Chemistry:Hetacillin

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Short description: Chemical compound
Hetacillin
Hetacillin structure.svg
Clinical data
Trade namesHetacin, Versapen
AHFS/Drugs.comVeterinary Use
Routes of
administration
Intramammary injection
ATC code
Legal status
Legal status
Identifiers
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEMBL
Chemical and physical data
FormulaC19H23N3O4S
Molar mass389.47 g·mol−1
3D model (JSmol)
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Hetacillin is a beta-lactam antibiotic that is part of the aminopenicillin family. It is a prodrug and has no antibacterial activity itself,[1] but quickly splits off acetone in the human body to form ampicillin,[2] which is active against a variety of bacteria.

Administration

Hetacillin can be administered orally. The potassium salt, hetacillin potassium, is administered by injection, either intravenously[3] or intramuscularly.[4] It is sold under the trade name Hetacin for intramammary injection in veterinary use.[5]

Hetacillin was withdrawn from the market for human use when the discovery was made that it had no advantages over ampicillin.[6]

Chemistry

Hetacillin is prepared from ampicillin and acetone. In aqueous solutions it is unstable, with a half life of 15 to 30 minutes at 37 °C (99 °F) and pH 7, quickly releasing acetone again.[7]

As opposed to ampicillin, hetacillin is only marginally broken down by the bacterial enzyme beta-lactamase, at least in vitro.[citation needed]

References

  1. "Hetacillin". Drugbank. http://www.drugbank.ca/drugs/DB00739. 
  2. "Laboratory and pharmacological studies in man with hetacillin and ampicillin". British Medical Journal 2 (5555): 804–8. June 1967. doi:10.1136/bmj.2.5555.804. PMID 5182358. 
  3. "[Clinical effect of intravenous injection of potassium hetacillin (Versapen 'Bristol') on pre- and post-operative infections] (in Japanese)". The Japanese Journal of Antibiotics 23 (4): 400–2. August 1970. PMID 5312791. 
  4. "[Therapeutic experience with intramuscular injection of hetacillin (Versapen 'Bristol') in infection in children] (in Japanese)". The Japanese Journal of Antibiotics 23 (5): 482–6. December 1970. PMID 5314634. 
  5. Hetacin-K Intramammary Infusion for Veterinary Use
  6. "Hetacillin: A Chemical and Biological Comparison with Ampicillin". Chemotherapy 15 (6): 366–78. 1970. doi:10.1159/000220703. PMID 5514976. 
  7. "Independent antibiotic actions of hetacillin and ampicillin revealed by fast methods". Antimicrobial Agents and Chemotherapy 3 (1): 15–8. January 1973. doi:10.1128/aac.3.1.15. PMID 4597707.