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QuickView for Cefotetan (compound)


PubChem
Name: Cefotetan
PubChem Compound ID: 4630412
Description: A semisynthetic cephamycin antibiotic that is administered intravenously or intramuscularly. The drug is highly resistant to a broad spectrum of beta-lactamases and is active against a wide range of both aerobic and anaerobic gram-positive and gram-negative microorganisms.
Molecular formula: C17H17N7O8S4
Molecular weight: 575.623 g/mol
DrugBank
Identification
Name: Cefotetan
Name (isomeric): DB01330
Drug Type: small molecule
Description: A semisynthetic cephamycin antibiotic that is administered intravenously or intramuscularly. The drug is highly resistant to a broad spectrum of beta-lactamases and is active against a wide range of both aerobic and anaerobic gram-positive and gram-negative microorganisms.
Synonyms:
Cefotetanum [inn-latin]
Brand: Cefotan, Yamatetan
Category: Cephalosporins, Anti-Bacterial Agents
CAS number: 69712-56-7
Pharmacology
Indication: For prophylaxis and treatment of bacterial infections.
Pharmacology: Cefotetan is a semisynthetic cephamycin antibiotic that is administered intravenously or intramuscularly. The drug is highly resistant to a broad spectrum of beta-lactamases and is active against a wide range of both aerobic and anaerobic gram-positive and gram-negative microorganisms.
Mechanism of Action: The bactericidal action of cefotetan results from inhibition of cell wall synthesis by binding and inhibiting the bacterial penicillin binding proteins which help in the cell wall biosynthesis.
Protein binding: Cefotetan is 88% plasma protein bound.
Biotransformation: No active metabolites of cefotetan have been detected; however, small amounts (less than 7%) of cefotetan in plasma and urine may be converted to its tautomer, which has antimicrobial activity similar to the parent drug.
Route of elimination: No active metabolites of cefotetan have been detected; however, small amounts (less than 7%) of cefotetan in plasma and urine may be converted to its tautomer, which has antimicrobial activity similar to the parent drug. In normal patients, from 51% to 81% of an administered dose of Cefotetan is excreted unchanged by the kidneys over a 24 hour period, which results in high and prolonged urinary concentrations.
Half Life: In volunteers with reduced renal function, the plasma half-life of cefotetan is prolonged
Clearance: 1.8 +/- 0.1 L/h [elderly patients with normal renal function (.65 years)] 1.8 +/- 0.3 L/h [healthy volunteers (aged 25 to 28 years)]
Affected organisms: Enteric bacteria and other eubacteria
Interactions
Food interaction:
Avoid alcohol as it can cause a disulfiram effect.
Drug interaction:
WarfarinThe cephalosporin, cefotetan, may increase the anticoagulant effect of warfarin.
NeomycinIncreased risk of nephrotoxicity
AcenocoumarolThe cephalosporin, cefotetan, may increase the anticoagulant effect of acenocoumarol.
AnisindioneThe cephalosporin, cefotetan, may increase the anticoagulant effect of anisindione.
ProbenecidProbenecid may increase the serum level of cefotetan.
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