

  1. Jump up to: 1.0 1.1 1.2 1.3 1.4 1.5 WHO Model Formulary 2008. World Health Organization. 2009. pp. 98, 100, 110–111, 586, 602, 614, 623. ISBN 9789241547659. 
  2. Jump up to: 2.0 2.1 2.2 2.3 "Cloxacillin (Professional Patient Advice)". https://www.drugs.com/ppa/cloxacillin.html. 
  3. (in en) Analogue-based Drug Discovery. John Wiley & Sons. 2006. p. 490. ISBN 9783527607495. https://books.google.com/books?id=FjKfqkaKkAAC&pg=PA490. 
  4. World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. 2019. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. 
  5. Antimicrobial drugs: chronicle of a twentieth century medical triumph. Oxford University Press US. 2008. pp. 124–. ISBN 978-0-19-953484-5. https://books.google.com/books?id=i4_FZHmzjzwC&pg=PA124. Retrieved 18 November 2010. 
  6. "Cloxacillin". 2023-05-09. https://vcahospitals.com/know-your-pet/cloxacillin. 

External links