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Hetacillin

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(Redirected fromHetacillin potassium)
Chemical compound

Pharmaceutical compound
Hetacillin
Clinical data
Trade namesHetacin, Versapen
AHFS/Drugs.comVeterinary Use
Routes of
administration
Intramammary injection
ATC code
Legal status
Legal status
Identifiers
  • (2S,5R,6R)-6-[(4R)-2,2-dimethyl-5-oxo-4-phenylimidazolidin-1-yl]-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
CAS Number
PubChemCID
DrugBank
ChemSpider
UNII
KEGG
ChEMBL
CompTox Dashboard(EPA)
ECHA InfoCard100.020.466Edit this at Wikidata
Chemical and physical data
FormulaC19H23N3O4S
Molar mass389.47 g·mol−1
3D model (JSmol)
  • CC1([C@@H](N2[C@H](S1)[C@@H](C2=O)N3C(=O)[C@H](NC3(C)C)c4ccccc4)C(=O)O)C
  • InChI=1S/C19H23N3O4S/c1-18(2)13(17(25)26)21-15(24)12(16(21)27-18)22-14(23)11(20-19(22,3)4)10-8-6-5-7-9-10/h5-9,11-13,16,20H,1-4H3,(H,25,26)/t11-,12-,13+,16-/m1/s1 ☒N
  • Key:DXVUYOAEDJXBPY-NFFDBFGFSA-N ☒N
 ☒NcheckY (what is this?)  (verify)

Hetacillin is abeta-lactam antibiotic that is part of theaminopenicillin family. It is aprodrug and has no antibacterial activity itself,[1] but quickly splits offacetone in the human body to formampicillin,[2] which is active against a variety of bacteria.

Administration

[edit]

Hetacillin can be administered orally. Thepotassium salt, hetacillin potassium, is administered byinjection, either intravenously[3] or intramuscularly.[4] It is sold under the trade nameHetacin forintramammary injection in veterinary use.[5]

Hetacillin was withdrawn from the market for human use when the discovery was made that it had no advantages over ampicillin.[6]

Chemistry

[edit]

Hetacillin is prepared from ampicillin and acetone. In aqueous solutions it is unstable, with a half life of 15 to 30 minutes at 37 °C (99 °F) and pH 7, quickly releasing acetone again.[7]

References

[edit]
  1. ^"Hetacillin".Drugbank.
  2. ^Sutherland R, Robinson OP (June 1967)."Laboratory and pharmacological studies in man with hetacillin and ampicillin".British Medical Journal.2 (5555):804–8.doi:10.1136/bmj.2.5555.804.PMC 1843140.PMID 5182358.
  3. ^Tsuji Y, Tomita M (August 1970). "[Clinical effect of intravenous injection of potassium hetacillin (Versapen 'Bristol') on pre- and post-operative infections] (in Japanese)".The Japanese Journal of Antibiotics.23 (4):400–2.PMID 5312791.
  4. ^Hara M, Takemoto S, Kawazu T (December 1970). "[Therapeutic experience with intramuscular injection of hetacillin (Versapen 'Bristol') in infection in children] (in Japanese)".The Japanese Journal of Antibiotics.23 (5):482–6.PMID 5314634.
  5. ^Hetacin-K Intramammary Infusion forVeterinary Use
  6. ^Smith JT, Hamilton-Miller J (1970). "Hetacillin: A Chemical and Biological Comparison with Ampicillin".Chemotherapy.15 (6):366–78.doi:10.1159/000220703.PMID 5514976.
  7. ^Faine S, Harper M (January 1973)."Independent antibiotic actions of hetacillin and ampicillin revealed by fast methods".Antimicrobial Agents and Chemotherapy.3 (1):15–8.doi:10.1128/aac.3.1.15.PMC 444353.PMID 4597707.
β-lactams
(inhibit synthesis
of peptidoglycan
layer of bacterial
cell wall by binding
to and inhibiting
PBPs, a group of
D-alanyl-D-alanine
transpeptidases
)
Penicillins (Penams)
Narrow
spectrum
β-lactamase sensitive
(1st generation)
β-lactamase resistant
(2nd generation)
Extended
spectrum
Aminopenicillins (3rd generation)
Carboxypenicillins (4th generation)
Ureidopenicillins (4th generation)
Other
Carbapenems /Penems
Cephems
Cephalosporins
Cephamycins
Carbacephems
1st generation
2nd generation
3rd generation
4th generation
5th generation
Siderophore
Veterinary
Monobactams
β-lactamase inhibitors
Combinations
Polypeptides
Lipopeptides
Other
  • Inhibits PG elongation and crosslinking:Ramoplanin§
Intracellular
Other
CARTooltip Constitutive androstane receptor
PXRTooltip Pregnane X receptor
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