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

Details

Stereochemistry ABSOLUTE
Molecular Formula C17H19N2O6S.Na.H2O
Molecular Weight 420.413
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 3
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of METHICILLIN SODIUM

SMILES

O.[Na+].COC1=CC=CC(OC)=C1C(=O)N[C@H]2[C@H]3SC(C)(C)[C@@H](N3C2=O)C([O-])=O

InChI

InChIKey=NRZPASQBOYNGHR-HWROMZCQSA-M
InChI=1S/C17H20N2O6S.Na.H2O/c1-17(2)12(16(22)23)19-14(21)11(15(19)26-17)18-13(20)10-8(24-3)6-5-7-9(10)25-4;;/h5-7,11-12,15H,1-4H3,(H,18,20)(H,22,23);;1H2/q;+1;/p-1/t11-,12+,15-;;/m1../s1

HIDE SMILES / InChI

Molecular Formula C17H20N2O6S
Molecular Weight 380.415
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 3 / 3
E/Z Centers 0
Optical Activity UNSPECIFIED

Molecular Formula Na
Molecular Weight 22.98976928
Charge 1
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula HO
Molecular Weight 17.0073
Charge -1
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/14085254 | https://www.ncbi.nlm.nih.gov/pubmed/6835496 | https://www.drugs.com/cons/methicillin.html | https://www.drugbank.ca/drugs/DB01603

Methicillin sodium anhydrous is a sodium salt of methicillin (methicillin). Methicillin is an antibiotic formerly used in the treatment of bacterial infections caused by organisms of the genus Staphylococcus. Methicillin is a semisynthetic derivative of penicillin. It was first produced in the late 1950s and was developed as a type of antibiotic called penicillinase-resistant penicillin—it contained a modification to the original penicillin structure that made it resistant to a bacterial enzyme called penicillinase (beta-lactamase). Compared to other penicillins that face antimicrobial resistance due to β-lactamase, it is less active, can be administered only parenterally, and has a higher frequency of interstitial nephritis, an otherwise-rare adverse effect of penicillins. However, the selection of meticillin depended on the outcome of susceptibility testing of the sampled infection, and since it is no longer produced, it is also not routinely tested for anymore.

Originator

Sources: Manufacturing Chemist (1930-1963) Volume32 Pages533-5,548
Curator's Comment: https://www.acs.org/content/acs/en/molecule-of-the-week/archive/m/molecule-of-the-week-methicillin.html

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
STAPHCILLIN

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
25 μg/mL
15 mg/kg single, intravenous
dose: 15 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
METHICILLIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
27.5 μg × h/mL
15 mg/kg single, intravenous
dose: 15 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
METHICILLIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
1.05 h
15 mg/kg single, intravenous
dose: 15 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
METHICILLIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
106 mg/kg 1 times / day multiple, intravenous
Recommended
Dose: 106 mg/kg, 1 times / day
Route: intravenous
Route: multiple
Dose: 106 mg/kg, 1 times / day
Sources:
unhealthy, 4.00±4.89
Health Status: unhealthy
Age Group: 4.00±4.89
Sex: M+F
Sources:
Disc. AE: Eosinophilia...
AEs leading to
discontinuation/dose reduction:
Eosinophilia (10.7%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Eosinophilia 10.7%
Disc. AE
106 mg/kg 1 times / day multiple, intravenous
Recommended
Dose: 106 mg/kg, 1 times / day
Route: intravenous
Route: multiple
Dose: 106 mg/kg, 1 times / day
Sources:
unhealthy, 4.00±4.89
Health Status: unhealthy
Age Group: 4.00±4.89
Sex: M+F
Sources:
PubMed

