U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C16H18N3O4S.Na
Molecular Weight 371.387
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 3
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CEPHRADINE SODIUM

SMILES

[Na+].[H][C@]12SCC(C)=C(N1C(=O)[C@H]2NC(=O)[C@H](N)C3=CCC=CC3)C([O-])=O

InChI

InChIKey=LSEIVBOQBUBVGP-CYJZLJNKSA-M
InChI=1S/C16H19N3O4S.Na/c1-8-7-24-15-11(14(21)19(15)12(8)16(22)23)18-13(20)10(17)9-5-3-2-4-6-9;/h2-3,6,10-11,15H,4-5,7,17H2,1H3,(H,18,20)(H,22,23);/q;+1/p-1/t10-,11-,15-;/m1./s1

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including: https://www.drugs.com/mtm/cephradine.html | http://www.medicinenet.com/cephradine-oral/article.htm | https://www.ncbi.nlm.nih.gov/pubmed/4684646

Cephradine is a semisynthetic cephalosporin antibiotic. Cephradine is active against the following organisms in vitro: Group A beta-hemolytic streptococci; Staphylococci, including coagulase-positive, coagulase-negative, and penicillinase-producing strains; Streptococcus pneumoniae (formerly Diplococcus pneumoniae); Escherichia coli; Proteus mirabilis; Klebsiella species; Hemophilus influenza. It works by stopping the growth of bacteria. It is used to treat a wide variety of bacterial infections (e.g., skin, ear, respiratory and urinary tract infections). Pseudomembranous colitis has been reported in patients receiving cephradine both orally and intravenously. Diarrhea generally starts 1 to 16 days after starting cephradine therapy. Gastrointestinal side effects have included nausea, vomiting. Hypersensitivity reactions have included rash, urticaria, pruritus, and joint pain. Bacteriostats may interfere with the bactericidal action of cephalosporins in acute infection; other agents, e.g., aminoglycosides, colistin, polymyxins, vancomycin, may increase the possibility of nephrotoxicity.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
VELOSEF '125'

Approved Use

Cephradine is indicated in the treatment of the following infections: RESPIRATORY TRACT INFECTIONS (e.g., tonsillitis, pharyngitis, and lobar pneumonia) caused by group A beta-hemolytic streptococci and S. pneumoniae (formerly D. pneumonia). OTITIS MEDIA caused by group A beta-hemolytic streptococci, S. pneumoniae (formerly D. pneumoniae), H. influenzae, and staphylococci. SKIN AND SKIN STRUCTURE INFECTIONS caused by staphylococci (penicillin-susceptible and penicillin-resistant) and beta-hemolytic streptococci. URINARY TRACT INFECTIONS, including prostatitis, caused by E. coli, P. mirabilis, Klebsiella species, and enterococci (S. faecalis).

Launch Date

1974
Curative
VELOSEF '125'

Approved Use

Cephradine is indicated in the treatment of the following infections: RESPIRATORY TRACT INFECTIONS (e.g., tonsillitis, pharyngitis, and lobar pneumonia) caused by group A beta-hemolytic streptococci and S. pneumoniae (formerly D. pneumonia). OTITIS MEDIA caused by group A beta-hemolytic streptococci, S. pneumoniae (formerly D. pneumoniae), H. influenzae, and staphylococci. SKIN AND SKIN STRUCTURE INFECTIONS caused by staphylococci (penicillin-susceptible and penicillin-resistant) and beta-hemolytic streptococci. URINARY TRACT INFECTIONS, including prostatitis, caused by E. coli, P. mirabilis, Klebsiella species, and enterococci (S. faecalis).

Launch Date

1974
Curative
VELOSEF '125'

Approved Use

Cephradine is indicated in the treatment of the following infections: RESPIRATORY TRACT INFECTIONS (e.g., tonsillitis, pharyngitis, and lobar pneumonia) caused by group A beta-hemolytic streptococci and S. pneumoniae (formerly D. pneumonia). OTITIS MEDIA caused by group A beta-hemolytic streptococci, S. pneumoniae (formerly D. pneumoniae), H. influenzae, and staphylococci. SKIN AND SKIN STRUCTURE INFECTIONS caused by staphylococci (penicillin-susceptible and penicillin-resistant) and beta-hemolytic streptococci. URINARY TRACT INFECTIONS, including prostatitis, caused by E. coli, P. mirabilis, Klebsiella species, and enterococci (S. faecalis).

