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

Details

Stereochemistry ABSOLUTE
Molecular Formula C16H17N3O5S
Molecular Weight 363.388
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 3
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CEFADROXIL ANHYDROUS

SMILES

CC1=C(N2[C@H](SC1)[C@H](NC(=O)[C@H](N)C3=CC=C(O)C=C3)C2=O)C(O)=O

InChI

InChIKey=BOEGTKLJZSQCCD-UEKVPHQBSA-N
InChI=1S/C16H17N3O5S/c1-7-6-25-15-11(14(22)19(15)12(7)16(23)24)18-13(21)10(17)8-2-4-9(20)5-3-8/h2-5,10-11,15,20H,6,17H2,1H3,(H,18,21)(H,23,24)/t10-,11-,15-/m1/s1

HIDE SMILES / InChI

Molecular Formula C16H17N3O5S
Molecular Weight 363.388
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 3 / 3
E/Z Centers 0
Optical Activity UNSPECIFIED

Cefadroxil is a new semisynthetic cephalosporin with a broad antibacterial spectrum and a high chemotherapeutic potential when administered orally. Many studies have established the efficacy of the administration of once- or twice-daily cefadroxil in the management of infections in the respiratory tract, urinary tract, skin and soft tissues, and bones and joints.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
DURICEF

Approved Use

Cefadroxil is indicated for the treatment of patients with infection caused by susceptible strains of the designated organisms in the following diseases: Urinary tract infections caused by E. coli, P. mirabilis, and Klebsiella species. Skin and skin structure infections caused by staphylococci and/or streptococci. Pharyngitis and/or tonsillitis caused by Streptococcus pyogenes (Group A beta-hemolytic streptococci).

Launch Date

1978
Cmax

Cmax

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

AUC

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

T1/2

ValueDoseCo-administeredAnalytePopulation
1.2 h
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CEFADROXIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Doses

Doses

DosePopulationAdverse events​
50 mg/kg 2 times / day steady, oral
Dose: 50 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 50 mg/kg, 2 times / day
Sources:
unhealthy, 2 days -15 years
Health Status: unhealthy
Age Group: 2 days -15 years
Sex: M+F
Sources:
Other AEs: Rash, Itching...
Other AEs:
Rash (1.5%)
Itching (1.5%)
Pruritus (1.5%)
Nausea (7.5%)
Vomiting (7.5%)
Diarrhoea (7.5%)
Sources:
50 mg/kg 2 times / day steady, oral
Dose: 50 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 50 mg/kg, 2 times / day
Sources:
unhealthy, 2 days -15 years
Health Status: unhealthy
Age Group: 2 days -15 years
Sex: M+F
Sources:
Disc. AE: Diarrhoea...
AEs leading to
discontinuation/dose reduction:
Diarrhoea (severe, 2 patients)
Sources:
15 mg/kg 2 times / day steady, oral
Dose: 15 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 15 mg/kg, 2 times / day
Sources:
unhealthy, 6 months - 12 years
Health Status: unhealthy
Age Group: 6 months - 12 years
Sex: M+F
Sources:
Other AEs: Vomiting...
Other AEs:
Vomiting (9 patients)
Sources:
AEs

