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Details

Stereochemistry ABSOLUTE
Molecular Formula C20H22N5O6S.Na
Molecular Weight 483.473
Optical Activity UNSPECIFIED
Defined Stereocenters 4 / 4
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of AZLOCILLIN SODIUM

SMILES

[Na+].CC1(C)S[C@@H]2[C@H](NC(=O)[C@H](NC(=O)N3CCNC3=O)C4=CC=CC=C4)C(=O)N2[C@H]1C([O-])=O

InChI

InChIKey=UVOCNBWUHNCKJM-XFAPPKAWSA-M
InChI=1S/C20H23N5O6S.Na/c1-20(2)13(17(28)29)25-15(27)12(16(25)32-20)22-14(26)11(10-6-4-3-5-7-10)23-19(31)24-9-8-21-18(24)30;/h3-7,11-13,16H,8-9H2,1-2H3,(H,21,30)(H,22,26)(H,23,31)(H,28,29);/q;+1/p-1/t11-,12-,13+,16-;/m1./s1

HIDE SMILES / InChI

Molecular Formula C20H22N5O6S
Molecular Weight 460.484
Charge -1
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 4 / 4
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

Azlocillin is a semisynthetic penicillin with broad spectrum of anti-bacterial action. The drug is effective against gram-negative and gram-positive infections and acts by inhibition of penicillin-binding protein (PBP)-dependent bacterial cell wall synthesis. Azlocillin was marketed in the USA under the name Azlin (sodium salt), however, its approval was discontinued.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
AZLIN

Approved Use

Treatment of Gram-positive (Streptococcus spp., Enterococcus, Listeria monocytogenes) and Gram-negative (H. influenzae, E. coli, Proteus mirabilis, Salmonella spp., Shigella spp.) infections.

Launch Date

1982
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
414 μg/mL
4 g 4 times / day multiple, intravenous
dose: 4 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
AZLOCILLIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
592 μg × h/mL
4 g 4 times / day multiple, intravenous
dose: 4 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
AZLOCILLIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
772 μg × h/mL
5 g 3 times / day multiple, intravenous
dose: 5 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
AZLOCILLIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
374 μg × h/mL
4 g single, intravenous
dose: 4 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
AZLOCILLIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
1.29 h
4 g 4 times / day multiple, intravenous
dose: 4 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
AZLOCILLIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1.46 h
5 g 3 times / day multiple, intravenous
dose: 5 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
AZLOCILLIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1.26 h
4 g single, intravenous
dose: 4 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
AZLOCILLIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1.1 h
4 g 4 times / day multiple, intravenous
dose: 4 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
AZLOCILLIN plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
17 g 1 times / day multiple, intravenous|intramuscular
Dose: 17 g, 1 times / day
Route: intravenous|intramuscular
Route: multiple
Dose: 17 g, 1 times / day
Sources:
unhealthy
Health Status: unhealthy
Sources:
Disc. AE: Macular rash, Pruritic rash...
AEs leading to
discontinuation/dose reduction:
Macular rash (4 patients)
Pruritic rash (4 patients)
Sources:
AEs

AEs

AESignificanceDosePopulation
Macular rash 4 patients
Disc. AE
17 g 1 times / day multiple, intravenous|intramuscular
Dose: 17 g, 1 times / day
Route: intravenous|intramuscular
Route: multiple
Dose: 17 g, 1 times / day
Sources:
unhealthy
Health Status: unhealthy
Sources:
Pruritic rash 4 patients
Disc. AE
17 g 1 times / day multiple, intravenous|intramuscular
Dose: 17 g, 1 times / day
Route: intravenous|intramuscular
Route: multiple
Dose: 17 g, 1 times / day
Sources:
unhealthy
Health Status: unhealthy
Sources:
PubMed