Launch Date

1974
Curative
VELOSEF '125'

Approved Use

Cephradine is indicated in the treatment of the following infections: RESPIRATORY TRACT INFECTIONS (e.g., tonsillitis, pharyngitis, and lobar pneumonia) caused by group A beta-hemolytic streptococci and S. pneumoniae (formerly D. pneumonia). OTITIS MEDIA caused by group A beta-hemolytic streptococci, S. pneumoniae (formerly D. pneumoniae), H. influenzae, and staphylococci. SKIN AND SKIN STRUCTURE INFECTIONS caused by staphylococci (penicillin-susceptible and penicillin-resistant) and beta-hemolytic streptococci. URINARY TRACT INFECTIONS, including prostatitis, caused by E. coli, P. mirabilis, Klebsiella species, and enterococci (S. faecalis).

Launch Date

1974
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
17.7 μg/mL
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CEPHRADINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
27.5 μg × h/mL
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CEPHRADINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
0.61 h
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CEPHRADINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
PubMed

PubMed

TitleDatePubMed
Properties and active substance release kinetics from gelatin-alginate matrices.
2006
[Bacterial pathogens and resistance patterns in community acquired pediatric urinary tract infection: experience of 152 cases].
2006 Apr
Increasing single and multi-antibiotic resistance in Shigella species isolated from shigellosis patients in Sana'a, Yemen.
2006 Aug
A case of inadvertent anterior chamber and corneal stromal injection with antibiotics during cataract operation.
2006 Dec
Microplate assay for inhibitors of the transpeptidase activity of PBP1b of Escherichia coli.
2006 Dec
Chemiluminescence flow-injection analysis of beta-lactam antibiotics using the luminol-permanganate reaction.
2006 Jul-Aug
Controlled drug delivery system based on magnetic hollow spheres/polyelectrolyte multilayer core-shell structure.
2006 Sep-Oct
Characterization of beta-lactamases from urinary isolates of Escherichia coli in Tehran.
2007 Apr
Cephradine antacids interaction studies.
2007 Jul
Substrate specificity of MATE1 and MATE2-K, human multidrug and toxin extrusions/H(+)-organic cation antiporters.
2007 Jul 15
Determination of beta-lactam antibiotics in milk using micro-flow chemiluminescence system with on-line solid phase extraction.
2007 Jun 5
[Genotypes of Staphylococcus aureus strains with methicillin resistant phenotype].
2007 May
Development of intestinal bifidobacteria and lactobacilli in breast-fed neonates.
2007 Oct
Use of SDS micelles for improving sensitivity, resolution, and speed in the analysis of beta-lactam antibiotics in environmental waters by SPE and CE.
2007 Sep
Quantitative prediction of oral absorption of PEPT1 substrates based on in vitro uptake into Caco-2 cells.
2008 Apr 16
A comprehensive in vitro and in silico analysis of antibiotics that activate pregnane X receptor and induce CYP3A4 in liver and intestine.
2008 Aug
Effects of treatment with antimicrobial agents on the human colonic microflora.
2008 Dec
Human case of Rickettsia felis infection, Taiwan.
2008 Dec
Characteristics of Streptococcus pyogenes strains isolated from Chinese children with scarlet fever.
2008 Dec
Cranial osteomyelitis: a late complication of a dental infection.
2008 Dec
Plasmid-mediated quinolone resistance in Salmonella enterica, United Kingdom.
2008 Feb
Risk of major bleeding during concomitant use of antibiotic drugs and coumarin anticoagulants.
2008 Feb
Biomimetic apatite coatings on titanium coprecipitated with cephradine and salviae miltlorrhizae.
2008 Feb
[Prophylactic use of antibiotics in selective colorectal operation: a randomized controlled trial].
2008 Jan 15
Aeromonas salmonicida peritonitis after eating fish in a patient undergoing CAPD.
2008 May-Jun
Pharmacokinetic study of cephradine in Pakistani healthy male volunteers.
2008 Oct
Studies on diseased freshwater prawn Macrobrachium rosenbergii infected with Vibrio vulnificus.
2008 Sep 1
Kinetic spectrophotometric determination of certain cephalosporins in pharmaceutical formulations.
2009
Adverse drug reactions in hospital in-patients: a prospective analysis of 3695 patient-episodes.
2009
Antibiotic susceptibility of thermo-tolerant Escherichia coli 2 isolated from drinking water of Khairpur City, Sindh, Pakistan.
2009 Apr 15
A study of the chemiluminescence behavior of cephalosporins with luminol and its analytical application.
2009 Aug
[Analysis of multiple cephalosporins in blood and urine by HPLC].
2009 Dec
[Kneading and dispersing manipulation in treatment of early-stage acute mastitis: a randomized controlled trial].
2009 Dec
Rapid and simple method for determination of cephradine in human plasma using liquid chromatography-tandem mass spectrometry (LC-MS/MS): application to the bioequivalence study.
2009 Dec 1
[Study of cefadroxil and cephradine charge transfer process by fluorescence quenching method].
2009 Feb
Antibiotics for mastitis in breastfeeding women.
2009 Jan 21
Antibiotic susceptibility pattern of Staphylococcus epidermidis.
2009 Jul
Lack of interaction between the peptidomimetic substrates captopril and cephradine.
2009 Mar
High macrolide resistance in Streptococcus pyogenes strains isolated from children with pharyngitis in China.
2009 May
[Microcalorimetric investigation of two cephalosporins on colon bacteria activity].
2009 Oct
[Antibiotic consumption and antimicrobial susceptibility evolution in the Centro Hospitalario Pereira Rossell in methicillin resistant Staphylococcus aureus era].
2009 Oct
Study on the binding behavior of lysozyme with cephalosporin analogues by fluorescence spectroscopy.
2009 Sep
Traumatic optic neuropathy accompanying orbital grease gun injury.
2010 Apr
Colorimetric detection of cephradine in pharmaceutical formulations via fluorosurfactant-capped gold nanoparticles.
2010 Apr 15
Avian colibacillosis and salmonellosis: a closer look at epidemiology, pathogenesis, diagnosis, control and public health concerns.
2010 Jan
Selective densitometric determination of four alpha-aminocephalosporins using ninhydrin reagent.
2010 Jan
A survey of the management of urinary tract infection in children in primary care and comparison with the NICE guidelines.
2010 Jan 26
Uropathogen resistance to antibiotic prophylaxis in urinary tract infections.
2010 Jun
Rate of conversion and complications of laparoscopic cholecystectomy in a tertiary care center in Saudi Arabia.
2010 Mar-Apr
Rhinoscleroma: case report.
2010 Sep-Oct
Patents

