CEPHALORININE
Brand Names: Ceflorin; Cepaloridin; Cer; Faredina; Cefaloridin;
Ceporan; Ceporin; Cilifor; Intrasporin; Keflodin; Keflordin (obsolete);
Lloncefal; Sefacin; Cepalorin; Deflorin; Kefspor; Loridine; Alipornia;
Ampligram; Floridin.
When cephalosporin C produced by the
growth of certain strains of various cepalosporium species, or 7-ACA is reacted
with organic bases such as pyridine, a nucleophilic displacement of the
acetyloxygroup takes place. The pyridinium compound so obtained is more potent
than its acetoxyl analogue.
Cephaloridine is a white crystalline
powder. It is soluble in water, slightly soluble in alcohol; practically
insoluble in chloroform and ether. It is decolourized when exposed to light. It
deteriorates rapidly in aqueous solutions which should be used within 24 hours
of their preparation when stored at 2° to 15°C. It is stored in airtight
containers at a temperature of 8° to 15°C and protected from light.
Uses
Cephaloridine is :)the treatment of infections
of skin, suft tissues, bone, joint, respiratory and urinary tracts. Its use,
however, has been limited by nephrotoxicity.
Adverse Effect
Allergic
reactions, including skin rashes, urticaria, eosinophilia, fever reactions
resembling serum sickness and anaphylaxis may occur in patients receiving
cephaloridine. It is considered to be the most nephrotoxic of the
cephalosporins, and for
this reason is seldom used. Acute and fatal renal failure may occur
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