Penicillins amoxicillin/ampicillin

Penicillins (amoxicillin, ampicillin) Broad-spectrum antibiotics may alter intestinal flora, Decrease efficacy of COCs, although the... 

V) can be administered orally but have a relatively narrow antibacterial spectrum. Some semisynthetic penicillins (amoxicillin, ampicillin) have a broader antibacterial spectrum and may be administered either orally or parenterally, depending on the specific agent. 

The pharmacology of penicillins differs markedly from compound to compound but has been well reviewed (57). The majority of derivatives, including penicillin G and the antipseudomonal penicillins, ate unstable in gastric acid and ate not available orally. The isoxazolyl penicillins ate relatively acid stable but not consistendy well absorbed by the oral route. Nafcillin and oxacillin ate poody absorbed orally cloxacillin, dicloxacillin, and ducloxacillin ate more teUable. Penicillin V, ampicillin, and patticulady amoxicillin ate relatively well absorbed orally. Esters of ampicillin such as bacampicillin, pivampicillin, and talampicillin improve the level of oral absorption of ampicillin to that achieved by amoxicillin. Absorption can be diminished by food after oral adruinistration, however, and peak blood levels, usually achieved after 1 to 2 h, ate somewhat delayed after ingestion of food. 

Ampicillin is the standard penicillin that has broad-spectrum activity, and is the drug of choice for enterococci sensitive to penicillin. Amoxicillin is frequently used as well. Increasing E. coli resistance has limited amoxicillin use in acute cystitis. Amoxicillin-clavulanate is empirically preferred due to resistance. 

Rx amoxicillin, ampicillin, bacampicillin, carbenicillin, cloxacillin, dicloxacillin, flucloxacillin, methicillin, mezlocillin, nafcillin, oxacillin, penicillin G benzathine, penicillin G potassium, penicillin Vpotassium, piperacillin, pivampicillin, pivme-cillinam, ticarcillin Penicillin and beta-lactamase inhibitors amoxicillin/ clavulanate potassium, ampicillin/sulbactam sodium, piperacillin sodium/ tazobactam sodium, ticarcillin disodium/clavulanate potassium Chemical Class Penicillin, natural... 

Penicillins have been used in veterinary medicine for more than 30 years and still constimte the most important group of antibiotics. They can be classified in three distinct groups. The group of the natural penicillins includes penicillin G and penicillin V the group of the penicillinase-resistant penicillins includes methicillin, nafcillin, oxacillin, cloxacillin, dicloxacillin, and mecillinam the group of the broad-spectrum penicillins includes ampicillin, amoxicillin, and heta-cillin (Fig. 3.3.1)... 

It has been recently reported (109) that use of both Penase and lactamase II hydrolysis and screening assays prior to chromatographic analysis can tentatively classify -lactams into three subgroups the first group includes a ceftiofur metabolite represented by desfuroyl-ceftiofur-cysteine the second, cephapirin and the third, penicillin G, ampicillin, amoxicillin, and cloxacillin. In this approach, portions of aqueous extracts of tissues are treated separately with Penase and lactamase II, and results are compared with those of untreated samples and positive controls. Bioactive ceftiofur metabolites are present, provided that the extracts retain inhibitory activity after Penase treatment but lose activity after lactamase II treatment and are positive in response to the immunochemical Lac-Tek-Cef test but negative to the Lac-Tek-Bl test (113). This approach can eliminate a large number of negative samples and, therefore, increases the efficiency of the assay. 

Straub et al. (76) reported a method for the identification and quantification of penicillin G, ampicillin, amoxicillin, cephapirin, cloxacillin, and ceftiofur residues in milk using perfusive-particle liquid chromatography combined with ultrasonic nebulization electrospray mass spectrometry. According to this method, a 0.5 ml milk sample is diluted with an equal volume of a solution consisting of acetonitrile/water (1 1), and ultrafiltrated in a microseparation system with a 10000 da molecular mass cut-off filter. An aliquot of the ultrafiltrate is then analyzed on a 15 cm porous II R/H LC (7-8 m) perfusion analytical column using the chromatographic conditions shown in Table 29.3. Concentrations as low as 10 ppb could be readily determined in milk by electrospray mass spectrometric detection. 

RF Straub, RD Voyksner. Determination of penicillin G, ampicillin, amoxicillin cloxacillin and cepha-pyrin by high-performance liquid chromatography-electrospray mass spectrometry. J Chromatogr 647 167-181, 1993. 

Salter, R.S., D. Legg, N. Ossanna, et al. 2001. Charm safe-level 3-lactam test for amoxicillin, ampicillin, ceftiofur, cephapirin, and penicillin G in raw commingled milk. J. AOAC Int. 84 29-36. 