Sample Use Guides

For respiratory tract infections (other than lobar pneumonia) and skin and skin structure infections, the usual dose is 250 mg every 6 hours or 500 mg every 12 hours. For lobar pneumonia, the usual dose is 500 mg every 6 hours or 1 g every 12 hours. For uncomplicated urinary tract infections, the usual dose is 500 mg every 12 hours. In more serious urinary tract infections, including prostatitis, 500 mg every 6 hours or 1 g every 12 hours may be administered. Larger doses (up to 1 g every 6 hours) may be given for severe or chronic infections.
Route of Administration: Oral
In Vitro Use Guide
Sources: DOI: 10.5897/IJPS11.057
MIC 90 of Cephradine standard powder against 25 clinical isolates of S. aureus was 2048 ug/ml.
Name Type Language
CEPHRADINE SODIUM
Common Name English
MAXISPORIN
Brand Name English
5-THIA-1-AZABICYCLO(4.2.0)OCT-2-ENE-2-CARBOXYLIC ACID, 7-(((2R)-2-AMINO-2-(1,4-CYCLOHEXADIEN-1-YL)ACETYL)AMINO)-3-METHYL-8-OXO-, SODIUM SALT (1:1), (6R,7R)-
Common Name English
CEFRADINE SODIUM
Common Name English
Code System Code Type Description
CAS
57584-26-6
Created by admin on Fri Dec 15 18:30:15 GMT 2023 , Edited by admin on Fri Dec 15 18:30:15 GMT 2023
PRIMARY
EPA CompTox
DTXSID10206213
Created by admin on Fri Dec 15 18:30:15 GMT 2023 , Edited by admin on Fri Dec 15 18:30:15 GMT 2023
PRIMARY
FDA UNII
04FRJ20XNF
Created by admin on Fri Dec 15 18:30:15 GMT 2023 , Edited by admin on Fri Dec 15 18:30:15 GMT 2023
PRIMARY
PUBCHEM
23708626
Created by admin on Fri Dec 15 18:30:15 GMT 2023 , Edited by admin on Fri Dec 15 18:30:15 GMT 2023
PRIMARY