Peringatan Keamanan

The oral LD50 of sulbactam sodium is >4000 mg/kg in rats and >10,000 mg/kg in mice. The intravenous LD50 of sulbactam sodium is 4582 mg/kg in rats and 3604 mg/kg in mice.L50136

There is no information on the clinical signs and symptoms associated with a sulbactam overdose. Neurological adverse reactions, including convulsions, may occur. While sulbactam is removable by hemodialysis, there is limited clinical information regarding the use of hemodialysis to treat overdosage.L47336

Sulbactam

DB09324

small molecule approved

Deskripsi

Sulbactam is a beta (?)-lactamase inhibitor and a derivative of the basic penicillin nucleus.L50131 When given in combination with ?-lactam antibiotics, sulbactam produces a synergistic effect as it blocks the enzyme responsible for drug resistance by hydrolyzing ?-lactams.A263296

Struktur Molekul 2D

Berat 233.242
Wujud solid

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) In healthy volunteers, the half-life is approximately one hour.[L50131]
Volume Distribusi The steady-state volumes of distribution range from 12.2 to 16.3?L. Sulbactam exhibits extensive distribution in extracellular fluids and tissues.[A263296] Penetration of sulbactam into cerebrospinal fluid is enhanced in the presence of inflamed meninges.[L50131]
Klirens (Clearance) Eenal clearance is approximately 12 L/h following infusion over 15 to 30 minutes.[A263291]

Absorpsi

Sulbactam is poorly absorbed after oral administration.A263291 Peak serum concentrations of ampicillin and sulbactam are reached following a 15-minute intravenous infusion. After the intravenous administration of 2000 mg of ampicillin plus 1000 mg sulbactam, peak sulbactam serum levels corresponded to 48 to 88 mcg/mL. After the intravenous administration of 1000 mg ampicillin plus 500 mg sulbactam, peak sulbactam serum levels corresponded to 21 to 40 mcg/mL. After an intramuscular injection of 1000 mg ampicillin plus 500 mg sulbactam, peak sulbactam serum levels ranged from 6 to 24 mcg/mL.L50131

Metabolisme

Metabolism of sulbactam has not been characterized.A263291

Rute Eliminasi

When given in combination with ampicillin in individuals with normal renal function, approximately 75 to 85% of the drug is excreted unchanged in the urine during the first eight hours after administration.L50131

Interaksi Obat

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

Target Protein

Beta-lactamase blaZ

Referensi & Sumber

Artikel (PubMed)
  • PMID: 3038500
    Campoli-Richards DM, Brogden RN: Sulbactam/ampicillin. A review of its antibacterial activity, pharmacokinetic properties, and therapeutic use. Drugs. 1987 Jun;33(6):577-609. doi: 10.2165/00003495-198733060-00003.
  • PMID: 30252373
    Peechakara BV, Gupta M: Ampicillin/Sulbactam. .
  • PMID: 31261671
    Stover KR, Barber KE, Wagner JL: Allergic Reactions and Cross-Reactivity Potential with Beta-Lactamase Inhibitors. Pharmacy (Basel). 2019 Jun 28;7(3). pii: pharmacy7030077. doi: 10.3390/pharmacy7030077.
  • PMID: 3278833
    Noguchi JK, Gill MA: Sulbactam: a beta-lactamase inhibitor. Clin Pharm. 1988 Jan;7(1):37-51.

Contoh Produk & Brand

Produk: 100 • International brands: 0
Produk
  • Ampicillin and Sulbactam
    Injection, powder, for solution • - • Intravenous • US • Generic • Approved
  • Ampicillin and Sulbactam
    Injection, powder, for solution • - • Intravenous • US • Generic • Approved
  • Ampicillin and Sulbactam
    Injection, powder, for solution • - • Intramuscular; Intravenous • US • Generic • Approved
  • Ampicillin and Sulbactam
    Injection, powder, for solution • - • Intramuscular; Intravenous • US • Generic • Approved
  • Ampicillin and Sulbactam
    Injection, powder, for solution • - • Intravenous • US • Generic • Approved
  • Ampicillin and Sulbactam
    Injection, powder, for solution • - • Intramuscular; Intravenous • US • Generic • Approved
  • Ampicillin and Sulbactam
    Injection, powder, for solution • - • Intramuscular; Intravenous • US • Generic • Approved
  • Ampicillin and Sulbactam
    Injection, powder, for solution • - • Intramuscular; Intravenous • US • Generic • Approved
Menampilkan 8 dari 100 produk.

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