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

Details

Stereochemistry ABSOLUTE
Molecular Formula C17H17N3O6S2
Molecular Weight 423.463
Optical Activity UNSPECIFIED
Defined Stereocenters 2 / 2
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CEPHAPIRIN

SMILES

CC(=O)OCC1=C(N2[C@H](SC1)[C@H](NC(=O)CSC3=CC=NC=C3)C2=O)C(O)=O

InChI

InChIKey=UQLLWWBDSUHNEB-CZUORRHYSA-N
InChI=1S/C17H17N3O6S2/c1-9(21)26-6-10-7-28-16-13(15(23)20(16)14(10)17(24)25)19-12(22)8-27-11-2-4-18-5-3-11/h2-5,13,16H,6-8H2,1H3,(H,19,22)(H,24,25)/t13-,16-/m1/s1

HIDE SMILES / InChI

Molecular Formula C17H17N3O6S2
Molecular Weight 423.463
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 2 / 2
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: Description was created based on several sources, including http://www.msd-animal-health.co.nz/products/Metricure_/020_Product_Details.aspx | http://pharm-sci.tbzmed.ac.ir/Drug-Information/Integrative%20Medicine%20Professional%20Access/ProfDrugs/Cephapirinpd.html

Cephapirin is a first-generation cephalosporin. Cephapirin has been indicated for the treatment of infections when caused by susceptible strains in respiratory, genitourinary, gastrointestinal, skin and soft tissue, bone and joint infections, septicemia; treatment of susceptible gram-positive bacilli and cocci (never enterococcus); some gram-negative bacilli including E. coli, Proteus, and Klebsiella may be susceptible. Cephapirin is used in veterinary as an intra-uterine antibiotic infusion for the treatment of subacute and chronic endometritis in cows and repeat breeders.

Originator

Curator's Comment: reference retrieved from http://www.drugfuture.com/chemdata/cephapirin-sodium.html

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
CEFADYL

Approved Use

Treatment of infections when caused by susceptible strains in respiratory, genitourinary, gastrointestinal, skin and soft tissue, bone and joint infections, septicemia; treatment of susceptible gram-positive bacilli and cocci (never enterococcus); some gram-negative bacilli including E. coli, Proteus, and Klebsiella may be susceptible

Launch Date

1974
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
92 μg/mL
2 g single, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEPHAPIRIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
72 μg × h/mL
2 g single, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEPHAPIRIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
0.36 h
2 g single, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEPHAPIRIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
2 g 6 times / day multiple, intramuscular
Highest studied dose
Dose: 2 g, 6 times / day
Route: intramuscular
Route: multiple
Dose: 2 g, 6 times / day
Sources:
unhealthy, 31.4 years
Health Status: unhealthy
Age Group: 31.4 years
Sex: M+F
Sources:
1 g 4 times / day multiple, intramuscular
Dose: 1 g, 4 times / day
Route: intramuscular
Route: multiple
Dose: 1 g, 4 times / day
Sources:
unhealthy, 50 years
Health Status: unhealthy
Age Group: 50 years
Sex: M
Sources:
Disc. AE: Neutropenia...
AEs leading to
discontinuation/dose reduction:
Neutropenia (1 patient)
Sources:
AEs

AEs

AESignificanceDosePopulation
Neutropenia 1 patient
Disc. AE
1 g 4 times / day multiple, intramuscular
Dose: 1 g, 4 times / day
Route: intramuscular
Route: multiple
Dose: 1 g, 4 times / day
Sources:
unhealthy, 50 years
Health Status: unhealthy
Age Group: 50 years
Sex: M
Sources:
PubMed