The natural penicillins, primarily G and V, have a relatively narrow spectrum. They act mostly on gram-positive organisms. The fact that proper selection of precursors could lead to new variations in the penicillin side chain offered the first source of synthetic penicillins. Penicillin V, derived from a phenoxy-acetic acid precursor, attracted clinical use because of its greater acid tolerance, which made it more useful in oral administration. Also, the widespread use of penicillin eventually led to a clinical problem of penicillin-resistant staphylococci and streptococci. Resistance for the most part involved the penicillin-destroying enzyme, penicillinase, which attacked the beta-lactam structure of the 6-aminopenicillanic acid nucleus (6-APA). Semisynthetic penicillins such as ampicillin and carbenicillin have a broader spectrum. Some, such as methicillin, orafi-cillin, and oxacillin, are resistant to penicillinase. In 1984, Beecham introduced Augmentin, which was the first combination formulation of a penicillin (amoxicillin) and a penicillinase inhibitor (clavulanic acid). Worldwide production of semisynthetic penicillins is currently around 10,000 tons/year, the major producers are Smith Kline Beecham, DSM, Pfizer, and Toyo Jozo. 

P-Lactam antibiotics (e.g., penicillin G, ampicillin, amoxicillin) Wastewater Oasis Max (polymer) Tetra- - butylammonium, hydrogen sulfate in methanol HPLC-UV... 

Acute tubulointerstitial nephritis has been reported in relation to various penicillins, including penicillin G, ampicillin, and amoxicillin (98-102), dicloxacillin (103), meticillin (104-109), nafcillin (110,111), oxacillin (107), and piperacillin (112-114). However, meticillin is the prototype that has caused this reaction more often than any other beta-lactam. 

Clinically important, potentially hazardous interactions with amoxicillin, ampicillin, antacids, bacampicillin, calcium carbonate, carbenicillin, cloxacillin, digoxin, methotrexate, methoxyflurane, mezlocillin, nafcillin, oxacillin, penicillins, piperacillin, ticarcillin, zinc... 

Clinically important, potentially hazardous interactions with acitretin, aldesleukin, aminoglycosides, amiodarone, amoxicillin, ampicillin, aspirin, bacampicillin, bismuth, carbenicillin, chloroquine, cisplatin, cloxacillin, co-trimoxazole, dapsone, demeclocycline, dexamethasone, diclofenac, dicloxacillin, etodolac, etoricoxib, etretinate, fenoprofen, flurbiprofen, folic acid antagonists, haloperidol, hydrocortisone, ibuprofen, indomethacin, influenza vaccines, ketoprofen, ketorolac, lithium, magnesium trisalicylate, meclofenamate, mefenamic acid, methicillin, mezlocillin, minocycline, nabumetone, nafcillin, naproxen, NSAIDs, omeprazole, oxacillin, oxaprozin, oxytetracycline, paromomycin, penicillin G, penicillin V, penicillins, phenylbutazone, piperacillin, piroxicam, polypeptide antibiotics, prednisolone, prednisone, probenecid, procarbazine, rofecoxib, salicylates, salsalate, sapropterin, sulfadiazine, sulfamethoxazole, sulfapyridine, sulfasalazine, sulfisoxazole, sulindac, tazobactum, tenoxicam, tetracycline, ticarcillin, tolmetin, trimethoprim, vaccines... 

Clinically important, potentially hazardous interactions with acitretin, aluminum hydroxide, amoxicillin, ampicillin, antacids, bacampicillin, betamethasone, bismuth, bromelain, calcium, carbenicillin, cholestyramine, doxacillin, corticosteroids, dairy products, dicloxacillin, didanosine, digoxin, food, glidazide, iron, isotretinoin, methicillin, methotrexate, methoxyflurane, mezlocillin, nafcillin, oxacillin, penicillins, piperacillin, retinoids, rocuronium, strontium ranelate, sucralfate, ticarcillin, vitamin A, zinc... 

Figure 3 Separation of penicillin type antibiotic homologous series. Separation conditions are identical to those reported in Figure 2B. Peaks 1-6 are 6-aminipenicillanic acid, amoxicillin, ampicillin, oxicillin, cloxicillin, and dicloxicillin, respectively.

Penicillin G, ampicillin, amoxicillin Doxycycline, BLIC, trimethoprim-sulfamethoxazole or ceftriaxone ... 

Penicillins Pharmaceuticals, milk Methylene blue grafted polyurethane foam UV-Vis 12,15,19 ng mL-1 for penicillin G, amoxicillin, ampicillin Flow injection system with a mini-column at the injection port [505]... 

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