Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Monoisotopic mass
350.093642386
InChI
InChI=1S/C16H18N2O5S/c1-16(2)12(15(21)22)18-13(20)11(14(18)24-16)17-10(19)8-23-9-6-4-3-5-7-9/h3-7,11-12,14H,8H2,1-2H3,(H,17,19)(H,21,22)/t11-,12+,14-/m1/s1
InChI Key
InChIKey=BPLBGHOLXOTWMN-MBNYWOFBSA-N
IUPAC Name
(2S,5R,6R)-3,3-dimethyl-7-oxo-6-(2-phenoxyacetamido)-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
Traditional IUPAC Name
penicillin V
SMILES
[H][C@]12SC(C)(C)[C@@H](N1C(=O)[C@H]2NC(=O)COC1=CC=CC=C1)C(O)=O
pKa (strongest acidic)
3.39
pKa (Strongest Basic)
-4.9
Refractivity
85.77 m3·mol-1
Dược Lực Học :
Penicillin V is a penicillin beta-lactam antibiotic used in the treatment of bacterial infections caused by susceptible, usually gram-positive, organisms. The name "penicillin" can either refer to several variants of penicillin available, or to the group of antibiotics derived from the penicillins. Penicillin V has in vitro activity against gram-positive and gram-negative aerobic and anaerobic bacteria. The bactericidal activity of Penicillin V results from the inhibition of cell wall synthesis and is mediated through Penicillin V binding to penicillin binding proteins (PBPs). Penicillin V is stable against hydrolysis by a variety of beta-lactamases, including penicillinases, and cephalosporinases and extended spectrum beta-lactamases.
Cơ Chế Tác Dụng :
Penicillin V is narrow spectrum antibiotic used to treat mild to moderate infections caused by susceptible bacteria. It is a natural penicillin antibiotic that is administered orally. Penicillin V may also be used in some cases as prophylaxis against susceptible organisms.
Natural penicillins are considered the drugs of choice for several infections caused by susceptible gram positive aerobic organisms, such as Streptococcus pneumoniae, groups A, B, C and G streptococci, nonenterococcal group D streptococci, viridans group streptococci, and non-penicillinase producing staphylococcus. Aminoglycosides may be added for synergy against group B streptococcus (S. agalactiae), S. viridans, and Enterococcus faecalis. The natural penicillins may also be used as first or second line agents against susceptible gram positive aerobic bacilli such as Bacillus anthracis, Corynebacterium diphtheriae, and Erysipelothrix rhusiopathiae. Natural penicillins have limited activity against gram negative organisms; however, they may be used in some cases to treat infections caused by Neisseria meningitidis and Pasteurella. They are not generally used to treat anaerobic infections. Resistance patterns, susceptibility and treatment guidelines vary across regions.
By binding to specific penicillin-binding proteins (PBPs) located inside the bacterial cell wall, Penicillin V inhibits the third and last stage of bacterial cell wall synthesis. Cell lysis is then mediated by bacterial cell wall autolytic enzymes such as autolysins; it is possible that Penicillin V interferes with an autolysin inhibitor.
Dược Động Học :
▧ Absorption :
25% of the dose given is absorbed, 50-60% bioavailable
▧ Protein binding :
80%
▧ Metabolism :
About 35-70% of an oral dose is metabolized to penicilloic acid, an inactive metabolite. Small amounts of 6-aminopenicillanic acid have been recovered in the urine of patients on penicillin G. A small percentage of the drug appears to be hydroxylated into one or more active metabolites, which are also excreted via urine.
▧ Route of Elimination :
Mostly renal. A small percentage is eliminated by feces and the biliary route.
▧ Half Life :
30 to 40 minutes
Độc Tính :
LD50 >1040 mg/kg (Orally in rats with Sodium salt); Nausea, vomiting, stomach pain, diarrhea, and, in rare cases, major motor seizures
Chỉ Định :
For the treatment of mild to moderately severe infections (e.g. dental infection, infections in the heart, middle ear infections, rheumatic fever, scarlet fever, skin infections, upper and lower respiratory tract infections) due to microorganisms
Tương Tác Thuốc :
-
Demeclocycline
Possible antagonism of action
-
Doxycycline
Possible antagonism of action
-
Fusidic Acid
Fusidic acid may diminish the therapeutic effect of penicillins. To management this interaction, penicillin should be administered 2 hours before fusidic acid.
-
Mestranol
This anti-infectious agent could decrease the effect of the oral contraceptive
-
Methacycline
Possible antagonism of action
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Methotrexate
The penicillin increases the effect and toxicity of methotrexate
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Minocycline
Possible antagonism of action
-
Oxytetracycline
Possible antagonism of action
-
Rolitetracycline
Possible antagonism of action
-
Tetracycline
Possible antagonism of action
Liều Lượng & Cách Dùng :
Powder, for solution - Oral
Suspension - Oral
Tablet - Oral
Dữ Kiện Thương Mại
Nhà Sản Xuất
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Sản phẩm biệt dược : Apo-Pen-Vk
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Sản phẩm biệt dược : Distaquaine V
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Sản phẩm biệt dược : Fenospen
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Sản phẩm biệt dược : Fenoxypen
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Sản phẩm biệt dược : Oratren
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Sản phẩm biệt dược : Ospen
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Sản phẩm biệt dược : Pen-Oral
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Sản phẩm biệt dược : Pen-V
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Sản phẩm biệt dược : Pen-Vee
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Sản phẩm biệt dược : Pen-Vee K
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Sản phẩm biệt dược : Penicillin Vk
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Sản phẩm biệt dược : Pfizerpen Vk
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Sản phẩm biệt dược : Phenocillin
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Sản phẩm biệt dược : Robicillin Vk
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Sản phẩm biệt dược : Rocilin
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Sản phẩm biệt dược : Uticillin Vk
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Sản phẩm biệt dược : V-Cillin
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Sản phẩm biệt dược : Veetids
Tài Liệu Tham Khảo Thêm
National Drug Code Directory