PubMed

TitleDatePubMed
Survey of infections due to Staphylococcus species: frequency of occurrence and antimicrobial susceptibility of isolates collected in the United States, Canada, Latin America, Europe, and the Western Pacific region for the SENTRY Antimicrobial Surveillance Program, 1997-1999.
2001-05-15
H(2)O(2) produced by viridans group streptococci may contribute to inhibition of methicillin-resistant Staphylococcus aureus colonization of oral cavities in newborns.
2001-05-15
Inhibition of methicillin-resistant Staphylococcus aureus colonization of oral cavities in newborns by viridans group streptococci.
2001-05-15
Duration of colonization by methicillin-resistant Staphylococcus aureus after hospital discharge and risk factors for prolonged carriage.
2001-05-15
Nasal carriage of Staphylococcus aureus.
2001-05-03
Mupirocin resistance among Malaysian isolates of methicillin-resistant Staphylococcus aureus.
2001-05
In vitro anti-methicillin-resistant Staphylococcus aureus activity of 2,4-diacetylphloroglucinol produced by Pseudomonas sp. AMSN isolated from a marine alga.
2001-05
In vitro activity of sitafloxacin against Clostridium difficile.
2001-05
Carriage of antibiotic-resistant bacteria by healthy children.
2001-05
Cadaveric allograft discards as a result of positive skin cultures.
2001-05
Infectious complications of cutaneous t-cell lymphoma.
2001-04-28
Improvement of water-soluble cephalosporin derivatives having antibacterial activity against methicillin-resistant Staphylococcus aureus.
2001-04-18
Molecular epidemiology of methicillin-resistant Staphylococcus aureus.
2001-04-11
The changing epidemiology of Staphylococcus aureus?
2001-04-11
Acute gastric dilatation accompanied by diabetes mellitus.
2001-04
[Glycopeptides].
2001-04
[Clinical relevance of hetero-VRSA in surgical infections].
2001-04
[Mupirocin resistant MRSA in Japan].
2001-04
[Mechanisms of methicillin and vancomycin resistance in Staphylococcus aureus].
2001-04
Staphylococcus aureus bacteriuria and surgical site infections by methicillin-resistant Staphylococcus aureus.
2001-04
Impact of Gram-positive resistance on outcome of nosocomial pneumonia.
2001-04
Emergence and spread of low-level mupirocin resistance in methicillin-resistant Staphylococcus aureus isolated from a community hospital in Japan.
2001-04
Source and route of methicillin-resistant Staphylococcus epidermidis transmitted to the surgical wound during cardio-thoracic surgery. Possibility of preventing wound contamination by use of special scrub suits.
2001-04
A modified population analysis profile (PAP) method to detect hetero-resistance to vancomycin in Staphylococcus aureus in a UK hospital.
2001-04
Antimicrobial-drug use and methicillin-resistant Staphylococcus aureus.
2001-03-27
Anti-MRSA cephems. Part 1: C-3 substituted thiopyridinium derivatives.
2001-03-26
Eradication of methicillin-resistant Staphylococcus aureus from a health center ward and associated nursing home.
2001-03-26
[Physicians wash their hands too infrequently].
2001-03-01
Staphylococcal septicaemia in burns.
2001-03
[A study on the transmission of MRSA among the family members including clients of visiting nurse and related infection control].
2001-03
A blinded comparison of three laboratory protocols for the identification of patients colonized with methicillin-resistant Staphylococcus aureus.
2001-03
Significant reduction of methicillin-resistant Staphylococcus aureus bacteremia in geriatric wards after introduction of infection control measures against nosocomial infections.
2001-03
Characteristics of a new epidemic MRSA in Germany ancestral to United Kingdom EMRSA 15.
2001-03
[Diagnostic test approved by Ministry of Health and Welfare (February 2001)].
2001-03
Isolation and characterization of methicillin-resistant Staphylococcus aureus strains from nares of nurses and their gowns.
2001-03
Comparison of two sampling methods for the detection of gram-positive and gram-negative bacteria in the environment: moistened swabs versus Rodac plates.
2001-03
[Methicillin-resistant Staphylococcus colonization. Impact on morbidity, mortality, and glycopeptide use].
2001-02-24
Guiding hands of our teachers. Hand-hygiene Liaison Group.
2001-02-10
[Combination effect of arbekacin and cefepime on mixed culture of MRSA and P. aeruginosa].
2001-02
High frequency of colonization and absence of identifiable risk factors for methicillin-resistant Staphylococcus aureus (MRSA)in intensive care units in Brazil.
2001-02
[Antibiotic resistance of Staphylococcus aureus in urban experience: 6 month study in Aquitaine].
2001-02
[Epidemic of Staphylococcus aureus nosocomial infections resistant to methicillin in a maternity ward].
2001-02
[Detection of gram-negative bacteria in patients and hospital environment at a room in geriatric wards under the infection control against MRSA].
2001-02
A case of thrombotic thrombocytopenic purpura refractory to plasma exchange.
2001-02
[Enterocolitis caused by methicillin-resistant Staphylococcus aureus].
2001-01
Aerobic bacterial and fungal infections in peripheral blood stem cell transplants.
2001-01
Perfusionist-transmitted bacterial mediastinitis in a heart transplant recipient.
2001
Molecular epidemiology of methicillin-resistant Staphylococcus aureus in Colombian hospitals: dominance of a single unique multidrug-resistant clone.
2001
Sequence analysis of dru regions from methicillin-resistant Staphylococcus aureus and coagulase-negative staphylococcal isolates.
2001
Letter: Interstitial nephritis after methicillin.
1975-05-22
Patents