PubMed

TitleDatePubMed
Short communication: Rapid antibiotic screening tests detect antibiotic residues in powdered milk products.
2010-09
Laryngeal Mask Airway for neonatal resuscitation in a developing country: evaluation of an educational intervention. Neonatal LMA: an educational intervention in DRC.
2010-08-31
Development and validation of a liquid chromatography-tandem mass spectrometry method for the determination of goserelin in rabbit plasma.
2010-08-15
Bacteriological and cytological findings during the late puerperal period after two different treatments of retained placenta followed by acute puerperal metritis.
2010-06-15
Evaluation of executive functioning in people with intellectual disabilities.
2010-04
Specific strains of Escherichia coli are pathogenic for the endometrium of cattle and cause pelvic inflammatory disease in cattle and mice.
2010-02-12
Item Response Theory Analysis of Two Questionnaire Measures of Arthritis-Related Self-Efficacy Beliefs from Community-Based US Samples.
2010
Factor analysis of the transcultural self-efficacy tool (TSET).
2010
Efficacy of a 5-day extended therapy program during lactation with cephapirin sodium in dairy cows chronically infected with Staphylococcus aureus.
2009-12
Newly identified degradation products of ceftiofur and cephapirin impact the analytical approach for quantitative analysis of kidney.
2009-11-13
Microbial screening methods for detection of antibiotic residues in slaughter animals.
2009-10
Comparison of two methods of detecting purulent vaginal discharge in postpartum dairy cows and effect of intrauterine cephapirin on reproductive performance.
2009-09
Effect of milking frequency and dosing interval on the pharmacokinetics of cephapirin after intramammary infusion in lactating dairy cows.
2009-09
Effect of milk fraction on concentrations of cephapirin and desacetylcephapirin in bovine milk after intramammary infusion of cephapirin sodium.
2009-08
Validation study of a receptor-based lateral flow assay for detection of beta-lactam antibiotics in milk.
2009-07-21
Identification and characterization of inhibitors of human apurinic/apyrimidinic endonuclease APE1.
2009-06-01
Relationship between in vitro susceptibility test results and treatment outcomes for gram-positive mastitis pathogens following treatment with cephapirin sodium.
2009-06
Sorption mechanisms of cephapirin, a veterinary antibiotic, onto quartz and feldspar minerals as detected by Raman spectroscopy.
2009-06
Occurrence of antimicrobial residues in pasteurized milk commercialized in the state of Paraná, Brazil.
2009-04
Development and validation of an immunochromatographic assay for rapid multi-residues detection of cephems in milk.
2009-02-16
Factors associated with the risk of antibiotic residues and intramammary pathogen presence in milk from heifers administered prepartum intramammary antibiotic therapy.
2009-02-16
Kinetic spectrofluorimetric determination of certain cephalosporins in human plasma.
2009-02-15
Kinetic spectrophotometric determination of certain cephalosporins in pharmaceutical formulations.
2009
Anticoagulant-induced changes on antibiotic concentrations in the serum and bones.
2008-11-15
Effect of intrauterine treatment with cephapirin on the reproductive performance of seasonally calving dairy cows at risk of endometritis following periparturient disease.
2008-07
Validation of the SL3 beta-Lactam Test for screening milk in compliance with U.S. pasteurized milk ordinance: performance tested method 040701.
2008-06-24
[Simple and rapid microbiological method for determination of residual antibacterials in meat].
2008-06
Carbon partitioning between oil and carbohydrates in developing oat (Avena sativa L.) seeds.
2008
A study of 54 cases of left displacement of the abomasum: February to July 2005.
2007-10-01
Stability of frozen stock solutions of beta-lactam antibiotics, cephalosporins, tetracyclines and quinolones used in antibiotic residue screening and antibiotic susceptibility testing.
2007-03-14
Treatment practices and quantification of antimicrobial drug usage in conventional and organic dairy farms in Wisconsin.
2007-01
Effects of a single administration of prostaglandin F2alpha, or a combination of prostaglandin F2alpha and prostaglandin E2, or placebo on fertility variables in dairy cows 3-5 weeks post partum, a randomized, double-blind clinical trial.
2006-12-21
Impact of experimental trauma and niflumic acid administration on antimicrobials' concentration in serum and mandible of rats.
2006-12-05
Real-Time Paresthesia Steering Using ContinuousElectric Field Adjustment. Part I: IntraoperativePerformance.
2004-07
Use of charge-transfer complexation in the spectrophotometric analysis of certain cephalosporins.
2001-07-06
beta-Lactam drug allergens: fine structural recognition patterns of cephalosporin-reactive IgE antibodies.
1996-07-01
The in vitro activity of beta-lactamase inhibitors in combination with cephalosporins against M. tuberculosis.
1995-04
Comparison of in vitro antimicrobial susceptibilities of Mycobacterium avium-M. intracellulare strains from patients with acquired immunodeficiency syndrome (AIDS), patients without AIDS, and animal sources.
1990-07
Drugs as allergens: an immunoassay for detecting IgE antibodies to cephalosporins.
1990
In vitro susceptibilities of Mycobacterium tuberculosis to 10 antimicrobial agents.
1988-09
In vitro susceptibility of Mycobacterium avium complex to antibacterial agents.
1987-11
Determination of MICs of conventional and experimental drugs in liquid medium by the radiometric method against Mycobacterium avium complex.
1987
Determination of in vitro susceptibility of Mycobacterium tuberculosis to cephalosporins by radiometric and conventional methods.
1985-01
[Comparison of side effects of intravenous cephapirin and cephalothin with special reference to the incidence of phlebitis].
1983-12
Recovery without a diuresis after protracted acute tubular necrosis.
1980-01
Comparison of thrombophlebitis associated with three cephalosporin antibiotics.
1976-09
Phlebitis associated with the intravenous use of cephalothin and cephapirin.
1976-07
Comparative incidence of phlebitis due to buffered cephalothin, cephapirin, and cefamandole.
1976-04
Double-blind controlled comparison of phlebitis produced by cephapirin and cephalothin.
1973-02
Relative incidence of phlebitis caused by continuous intravenous infusion of cephapirin and cephalothin.
1972-09
Patents