PubMed

TitleDatePubMed
Molecular taxonomy, phylogeny and evolution in the family Stichopodidae (Aspidochirotida: Holothuroidea) based on COI and 16S mitochondrial DNA.
2010-09
Pleistocene climatic cycling drives intra-specific diversification in the intermediate horseshoe bat (Rhinolophus affinis) in Southern China.
2010-07
Contrasting patterns of phylogeographic relationships in sympatric sister species of ironclad beetles (Zopheridae: Phloeodes spp.) in California's Transverse Ranges.
2010-06-24
Role of the BACTEC radiometric method in the evaluation of patients with clinically probable tuberculous meningitis.
2010-04
Laboratory diagnosis of tuberculous meningitis - is there a scope for further improvement?
2010-01
In-vitro efficacy of synergistic antibiotic combinations in multidrug resistant Pseudomonas aeruginosa strains.
2010-01
Data correction pre-processing for electronically stored blood culture results: implications on microbial spectrum and empiric antibiotic therapy.
2009-06-07
Direct susceptibility testing for multi drug resistant tuberculosis: a meta-analysis.
2009-05-20
Clinical and ultrasonographic features of abdominal tuberculosis in HIV positive adults in Zambia.
2009-04-17
A critical role for CD8 T cells in a nonhuman primate model of tuberculosis.
2009-04
Detection of Extended Spectrum β-lactamase Production Among Uropathogens.
2009-01
How beta-lactam antibiotics enter bacteria: a dialogue with the porins.
2009
Dynamic root exudation of sorgoleone and its in planta mechanism of action.
2009
Effects of treatment with antimicrobial agents on the human colonic microflora.
2008-12
Phylogeography and recolonization of the Swiss Alps by the Valais shrew (Sorex antinorii), inferred with autosomal and sex-specific markers.
2008-09
Mycobacterium ulcerans disease, Peru.
2008-03
[Bacterial meningitis and Pseudomonas aeruginosa: apropos of a case].
2007-11-01
Problematic clinical isolates of Pseudomonas aeruginosa from the university hospitals in Sofia, Bulgaria: current status of antimicrobial resistance and prevailing resistance mechanisms.
2007-07
Human oral drugs absorption is correlated to their in vitro uptake by brush border membrane vesicles.
2007-05-04
Searching for new antimalarial therapeutics amongst known drugs.
2006-06
Interaction of zwitterionic penicillins with the OmpF channel facilitates their translocation.
2006-03-01
Placental transfer of antibiotics administered to the mother: a review.
2006-02
[Enzyme immunoassay of ampicillin in milk].
2005-12-20
The Malaysian Orthopaedic Association humanitarian mission to Indonesia and Sri Lanka.
2005-07
[Azlocillin plus amikacin: an alternative therapy for sepsis caused by resistant staphylococci?].
2004-11
(-)-Epigallocatechin-3-gallate induces contraction of the rat aorta by a calcium influx-dependent mechanism.
2004-05
Characterization of the susceptibility of mycobacteria in BACTEC 12B media containing PANTA that had been supplemented with ceftazidime, and characterization of the individual components of PANTA in the presence of C18-carboxypropylbetaine.
2004-02
Natural antibiotic susceptibility of Ewingella americana strains.
2003-10
Evaluation of culture media for the recovery of Mycobacterium avium subsp. paratuberculosis from Cheddar cheese.
2003
Natural antibiotic susceptibility of Enterobacter spp., with special reference to Enterobacter aerogenes and Enterobacter intermedius strains.
2002-10
[Clinical significance of microbiological monitoring of infective agents in an urological hospital in the selection of antibacterial therapy regimens].
2001-09-25
[Hoigne syndrome as an acute non-allergic reaction to different drugs: case reports].
2001-06
Effect of beta-estradiol on voltage-gated Ca(2+) channels in rat hippocampal neurons: a comparison with dehydroepiandrosterone.
2001-03-30
[Microbiology of open surgical wounds after delivery--episiotomy and cesarean section].
2001
The penicillins.
1999-03
Evaluation of the immunologic cross-reactivity of aztreonam in patients with cystic fibrosis who are allergic to penicillin and/or cephalosporin antibiotics.
1991-05-01
Sensitization to aztreonam and cross-reactivity with other beta-lactam antibiotics in high-risk patients with cystic fibrosis.
1991-01
Broth microdilution testing of susceptibilities to 30 antimicrobial agents of Mycobacterium avium strains from patients with acquired immune deficiency syndrome.
1987-10
Patents