Sample Use Guides

Adults, teenagers, and children weighing more than 40 kilograms (kg) (88 pounds)—1 gram injected into a muscle every four to six hours; or 1 gram injected into a vein every six hours. Children weighing up to 40 kg (88 pounds)—Dose is based on body weight and must be determined by your doctor. The usual dose is 25 milligrams (mg) per kg (11.4 mg per pound) of body weight, injected into a vein or muscle every six hours.
Route of Administration: Intramuscular
Determination of Meticillin susceptibility was done by plating diluted overnight cultures of strain COL on petri dishes containing tryptic soy agar (TSA; Difco) and serial (twofold) dilutions of the Meticillin. Colonies were counted after 48 h of incubation at 37 and 42°C. The high-level methicillin resistance at 37°C (MIC = 800 mkg/ml) was reduced to 12 mkg/ml at 42°C
Substance Class Chemical
Created
by admin
on Mon Mar 31 17:54:50 GMT 2025
Edited
by admin
on Mon Mar 31 17:54:50 GMT 2025
Record UNII
AO9YF4MN30
Record Status Validated (UNII)
Record Version
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Name Type Language
STAPHCILLIN
Preferred Name English
METHICILLIN SODIUM
ORANGE BOOK   USAN   USP-RS   VANDF  
USAN  
Official Name English
METICILLIN SODIUM [MART.]
Common Name English
X-1497
Code English
NSC-757091
Code English
SQ-16123
Code English
Monosodium (2S,5R,6R)-6-(2,6-dimethoxybenzamido)-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylate monohydrate
Systematic Name English
METHICILLIN SODIUM [VANDF]
Common Name English
SQ 16,123
Code English
METICILLIN SODIUM MONOHYDRATE
Common Name English
METHICILLIN SODIUM [USAN]
Common Name English
4-THIA-1-AZABICYCLO(3.2.0)HEPTANE-2-CARBOXYLIC ACID, 6-*((2,6-DIMETHOXYBENZOYL)AMINO)-3,3-DIMETHYL-7-OXO-, MONOSODIUM SALT, MONOHYDRATE, (2S-(2.ALPHA.,5.ALPHA.,6.BETA.))-
Common Name English
BRL-1241
Code English
METICILLIN SODIUM [JAN]
Common Name English
METHICILLIN SODIUM [ORANGE BOOK]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C1500
Created by admin on Mon Mar 31 17:54:50 GMT 2025 , Edited by admin on Mon Mar 31 17:54:50 GMT 2025
Code System Code Type Description
NSC
757091
Created by admin on Mon Mar 31 17:54:50 GMT 2025 , Edited by admin on Mon Mar 31 17:54:50 GMT 2025
PRIMARY
CAS
7246-14-2
Created by admin on Mon Mar 31 17:54:50 GMT 2025 , Edited by admin on Mon Mar 31 17:54:50 GMT 2025
PRIMARY
ChEMBL
CHEMBL575
Created by admin on Mon Mar 31 17:54:50 GMT 2025 , Edited by admin on Mon Mar 31 17:54:50 GMT 2025
PRIMARY
NCI_THESAURUS
C47611
Created by admin on Mon Mar 31 17:54:50 GMT 2025 , Edited by admin on Mon Mar 31 17:54:50 GMT 2025
PRIMARY
RXCUI
267073
Created by admin on Mon Mar 31 17:54:50 GMT 2025 , Edited by admin on Mon Mar 31 17:54:50 GMT 2025
PRIMARY RxNorm
EPA CompTox
DTXSID5045835
Created by admin on Mon Mar 31 17:54:50 GMT 2025 , Edited by admin on Mon Mar 31 17:54:50 GMT 2025
PRIMARY
PUBCHEM
23678596
Created by admin on Mon Mar 31 17:54:50 GMT 2025 , Edited by admin on Mon Mar 31 17:54:50 GMT 2025
PRIMARY
EVMPD
SUB130227
Created by admin on Mon Mar 31 17:54:50 GMT 2025 , Edited by admin on Mon Mar 31 17:54:50 GMT 2025
PRIMARY
EVMPD
SUB03264MIG
Created by admin on Mon Mar 31 17:54:50 GMT 2025 , Edited by admin on Mon Mar 31 17:54:50 GMT 2025
PRIMARY
FDA UNII
AO9YF4MN30
Created by admin on Mon Mar 31 17:54:50 GMT 2025 , Edited by admin on Mon Mar 31 17:54:50 GMT 2025
PRIMARY
DRUG BANK
DBSALT001467
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PRIMARY
SMS_ID
100000156334
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PRIMARY
Related Record Type Details
ANHYDROUS->SOLVATE
PARENT -> SALT/SOLVATE
Related Record Type Details
ACTIVE MOIETY