Sample Use Guides

Adults: 500 mg to 1 g every 6 hours up to 12 g/day Perioperative prophylaxis: 1-2 g 30 minutes to 1 hour prior to surgery and every 6 hours as needed for 24 hours following
Route of Administration: Other
All S aureus isolates were susceptible to cephapirin and ceftiofur. Most coagulase-negative staphylococci were susceptible to cephapirin and ceftiofur. For E coli, 50 (51.0%; cephapirin) and 93 (94.95%; ceftiofur) isolates were susceptible to the parent compounds, but 88 (89.8%) were not inhibited at the maximum concentration of desacetylcephapirin. All S dysgalactiae isolates were susceptible to ceftiofur and cephapirin, and consistent MICs were obtained for all compounds. Most S uberis isolates were susceptible to cephapirin and ceftiofur. Of 98 S aureus isolates classified as susceptible to ceftiofur, 51 (52.0%) and 5 (5.1%) were categorized as intermediate or resistant to desfuroylceftiofur, respectively. For 99 coagulase-negative staphylococci classified as susceptible to ceftiofur, 45 (45.5%) and 17 (17.2%) isolates were categorized as intermediate or resistant to desfuroylceftiofur, respectively. For all staphylococci and streptococci, 100% agreement in cross-classified susceptibility outcomes was detected between cephapirin and desacetylcephapirin. No E coli isolates were classified as susceptible to desacetylcephapirin.
Substance Class Chemical
Created
by admin
on Wed Apr 02 09:59:17 GMT 2025
Edited
by admin
on Wed Apr 02 09:59:17 GMT 2025
Record UNII
89B59H32VN
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
CEPHAPIRIN
MI   VANDF  
Common Name English
CEFAPIRIN
HSDB   INN   WHO-DD  
INN  
Preferred Name English
CEPHAPIRIN [MI]
Common Name English
cefapirin [INN]
Common Name English
7-(.ALPHA.-(4-PYRIDYLTHIO)ACETAMIDO)CEPHALOSPORANIC ACID
Common Name English
CEFAPIRIN [HSDB]
Common Name English
CEPHAPIRIN [VANDF]
Common Name English
(6R,7R)-3-(HYDROXYMETHYL)-8-OXO-7-(2-(4-PYRIDYLTHIO)ACETAMIDO)-5-THIA-1-AZABICYCLO(4.2.0)OCT-2-ENE-2-CARBOXYLATE ACETATE (ESTER)
Common Name English
Cefapirin [WHO-DD]
Common Name English
Classification Tree Code System Code
CFR 21 CFR 556.115
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
WHO-VATC QJ01DB08
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
WHO-VATC QG51AA05
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
NCI_THESAURUS C357
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
WHO-VATC QJ51DB08
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
WHO-ATC J01DB08
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
Code System Code Type Description
CHEBI
554446
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
PUBCHEM
30699
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
EVMPD
SUB07375MIG
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
DAILYMED
89B59H32VN
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
ChEMBL
CHEMBL1599
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
RXCUI
2238
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY RxNorm
DRUG BANK
DB01139
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
FDA UNII
89B59H32VN
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
CAS
21593-23-7
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
INN
2871
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
WIKIPEDIA
CEFAPIRIN
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
SMS_ID
100000081791
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
ECHA (EC/EINECS)
244-466-5
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
HSDB
3215
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
MESH
D002514
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
EPA CompTox
DTXSID9022784
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
MERCK INDEX
m3253
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY Merck Index
DRUG CENTRAL
575
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
NCI_THESAURUS
C61670
Created by admin on Wed Apr 02 09:59:17 GMT 2025 , Edited by admin on Wed Apr 02 09:59:17 GMT 2025
PRIMARY
Related Record Type Details
SALT/SOLVATE -> PARENT
SALT/SOLVATE -> PARENT
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ACTIVE MOIETY