Sample Use Guides

Gram-negative infections: 2 to 5 grams every 8 hours IV. Serious infections: 225 to 300 mg/kg/day IV in 4 to 6 divided doses (usual IV doses 3g q4h or 4g q6h) (up to 18 g/day).
Route of Administration: Intravenous
In Vitro Use Guide
Sources: www.ncbi.nlm.nih.gov/pubmed/111616
In vitro activity of Azlocillin against different bacterial strains was determined. MIC50 values were 2 ugml (Enterococcus), 8 ug/ml (E. coli), 16 ug/ml (Enterobacter spp.), 64 ug/ml (Klebsiella spp.), 4 ug/ml (P. mirabilis), 16 ug/ml (P. aeruginosa, gentamicin susceptible)).
Substance Class Chemical
Created
by admin
on Mon Mar 31 17:53:42 GMT 2025
Edited
by admin
on Mon Mar 31 17:53:42 GMT 2025
Record UNII
DWV1EFW947
Record Status Validated (UNII)
Record Version
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Name Type Language
AZLOCILLIN SODIUM
MART.   ORANGE BOOK   VANDF   WHO-DD  
Common Name English
AZLOCILLIN SODIUM SALT
MI  
Preferred Name English
AZLOCILLIN SODIUM [MART.]
Common Name English
BAY-E 6905
Code English
BAY-E-6905
Code English
Sodium (2S,5R,6R)-3,3-dimethyl-7-oxo-6-[(R)-2-(2-oxo-1-imidazolidinecarboxamido)-2-phenylacetamido]-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylate
Systematic Name English
Azlocillin sodium [WHO-DD]
Common Name English
AZLOCILLIN SODIUM [VANDF]
Common Name English
AZLIN
Brand Name English
SODIUM (2S,5R,6R)-3,3-DIMETHYL-7-OXO-6-(((2R)-2-(((2-OXOIMIDAZOLIDIN-1-YL)CARBONYL)AMINO)-2-PHENYLACETYL)AMINO)-4-THIA-1-AZABICYCLO(3.2.0)HEPTANE-2-CARBOXYLATE
Systematic Name English
AZLOCILLIN SODIUM SALT [MI]
Common Name English
4-THIA-1-AZABICYCLO(3.2.0)HEPTANE-2-CARBOXYLIC ACID, 3,3-DIMETHYL-7-OXO-6-(((((2-OXO-1-IMIDAZOLIDINYL)CARBONYL)AMINO)PHENYLACETYL)AMINO)-, MONOSODIUM SALT, (2S-(2.ALPHA.,5.ALPHA.,6.BETA.(S*)))-
Common Name English
AZLOCILLIN SODIUM [ORANGE BOOK]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C1500
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
Code System Code Type Description
DRUG BANK
DBSALT000431
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY
NCI_THESAURUS
C65243
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY
ChEMBL
CHEMBL1537
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY
EVMPD
SUB00645MIG
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY
RXCUI
203836
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY RxNorm
FDA UNII
DWV1EFW947
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY
CAS
37091-65-9
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY
EPA CompTox
DTXSID6045581
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY
ECHA (EC/EINECS)
253-347-7
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY
PUBCHEM
23685176
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY
MERCK INDEX
m2178
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY Merck Index
SMS_ID
100000084969
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY
CHEBI
51864
Created by admin on Mon Mar 31 17:53:42 GMT 2025 , Edited by admin on Mon Mar 31 17:53:42 GMT 2025
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE
Related Record Type Details
ACTIVE MOIETY