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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
Cutaneous vasculitis due to ciprofloxacin.
1992 Jul 4
Update on prosthetic joints, dental treatment, and antibiotic prophylaxis.
2002 Jul
Transport and utilization of arginine and arginine-containing peptides by rat alveolar macrophages.
2002 Jun
Prolonged intestinal absorption of cephradine with chitosan-coated ethylcellulose microparticles in rats.
2002 Nov
Antimicrobial resistance pattern of Escherichia coli causing urinary tract infections, and that of human fecal flora, in the southeast of Iran.
2002 Summer
Uptake of dipeptide and beta-lactam antibiotics by the basolateral membrane vesicles prepared from rat kidney.
2003 Jan 10
Molecularly imprinted solid phase extraction-pulsed elution-mass spectrometry for determination of cephalexin and alpha-aminocephalosporin antibiotics in human serum.
2004 Nov 15
Multicenter surveillance of antimicrobial resistance of Streptococcus pyogenes, Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis to 14 oral antibiotics.
2004 Sep
Interaction of 31 beta-lactam antibiotics with the H+/peptide symporter PEPT2: analysis of affinity constants and comparison with PEPT1.
2005 Jan
Determination of ceftriaxone in cerebrospinal fluid by ion-pair liquid chromatography.
2005 Mar-Apr
Systemic and local antibiotic prophylaxis in the prevention of Staphylococcus epidermidis graft infection.
2005 Oct 21
Crystal form of cephradine.
2006 Feb
Chemiluminescence flow-injection analysis of beta-lactam antibiotics using the luminol-permanganate reaction.
2006 Jul-Aug
[Genotypes of Staphylococcus aureus strains with methicillin resistant phenotype].
2007 May
Quantitative prediction of oral absorption of PEPT1 substrates based on in vitro uptake into Caco-2 cells.
2008 Apr 16
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
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
Antibiotic susceptibility of thermo-tolerant Escherichia coli 2 isolated from drinking water of Khairpur City, Sindh, Pakistan.
2009 Apr 15
[Kneading and dispersing manipulation in treatment of early-stage acute mastitis: a randomized controlled trial].
2009 Dec
Antibiotic susceptibility pattern of Staphylococcus epidermidis.
2009 Jul
Lack of interaction between the peptidomimetic substrates captopril and cephradine.
2009 Mar
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
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
ORANGE BOOK   USAN   USP   VANDF  
USAN  
Official Name English
VELOSEF
Brand Name English
CEPHRADINE HYDRATE [MART.]
Common Name English
CEPHRADINE [USP-RS]
Common Name English
CEFRADINE HYDRATE
Common Name English
CEPHRADINE [VANDF]
Common Name English
SK&F-D-39304
Code English
SQ-11436
Code English
SQ-22022
Code English
CEPHRADINE [USP MONOGRAPH]
Common Name English
ANSPOR
Brand Name English
5-THIA-1-AZABICYCLO(4.2.0)OCT-2-ENE-2-CARBOXYLIC ACID, 7-(2-AMINO-2-(1,4-CYCLOHEXADIEN-1-YL)ACETAMIDO)-3-METHYL-8-OXO-, HYDRATE, D-
Common Name English
CEPHRADINE NON-STOICHIOMETRIC HYDRATE FORM
Common Name English
SQ 11436
Code English
CEPHRADINE, UNSPECIFIED HYDRATE
Common Name English
CEPHRADINE [ORANGE BOOK]
Common Name English
CEPHRADINE [USAN]
Common Name English
CEPHRADINE HYDRATE
MART.  
Common Name English
SK&F D-39304
Code English
Classification Tree Code System Code
WHO-ATC J01DB09
Created by admin on Fri Dec 15 16:06:40 GMT 2023 , Edited by admin on Fri Dec 15 16:06:40 GMT 2023
NCI_THESAURUS C357
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LIVERTOX 178
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NDF-RT N0000175488
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Code System Code Type Description
NCI_THESAURUS
C47441
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PRIMARY
EVMPD
SUB21808
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PRIMARY
SMS_ID
100000088255
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PRIMARY
MESH
D002515
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PRIMARY
ChEMBL
CHEMBL1604
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PRIMARY
FDA UNII
F1BC02I72W
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PRIMARY
EVMPD
SUB07417MIG
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PRIMARY
CHEBI
3547
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PRIMARY
IUPHAR
4830
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PRIMARY
RXCUI
2239
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PRIMARY RxNorm
LACTMED
Cephradine
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PRIMARY
RS_ITEM_NUM
1102805
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PRIMARY
Definition References