AEs

AESignificanceDosePopulation
Itching 1.5%
50 mg/kg 2 times / day steady, oral
Dose: 50 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 50 mg/kg, 2 times / day
Sources:
unhealthy, 2 days -15 years
Health Status: unhealthy
Age Group: 2 days -15 years
Sex: M+F
Sources:
Pruritus 1.5%
50 mg/kg 2 times / day steady, oral
Dose: 50 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 50 mg/kg, 2 times / day
Sources:
unhealthy, 2 days -15 years
Health Status: unhealthy
Age Group: 2 days -15 years
Sex: M+F
Sources:
Rash 1.5%
50 mg/kg 2 times / day steady, oral
Dose: 50 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 50 mg/kg, 2 times / day
Sources:
unhealthy, 2 days -15 years
Health Status: unhealthy
Age Group: 2 days -15 years
Sex: M+F
Sources:
Diarrhoea 7.5%
50 mg/kg 2 times / day steady, oral
Dose: 50 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 50 mg/kg, 2 times / day
Sources:
unhealthy, 2 days -15 years
Health Status: unhealthy
Age Group: 2 days -15 years
Sex: M+F
Sources:
Nausea 7.5%
50 mg/kg 2 times / day steady, oral
Dose: 50 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 50 mg/kg, 2 times / day
Sources:
unhealthy, 2 days -15 years
Health Status: unhealthy
Age Group: 2 days -15 years
Sex: M+F
Sources:
Vomiting 7.5%
50 mg/kg 2 times / day steady, oral
Dose: 50 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 50 mg/kg, 2 times / day
Sources:
unhealthy, 2 days -15 years
Health Status: unhealthy
Age Group: 2 days -15 years
Sex: M+F
Sources:
Diarrhoea severe, 2 patients
Disc. AE
50 mg/kg 2 times / day steady, oral
Dose: 50 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 50 mg/kg, 2 times / day
Sources:
unhealthy, 2 days -15 years
Health Status: unhealthy
Age Group: 2 days -15 years
Sex: M+F
Sources:
Vomiting 9 patients
15 mg/kg 2 times / day steady, oral
Dose: 15 mg/kg, 2 times / day
Route: oral
Route: steady
Dose: 15 mg/kg, 2 times / day
Sources:
unhealthy, 6 months - 12 years
Health Status: unhealthy
Age Group: 6 months - 12 years
Sex: M+F
Sources:
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Multi-objective optimization of an industrial penicillin V bioreactor train using non-dominated sorting genetic algorithm.
2007-10-15
Fluorescence studies of the dehydration of cefadroxil monohydrate.
2007-10
In vitro activity of cefadroxil, cephalexin, cefatrizine and cefpirome in presence of essential and trace elements.
2007-10
DRESS syndrome from cefadroxil confirmed by positive patch test.
2007-10
A comparative study of capillary zone electrophoresis and pH-potentiometry for determination of dissociation constants.
2007-09-03
Idiopathic granulomatous mastitis masquerading as carcinoma of the breast: a case report and review of the literature.
2007-07-27
Impact of genetic knockout of PEPT2 on cefadroxil pharmacokinetics, renal tubular reabsorption, and brain penetration in mice.
2007-07
Do physician outcome judgments and judgment biases contribute to inappropriate use of treatments? Study protocol.
2007-06-07
Determination of beta-lactam antibiotics in milk using micro-flow chemiluminescence system with on-line solid phase extraction.
2007-06-05
Human oral drugs absorption is correlated to their in vitro uptake by brush border membrane vesicles.
2007-05-04
Symptomatic relapse of group A beta-hemolytic streptococcal tonsillopharyngitis in children.
2007-05
Hydrates and solid-state reactivity: a survey of beta-lactam antibiotics.
2007-05
Determination of cefquinome in pig plasma and bronchoalveolar lavage fluid by high-performance liquid chromatography combined with electrospray ionization mass spectrometry.
2007-05
Demonstration of functional dipeptide transport with expression of PEPT2 in guinea pig cardiomyocytes.
2007-03
Species distribution and properties of staphylococci from canine dermatitis.
2007-02
Choroid plexus epithelial monolayers--a cell culture model from porcine brain.
2006-12-21
Generalizability in two clinical trials of Lyme disease.
2006-10-17
Development of a Health-Related Quality of Life Questionnaire (HRQL) for patients with Extremity Soft Tissue Infections (ESTI).
2006-10-11
