Drug/Small Molecule:
cefoxitin

2D structure

Overview

Trade Names: Mefoxin; Mefoxitin
PharmGKB Accession Id: PA448856

Description

Cefoxitin is a semi-synthetic, broad-spectrum cepha antibiotic for intravenous administration. It is derived from cephamycin C, which is produced by <i>Streptomyces lactamdurans</i>. (source: Drug Bank)

Indication

For the treatment of serious infections caused by susceptible strains microorganisms. (source: Drug Bank)

ATC Therapeutic Category

  • J01DC:Second-generation cephalosporins

Pharmacology, Interactions, and Contraindications

Mechanism Of Action

The bactericidal action of cefoxitin results from inhibition of cell wall synthesis. (source: Drug Bank)

Pharmacology

Cefoxitin is a cephamycin antibiotic often grouped with the second-generation cephalosporins. It is active against a broad range of gram-negative bacteria including anaerobes. The methoxy group in the 7a position provides cefoxitin with a high degree of stability in the presence of beta-lactamases, both penicillinases and cephalosporinases, of gram-negative bacteria. (source: Drug Bank)

Absorption, Distribution, Metabolism, Elimination & Toxicity

Biotransformation

Minimal (approximately 85 percent of cefoxitin is excreted unchanged by the kidneys over a 6-hour period). (source: Drug Bank)

Toxicity

The acute intravenous LD50 in the adult female mouse and rabbit was about 8.0 g/kg and greater than 1.0 g/kg, respectively. The acute intraperitoneal LD50 in the adult rat was greater than 10.0 g/kg. (source: Drug Bank)

Isomeric SMILES Code:

CO[C@@]1([C@@H]2N(C1=O)C(=C(CS2)COC(=O)N)C(=O)O)NC(=O)Cc3cccs3 (source: Drug Bank)

A list of non-curated publications that mention this drug along with other genes is available.

A list of non-curated publications that mention this drug along with other drugs is available.

Drug Interactions

Drug Description
acenocoumarol Uncurated Annotation The cephalosporin increases the anticoagulant effect (source: Drug Bank)
dicumarol Uncurated Annotation The cephalosporin increases the anticoagulant effect (source: Drug Bank)
gentamicin Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
kanamycin Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
neomycin Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
probenecid Uncurated Annotation Probenecid increases the antibiotic's level (source: Drug Bank)
streptomycin Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
tobramycin Uncurated Annotation Increased risk of nephrotoxicity (source: Drug Bank)
warfarin Uncurated Annotation The cephalosporin increases the anticoagulant effect (source: Drug Bank)

Non-Curated Information

A list of non-curated publications that mention this drug along with other diseases is available.

Additional Datasets

These datasets are minimally curated and are sorted alphabetically by title.

  1. The Connectivity Map: using gene-expression signatures to connect small molecules, genes, and disease

LinkOuts

Web Resource:
Wikipedia
DrugBank:
DB01331
KEGG Compound ID:
C06887
KEGG Drug ID:
D02345
PubChem Compound ID:
441199
PubChem Substance ID:
10298759

Common Searches

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Non-Curated Publications

A list of non-curated publications that mention this drug is available.

PharmGKB integrates drug information from different sources: DrugBank, Open Eye Scientific Software.
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