Aztreonam

DB00355

small molecule approved

Deskripsi

A monocyclic beta-lactam antibiotic originally isolated from Chromobacterium violaceum. It is resistant to beta-lactamases and is used in gram-negative infections, especially of the meninges, bladder, and kidneys. It may cause a superinfection with gram-positive organisms.

Struktur Molekul 2D

Berat 435.433
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) The serum half-life of aztreonam averaged 1.7 hours (1.5 to 2.0) in subjects with normal renal function, independent of the dose. In elderly patients and in patients with impaired renal function, the mean serum half-life of aztreonam increased (4.7 to 6 hours and 2.1 hours, respectively).
Volume Distribusi * 12.6 L
Klirens (Clearance) * 91 mL/min [healthy]

Absorpsi

Less than 1% absorbed from the gastrointestinal tract following oral administration. Completely absorbed following intramuscular administration.

Metabolisme

Approximately 6 to 16% metabolized to inactive metabolites by hydrolysis of the beta-lactam bond, resulting in an open-ring compound.

Rute Eliminasi

In healthy subjects, aztreonam is excreted in the urine about equally by active tubular secretion and glomerular filtration. Urinary excretion of a single parenteral dose was essentially complete by 12 hours after injection.

Interaksi Obat

775 Data
BCG vaccine The therapeutic efficacy of BCG vaccine can be decreased when used in combination with Aztreonam.
Typhoid vaccine The therapeutic efficacy of Typhoid vaccine can be decreased when used in combination with Aztreonam.
Cyclosporine Cyclosporine may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Icosapent Icosapent may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefotiam Cefotiam may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Mesalazine Mesalazine may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefmenoxime Cefmenoxime may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefmetazole Cefmetazole may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Pamidronic acid Pamidronic acid may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Tenofovir disoproxil Tenofovir disoproxil may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Indomethacin Indomethacin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cidofovir Cidofovir may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefpiramide Cefpiramide may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Ceftazidime Ceftazidime may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Loracarbef Loracarbef may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefalotin Cefalotin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Nabumetone Nabumetone may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Ketorolac Ketorolac may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Tenoxicam Tenoxicam may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Celecoxib Celecoxib may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefotaxime Cefotaxime may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Tolmetin Tolmetin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Foscarnet Foscarnet may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Rofecoxib Rofecoxib may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Piroxicam Piroxicam may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Methotrexate Methotrexate may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cephalexin Cephalexin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Fenoprofen Fenoprofen may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Valaciclovir Valaciclovir may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Valdecoxib Valdecoxib may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Diclofenac Diclofenac may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Sulindac Sulindac may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Bacitracin Bacitracin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Amphotericin B Amphotericin B may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cephaloglycin Cephaloglycin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Flurbiprofen Flurbiprofen may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Adefovir dipivoxil Adefovir dipivoxil may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Pentamidine Pentamidine may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Etodolac Etodolac may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Mefenamic acid Mefenamic acid may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Acyclovir Acyclovir may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Naproxen Naproxen may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Sulfasalazine Sulfasalazine may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Phenylbutazone Phenylbutazone may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Meloxicam The risk or severity of methemoglobinemia can be increased when Aztreonam is combined with Meloxicam.
Carprofen Carprofen may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefaclor Cefaclor may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Diflunisal Diflunisal may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Tacrolimus Tacrolimus may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Ceforanide Ceforanide may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Salicylic acid Salicylic acid may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Meclofenamic acid Meclofenamic acid may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Acetylsalicylic acid Acetylsalicylic acid may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Carboplatin Carboplatin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Oxaprozin Oxaprozin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Ketoprofen Ketoprofen may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Balsalazide Balsalazide may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Ibuprofen Ibuprofen may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefditoren Cefditoren may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Atazanavir Atazanavir may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Colistimethate Colistimethate may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefuroxime Cefuroxime may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefapirin Cefapirin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefadroxil Cefadroxil may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefprozil Cefprozil may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Ceftriaxone Ceftriaxone may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Olsalazine Olsalazine may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Lumiracoxib Lumiracoxib may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefamandole Cefamandole may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefazolin Cefazolin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefonicid Cefonicid may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefoperazone Cefoperazone may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefotetan Cefotetan may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefoxitin Cefoxitin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Ceftizoxime Ceftizoxime may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefradine Cefradine may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Magnesium salicylate Magnesium salicylate may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Salsalate Salsalate may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Choline magnesium trisalicylate Choline magnesium trisalicylate may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefepime Cefepime may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefacetrile Cefacetrile may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Ceftibuten Ceftibuten may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cefpodoxime Cefpodoxime may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Antrafenine Antrafenine may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Aminophenazone Aminophenazone may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Antipyrine Antipyrine may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Tiaprofenic acid Tiaprofenic acid may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Lopinavir Lopinavir may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Etoricoxib Etoricoxib may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Hydrolyzed Cephalothin Hydrolyzed Cephalothin may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cephalothin Group Cephalothin Group may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Oxyphenbutazone Oxyphenbutazone may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Latamoxef Latamoxef may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Nimesulide Nimesulide may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Benoxaprofen Benoxaprofen may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Metamizole Metamizole may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Zomepirac Zomepirac may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Ceftobiprole Ceftobiprole may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Cimicoxib Cimicoxib may decrease the excretion rate of Aztreonam which could result in a higher serum level.
Ceftaroline fosamil Ceftaroline fosamil may decrease the excretion rate of Aztreonam which could result in a higher serum level.

Target Protein

Penicillin-binding protein 3 pbpC
Peptidoglycan synthase FtsI ftsI
Beta-lactamase ampC
Beta-lactamase Toho-1 bla

Referensi & Sumber

Synthesis reference: Neal G. Anderson, Carl F. Anderson, "Delta form of aztreonam and preparation thereof." U.S. Patent US4826973, issued January, 1983.

Contoh Produk & Brand

Produk: 19 • International brands: 7
Produk
  • Azactam
    Injection, solution • 1 g/50mL • Intravenous • US • Approved
  • Azactam
    Injection, solution • 2 g/50mL • Intravenous • US • Approved
  • Azactam
    Injection, powder, for solution • 1 g/1 • Intramuscular; Intravenous • US • Approved
  • Azactam
    Injection, powder, for solution • 2 g/1 • Intramuscular; Intravenous • US • Approved
  • Azactam
    Injection, powder, for solution • 1 g/1 • Intramuscular; Intravenous • US • Approved
  • Azactam
    Injection, powder, for solution • 1 g/1 • Intramuscular; Intravenous • US • Approved
  • Azactam
    Injection, powder, for solution • 2 g/1 • Intramuscular; Intravenous • US • Approved
  • Azactam
    Injection, solution • 1 g/50mL • Intravenous • US • Approved
Menampilkan 8 dari 19 produk.
International Brands
  • Azenam — Aristo
  • Aztram — Shanxi C & Y
  • Aztreo — Zydus Cadila
  • Bencipen — AC Farma
  • Primbactam — Menarini
  • Trezam — Glenmark
  • Vebac — Fahrenheit

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