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Sulbactam

 
Drug Info: Ampicillin; Sulbactam

Brand names: Unasyn®

Chemical formula:





Ampicillin; Sulbactam injection

What is ampicillin/sulbactam injection?

AMPICILLIN/SULBACTAM (Unasyn®) is a combination penicillin antibiotic. Ampicillin kills bacteria that cause infection, or stops the growth of bacteria. Sulbactam helps the ampicillin to work better. Ampicillin/sulbactam treats many kinds of infections of the skin, tissues, and stomach. It also treats certain infections in women (gynecological infections). Generic ampicillin/sulbactam injection is available.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
• asthma
• eczema
• kidney disease
• leukemia
• mononucleosis
• stomach problems (especially colitis)
• virus infection
• other chronic illness
• an unusual or allergic reaction to ampicillin, other penicillins, imipenem, cephalosporin antibiotics, foods, dyes, or preservatives
• breast-feeding

How should I use this medicine?

Ampicillin is for injection into a muscle or a vein, or for infusion into a vein. Follow the directions on the prescription label. Use your doses at regular intervals. Do not use your medicine more often than directed. Finish the full course prescribed by your prescriber or health care professional even if you think your condition is better. Do not stop using except on your prescriber's advice.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What drug(s) may interact with ampicillin/sulbactam?

allopurinol
• certain antibiotics given by injection
• female hormones, including contraceptive or birth control pills
methotrexate
probenecid

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What should I watch for while taking ampicillin/sulbactam?

Tell your prescriber or health care professional if your symptoms do not improve in 2 or 3 days.

If you are diabetic and taking large doses of ampicillin, you may get a false-positive result for sugar in your urine. Check with your prescriber or health care professional before you change your diet or the dose of your diabetic medicine.

If you get severe or watery diarrhea, do not treat yourself. Call your prescriber or health care professional for advice.

If you get a skin rash, do not treat yourself. Call your prescriber or health care professional for advice.

Birth control pills (contraceptive pills) may not work properly while you are taking this medicine. Use another method of birth control for at least one month.

What side effects may I notice from using ampicillin/sulbactam?

Side effects that you should report to your prescriber or health care professional as soon as possible:
• difficulty breathing, wheezing
• dark yellow or brown urine
• dizziness
• fever or chills, sore throat
• headache
• pain, swelling and irritation at the injection site
• passing urine less often
• redness, blistering, peeling or loosening of the skin, including inside the mouth
• seizures (convulsions)
• skin rash, itching
• stomach pain or cramps
• swelling
• severe or watery diarrhea
• unusual bleeding or bruising
• unusual weakness or tiredness

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
• diarrhea
• loss of appetite
• nausea, vomiting
• sore mouth

Where can I keep my medicine?

Keep out of the reach of children.

After mixing the injection solution use within 1 hour, unless otherwise directed by the manufacturer. Throw away any unused injection solution.

Last updated: 7/1/2002

Important Disclaimer: The drug information provided here is for educational purposes only. It is intended to supplement, not substitute for, the diagnosis, treatment and advice of a medical professional. This drug information does not cover all possible uses, precautions, side effects and interactions. It should not be construed to indicate that this or any drug is safe for you. Consult your medical professional for guidance before using any prescription or over the counter drugs.

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Veterinary Dictionary: sulbactam
Top

An irreversible β-lactamase inhibitor which increases the activity of β-lactam antibiotics. Commonly used in combination with ampicillin and occasionally with cephalosporins.

Wikipedia: Sulbactam
Top
Sulbactam
Systematic (IUPAC) name
(2S,5R)-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid 4,4-dioxide
Identifiers
CAS number 68373-14-8
ATC code J01CG01
PubChem 130313
Chemical data
Formula C8H11NO5S 
Mol. mass 233.243 g/mol
Pharmacokinetic data
Bioavailability 1
Metabolism  ?
Half life  ?
Excretion Kidneys?
Therapeutic considerations
Pregnancy cat.

?

Legal status

POM(UK)

Routes Injection
 Yes check.svgY(what is this?)  (verify)

Sulbactam is a molecule which is given in combination with beta-lactam antibiotics to inhibit beta-lactamase, an enzyme produced by bacteria that destroys the antibiotics. [1]

Contents

Mechanism

Sulbactam is an irreversible inhibitor of beta-lactamase; it binds the enzyme and does not allow it to interact with the antibiotic.

Uses

Sulbactam is able to inhibit the most common forms of beta-lactamase but is not able to interact with the ampC cephalosporinase. Thus, it confers little protection against bacteria such as Pseudomonas aeruginosa, Citrobacter, Enterobacter, and Serratia, which often express this gene.

In the United States, sulbactam is combined to form cefoperazone/sulbactam and ampicillin/sulbactam. It does possess some antibacterial activity when administered alone, but it is too weak to have any clinical importance. Its use in the UK is restricted to hospitals.

See also

Tazobactam

References

  1. ^ Totir MA, Helfand MS, Carey MP, et al. (August 2007). "Sulbactam forms only minimal amounts of irreversible acrylate-enzyme with SHV-1 beta-lactamase". Biochemistry 46 (31): 8980–7. doi:10.1021/bi7006146. PMID 17630699. 



 
 
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Copyrights:

Drug Info. Gold Standard. Copyright © 2008 by Gold Standard. All rights reserved.  Read more
Veterinary Dictionary. Saunders Comprehensive Veterinary Dictionary 3rd Edition. Copyright © 2007 by D.C. Blood, V.P. Studdert and C.C. Gay, Elsevier. All rights reserved.  Read more
Wikipedia. This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article "Sulbactam" Read more