Piperacillin drug data and news

Piperacillin drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Piperacillin
Brand Names/Synonyms CCRIS 7362; CHEMBANK963; PIPERACILLIN; Piperacillin; Piperacillin Anhydrous; Pipracil
Indication For the treatment of polymicrobial infections.
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Description Not Available
Pharmacology Piperacillin 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. Piperacillin has in vitro activity against gram-positive and gram-negative aerobic and anaerobic bacteria. The bactericidal activity of Piperacillin results from the inhibition of cell wall synthesis and is mediated through Piperacillin binding to penicillin binding proteins (PBPs). Piperacillin is stable against hydrolysis by a variety of beta-lactamases, including penicillinases, and cephalosporinases and extended spectrum beta-lactamases.
Mechanism Of Action By binding to specific penicillin-binding proteins (PBPs) located inside the bacterial cell wall, Piperacillin 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 Piperacillin interferes with an autolysin inhibitor.
Piperacillin News
(When available)
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Dosage Forms POWDER FOR SOLUTION
Drug_Category Anti-bacterial Agents; Penicillins; ATC:J01CA12
Absorption Not Available
Interactions -->Interactions for Piperacillin:

Aminoglycosides

The mixing of piperacillin with an aminoglycoside in vitro can result in substantial inactivation of the aminoglycoside.

Vecuronium

When used in the perioperative period, piperacillin has been implicated in the prolongation of the neuromuscular blockade of vecuronium. Caution is indicated when piperacillin is used perioperatively. In one controlled clinical study, the ureidopenicillins, including piperacillin, were reported to prolong the action of vecuronium. Due to their similar mechanism of action, it is expected that the neuromuscular blockade produced by any of the non-depolarizing muscle relaxants could be prolonged in the presence of piperacillin.

Probenecid

The oral combination of probenecid before intramuscular injection of PIPRACIL produces an increase in piperacillin peak serum level of about 30%.

Anticoagulants

Coagulation parameters should be tested more frequently and monitored regularly during simultaneous administration of high doses of heparin, oral anticoagulants, or other drugs that may affect the blood coagulation system or the thrombocyte function.

Methotrexate

Piperacillin sodium may reduce the excretion of methotrexate. Therefore, serum levels of methotrexate should be monitored in patients to avoid drug toxicity.

Drug/Laboratory Test Interactions

As with other penicillins, the administration of PIPRACIL may result in a false-positive reaction for glucose in the urine using a copper-reduction method. It is recommended that glucose tests based on enzymatic glucose oxidase reactions be used.

There have been reports of positive test results using the Bio-Rad Laboratories Platelia Aspergillus EIA test in patients receiving piperacillin/tazobactam injection who were subsequently found to be free of Aspergillus infection. Cross-reactions with non-Aspergillus polysaccharides and polyfuranoses with the Bio-Rad Laboratories Platelia Aspergillus EIA test have been reported.

Therefore, positive test results in patients receiving piperacillin should be interpreted cautiously and confirmed by other diagnostic methods.

Toxicity Not Available
Organisms Affected Enteric bacteria and other eubacteria
Chemical IUPAC Name 7-[2-(4-ethyl-2,3-dioxo-piperazin-1-yl)carbonylamino-2-phenyl-acetyl]amino-3,3-dimethyl-6-oxo-2-thia-5-azabicyclo[3.2.0]heptane-4-carboxylate
Chemical Formula C23H26N5O7S
Molecular Weight 516.548 g/mol
Smiles String CCN1CCN(C(=O)C1=O)C(=O)NC(C2=CC=CC=C2)C(=O)NC3C4N(C3=O)C(C(S4)(C)C)C(=O)[O-]
Melting Point Not Available
Water Solubility Not Available
State Solid
LogP/Hphobicity Not Available
Isoelectric Point Not Available
Biotransformation Not Available
Half Life 36-72 minutes
Protein Binding [%] Not Available
RxList Link RXlist
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Drug Reference http://www.drugs.com/cons/Piperacillin.html
http://www.rxlist.com/cgi/generic3/piperacillin.htm
Drug Type Approved Drug
Accession No APRD00325
CAS Registry Number 66258-76-2
KEGG Compound ID C07361
PubChem ID SID:184033
PharmGKB ID PA450975
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 2248939

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