Flow injection chemiluminescence determination of cefadroxil using potassium permanganate and formaldehyde system.
2006-09-18
Treatment of lichen sclerosus with antibiotics.
2006-09
Medication use for pediatric upper respiratory tract infections.
2006-08
European Surveillance of Antimicrobial Consumption (ESAC): outpatient cephalosporin use in Europe.
2006-08
Molecular interactions between dipeptides, drugs and the human intestinal H+ -oligopeptide cotransporter hPEPT1.
2006-07-01
Chemiluminescence flow-injection analysis of beta-lactam antibiotics using the luminol-permanganate reaction.
2006-06-23
Chiral separation of cefadroxil by capillary electrochromatography.
2006-06-16
Positive effect of natural and negatively charged cyclodextrins on the stabilization of penicillins towards beta-lactamase degradation due to inclusion and external guest-host association. An NMR and MS study.
2006-04-07
Determination of cefadroxil by sequential injection with spectrophotometric detector.
2006-04
Cephalosporins can be prescribed safely for penicillin-allergic patients.
2006-02
Quantitative structure/activity relationship modelling of pharmacokinetic properties using genetic algorithm-combined partial least squares method.
2006
Urinary bactericidal activity of oral antibiotics against common urinary tract pathogens in an ex vivo model.
2006
PEPT2 (Slc15a2)-mediated unidirectional transport of cefadroxil from cerebrospinal fluid into choroid plexus.
2005-12
A sensitive assay of amoxicillin in mouse serum and broncho-alveolar lavage fluid by liquid-liquid extraction and reversed-phase HPLC.
2005-09-15
Functional expression of the peptide transporter PEPT2 in the mammalian enteric nervous system.
2005-09-12
Presumed pituitary abscess without infectious source treated successfully with antibiotics alone.
2005-09
Heterogeneity of the IgE response to allergenic determinants of cefaclor in serum samples from patients with cefaclor-induced anaphylaxis.
2005-06
Bactericidal activity of oral beta-lactam antibiotics in plasma and urine versus isogenic Escherichia coli strains producing broad- and extended-spectrum beta-lactamases.
2005-06
Interaction of 31 beta-lactam antibiotics with the H+/peptide symporter PEPT2: analysis of affinity constants and comparison with PEPT1.
2005-01
Staphylococcal skin infections in children: rational drug therapy recommendations.
2005
Molecularly imprinted solid phase extraction-pulsed elution-mass spectrometry for determination of cephalexin and alpha-aminocephalosporin antibiotics in human serum.
2004-11-15
Antimicrobial susceptibility of skin-colonizing S. aureus strains in children with atopic dermatitis.
2004-10
The use of a monolithic column to improve the simultaneous determination of four cephalosporin antibiotics in pharmaceuticals and body fluids by HPLC after solid phase extraction--a comparison with a conventional reversed-phase silica-based column.
2004-09-25
Synthesis, characterization and electronic spectra of cefadroxil complexes of d-block elements.
2004-08
Comparative bioavailability of two cefadroxil products using serum and urine data in healthy human volunteers.
2004-07
Direct visualization of peptide uptake activity in the central nervous system of the rat.
2004-06-24
Physician behaviour for antimicrobial prescribing for paediatric upper respiratory tract infections: a survey in general practice in Trinidad, West Indies.
2004-06-14
Minimum inhibitory concentrations for 25 selected antimicrobial agents against Dichelobacter nodosus and Fusobacterium strains isolated from footrot in sheep of Portugal and Spain.
2004-06
Antimicrobial resistance in Escherichia coli in urine samples from children and adults: a 12 year analysis.
2004-04
Meta-analysis of cephalosporin versus penicillin treatment of group A streptococcal tonsillopharyngitis in children.
2004-04
Comparison of trimethoprim-sulfamethoxazole, cephadroxil and cefprozil as prophylaxis for recurrent urinary tract infections in children.
2004-02
The importance of Bi-Digital O-Ring Test in the treatment of multiple hepatic abscesses: a case history.
2003
Patents

