User:Mr. Ibrahem/Flucloxacillin

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Mr. Ibrahem/Flucloxacillin
Clinical data
Trade namesFloxapen, others[1]
AHFS/Drugs.comInternational Drug Names
Pregnancy
category
  • AU: B1
Routes of
administration
By mouth, IM, IV, intrapleural, intraarticular
Legal status
Legal status
  • AU: S4 (Prescription only)
  • UK: POM (Prescription only)
Pharmacokinetic data
Bioavailability50–70%
MetabolismLiver
Elimination half-life0.75–1 hour[2]
ExcretionKidney[2]
Identifiers
  • (2S,5R,6R)-6-({[3-(2-chloro-5-fluorophenyl)-5-methylisoxazol-4-yl]carbonyl}amino)-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
Chemical and physical data
FormulaC19H17ClFN3O5S
Molar mass453.87 g·mol−1
3D model (JSmol)
  • O=C(O)[C@@H]3N4C(=O)[C@@H](NC(=O)c2c(onc2c1c(F)cccc1Cl)C)[C@H]4SC3(C)C
  • InChI=1S/C19H17ClFN3O5S/c1-7-10(12(23-29-7)11-8(20)5-4-6-9(11)21)15(25)22-13-16(26)24-14(18(27)28)19(2,3)30-17(13)24/h4-6,13-14,17H,1-3H3,(H,22,25)(H,27,28)/t13-,14+,17-/m1/s1 checkY
  • Key:UIOFUWFRIANQPC-JKIFEVAISA-N checkY
  (verify)

Flucloxacillin, also known as floxacillin, is an antibiotic used to treat skin infections, external ear infections, infections of leg ulcers, diabetic foot infections, and infection of bone.[3] It may be used together with other medications to treat pneumonia, and endocarditis.[3] It may also be used prior to surgery to prevent Staphylococcus infections.[3] It is not effective against methicillin-resistant Staphylococcus aureus (MRSA).[4] It is taken by mouth or given by injection into a vein or muscle.[3]

Common side effects include an upset stomach.[3] Other side effects may include muscle or joint pains, shortness of breath, and liver problems.[3][5] It appears to be safe during pregnancy and breastfeeding.[3] It should not be used in those who are allergic to penicillin.[3] It is a narrow-spectrum beta-lactam antibiotic of the penicillin class.[5] It is similar in effect to cloxacillin and dicloxacillin, being active against penicillinase forming bacteria.[6]

Flucloxacillin was patented in 1961.[7] It is available as a generic medication.[3] In the United Kingdom 100 capsules of 250 mg costs the NHS less than 20 pounds.[3] It is not commonly used in the United States or Canada as of 2011.[5]

References[edit]

  1. ^ "Flucloxacillin". Drugs.com. Archived from the original on 6 June 2016. Retrieved 11 December 2020.
  2. ^ a b Hitchings, Andrew; Lonsdale, Dagan; Burrage, Daniel; Baker, Emma (2019). The Top 100 Drugs: Clinical Pharmacology and Practical Prescribing (2nd ed.). Elsevier. pp. 188–189. ISBN 978-0-7020-7442-4. Archived from the original on 2021-05-22. Retrieved 2021-11-09.
  3. ^ a b c d e f g h i j BNF (80 ed.). BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 582-587. ISBN 978-0-85711-369-6.{{cite book}}: CS1 maint: date format (link)
  4. ^ "Methicillin-resistant Staphylococcus aureus (MRSA)" (PDF). NHS. 2005. p. 3. Archived (PDF) from the original on 12 December 2020. Retrieved 11 December 2020.
  5. ^ a b c Wu, Alan H. B.; Yeo, Kiang-Teck J. (2011). Pharmacogenomic Testing in Current Clinical Practice: Implementation in the Clinical Laboratory. Springer Science & Business Media. ISBN 978-1-60761-283-4. Archived from the original on 2021-05-16. Retrieved 2020-12-14.
  6. ^ Weller, Richard B.; Hunter, Hamish J. A.; Mann, Margaret W. (2014). Clinical Dermatology. John Wiley & Sons. p. 411. ISBN 978-1-118-85097-8. Archived from the original on 2021-05-25. Retrieved 2020-12-18.
  7. ^ Alapi, Erika M.; Fischer, Jánus (2006). "Part III. Table of Selected Analogue Classes". In Fischer, János; Ganellin, C. Robin (eds.). Analogue-based Drug Discovery. Wiley-VCH. p. 491. ISBN 978-3-527-31257-3. Archived from the original on 2021-05-20. Retrieved 2020-09-19.