Sample Use Guides

In Vivo Use Guide
Cefadroxil tablets are acid-stable and may be administered orally without regard to meals. Administration with food may be helpful in diminishing potential gastrointestinal complaints occasionally associated with oral cephalosporin therapy. Adults Urinary Tract Infections For uncomplicated lower urinary tract infections (i.e., cystitis) the usual dosage is 1 or 2 g per day in a single (q.d.) or divided doses (b.i.d.). For all other urinary tract infections the usual dosage is 2 g per day in divided doses (b.i.d.). Skin and Skin Structure Infections For skin and skin structure infections the usual dosage is 1 g per day in single (q.d.) or divided doses (b.i.d.). Pharyngitis and Tonsillitis Treatment of group A beta-hemolytic streptococcal pharyngitis and tonsillitis – 1 g per day in single (q.d.) or divided doses (b.i.d.) for 10 days. Children For urinary tract infections, the recommended daily dosage for children is 30 mg/kg/day in divided doses every 12 hours. For pharyngitis, tonsillitis, and impetigo, the recommended daily dosage for children is 30 mg/kg/day in a single dose or in equally divided doses every 12 hours. For other skin and skin structure infections, the recommended daily dosage is 30 mg/kg/day in equally divided doses every 12 hours. In the treatment of beta-hemolytic streptococcal infections, a therapeutic dosage of Cefadroxil tablets should be administered for at least 10 days.
Route of Administration: Oral
In Vitro Use Guide
Cefadroxil very effectively inhibited a broad spectrum of gram-positive and gram-negative organisms with MIC (minimal inhibitory concentration) values less than 125 ug/ml.
Substance Class Chemical
Created
by admin
on Mon Mar 31 18:13:44 GMT 2025
Edited
by admin
on Mon Mar 31 18:13:44 GMT 2025
Record UNII
Q525PA8JJB
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
CEFADROXIL ANHYDROUS
Common Name English
5-THIA-1-AZABICYCLO(4.2.0)OCT-2-ENE-2-CARBOXYLIC ACID, 7-(((2R)-2-AMINO-2-(4-HYDROXYPHENYL)ACETYL)AMINO)-3-METHYL-8-OXO-, (6R,7R)-
Preferred Name English
CEFADROXIL [JAN]
Common Name English
cefadroxil [INN]
Common Name English
(6R,7R)-7-(((2R)-2-AMINO-2-(4-HYDROXYPHENYL)ACETYL)AMINO)-3-METHYL-8-OXO-5-THIA-1-AZABICYCLO(4.2.0)OCT-2-ENE-2-CARBOXYLIC ACID
Systematic Name English
CEFADROXIL [MI]
Common Name English
ANHYDROUS CEFADROXIL
Common Name English
CEFPROZIL E IMPURITY B [EP IMPURITY]
Common Name English
CEFPROZIL MONOHYDRATE IMPURITY B [EP IMPURITY]
Common Name English
Cefadroxil [WHO-DD]
Common Name English
CEFPROZIL IMPURITY B [EP IMPURITY]
Common Name English
Classification Tree Code System Code
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
LIVERTOX NBK548358
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
LIVERTOX NBK548666
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
WHO-ATC J01DB05
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000175488
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NDF-RT N0000011161
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
NCI_THESAURUS C357
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
Code System Code Type Description
INN
3719
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
MERCK INDEX
m3185
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY Merck Index
EVMPD
SUB121209
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
CHEBI
3479
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
RXCUI
1545975
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY RxNorm
EVMPD
SUB06164MIG
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
FDA UNII
Q525PA8JJB
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
EPA CompTox
DTXSID8022749
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
CAS
50370-12-2
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
SMS_ID
100000081356
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
NCI_THESAURUS
C79562
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
DAILYMED
Q525PA8JJB
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
ECHA (EC/EINECS)
256-555-6
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
PUBCHEM
47965
Created by admin on Mon Mar 31 18:13:44 GMT 2025 , Edited by admin on Mon Mar 31 18:13:44 GMT 2025
PRIMARY
Related Record Type Details
SALT/SOLVATE -> PARENT
SOLVATE->ANHYDROUS
SUBSTANCE->BASIS OF STRENGTH
SOLVATE->ANHYDROUS
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PARENT -> IMPURITY
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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ACTIVE MOIETY