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Doripenem

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Potential avenues for the development of resistance to doripenem are: altered PBPs (penicillin-binding protein), reduced activity in the permeability of the outer membrane especially when accepting foreign toxic substances within the cell, and deactivation of the drug by hydrolyzing enzymes from the
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Doripenem appears as crystalline powder, with colour anywhere from a white to somewhat yellowish. Doripenem is moderately soluble in water, slightly soluble in methanol, and virtually insoluble in ethanol. Doripenem is also soluble in N,N-dimethylformamide. Doripenem's chemical configuration has 6
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In young and healthy adults, the elimination half-life of doripenem considering the average plasma terminal is normally around 1 hour. The plasma clearance is about 15.9 L/hour and the average renal clearance is 10.3 L/hour. Research indicates doripenem is filtered by the glomerular capillary bed
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The greater stability of doripenem in aqueous solution compared to earlier members of the carbapenem class allows it to be administered as an infusion over 4 hours or more, which may be advantageous in the treatment of certain difficult-to-treat infections. It may present a lower risk of inducing
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On average, about 8.1% of plasma proteins attached to doripenem; it is separate from drug concentrations of plasma. Doripenem’s distribution volume is close to that of extracellular fluid volume in humans (18.2 L). When doripenem is essentially stable, the average volume of distribution is
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Seizure risk: carbapenems in general have been reported to cause seizure activity in some people. In addition, those who already have a seizure disorder may be at risk for further seizures if they are using valproic acid to control their seizures; doripenem has been found to decrease serum
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asymmetrical carbon atoms (6 stereocentres) and is most commonly supplied as one pure isomer. In terms of doripenem for injection, the crystallized powdered drug can form a monohydrate when mixed with water. However, doripenem has not been proven to possess polymorphism
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Infection related: use of doripenem can lead to clostridium difficile infection. It has also been noted to increase mortality in people who have ventilator-associated bacterial pneumonia, and is no longer recommended as a treatment for this
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approximately 16.8 L. Within the few of the body’s fluids and tissues, Doripenem is filtered successfully as well as reaching concentration levels that are able to restrain from more vulnerable bacteria than what is required.
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Doripenem can be used for bacterial infections such as: complex abdominal infections, pneumonia within the setting of a hospital, and complicated infections of the urinary tract including kidney infections with
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Nishino Y, Kobayashi M, Shinno T, Izumi K, Yonezawa H, Masui Y, Takahira M (November 2003). "Practical large-scale synthesis of doripenem: A novel 1β-methylcarbapenem antibiotic".
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InChI=1S/C15H24N4O6S2/c1-6-11-10(7(2)20)14(21)19(11)12(15(22)23)13(6)26-9-3-8(17-5-9)4-18-27(16,24)25/h6-11,17-18,20H,3-5H2,1-2H3,(H,22,23)(H2,16,24,25)/t6-,7-,8+,9+,10-,11-/m1/s1
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bacteria. In vivo, doripenem inhibits the synthesis of cell walls by attaching itself to penicillin-binding proteins, also known as PBPs. However it is not active against
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Doripenem is a beta-lactam antibiotic agent belonging to the carbapenem group, with a broad spectrum of bacterial sensitivity including both
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and gram-negative bacteria can stabilize doripenem to hydrolysis. However, carbapenem-hydrolyzing beta-lactamases are an exception.
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Zhanel GG, Ketter N, Rubinstein E, Friedland I, Redman R (2009). "Overview of seizure-inducing potential of doripenem".
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Hagerman JK, Knechtel SA, Kiepser ME (December 2007). "Doripenem: A new extended-spectrum carbapenem antibiotic".
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Mazzei T (August 2010). "The pharmacokinetics and pharmacodynamics of the carbapanemes: focus on doripenem".
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Doripenem is metabolized by the enzyme dehydropeptidase-I into an inactive ring-opened metabolite.
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including those with extended spectrum, but it is susceptible to the action of
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Insert into bacterial cell wall causing perforation and depolarization:
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in Bowman’s capsule and the tubular secretions in the nephron.
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carbapenem. Beta-lactamases (such as penicillinases) formed by
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Benzathine benzylpenicillin/procaine benzylpenicillin
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on October 12, 2007, to be sold under the tradename
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U.S. Food and Drug Administration. 908: 906: 189: 386: 317: 25: 2213:subunit synthesis and transport: 630:seizures than other carbapenems. 881:10.2165/00002018-200932090-00001 681:concentrations of valproic acid. 472: 466: 604:) is an antibiotic drug in the 565:Key:AVAACINZEOAHHE-VFZPANTDSA-N 2111:Imipenem/cilastatin/relebactam 836:10.1080/08998280.2008.11928422 484: 478: 460: 1: 612:antibiotic drug able to kill 970:Food and Drug Administration 752:Food and Drug Administration 2136:Ticarcillin/clavulanic acid 2056:Amoxicillin/clavulanic acid 1193:Phenoxymethylpenicillin (V) 1183:Benzathine benzylpenicillin 2381: 666:Physicochemical properties 634:Chemistry and pharmacology 450:Chemical and physical data 2300: 2061:Ampicillin/flucloxacillin 1188:Procaine benzylpenicillin 1024:European Medicines Agency 789:10.1179/joc.2010.22.4.219 573: 548: 528: 256: 37: 734:Regulatory and marketing 662:than other carbapenems. 2126:Piperacillin/tazobactam 2086:Cefepime/enmetazobactam 777:Journal of Chemotherapy 650:. It is stable against 2350:Carbapenem antibiotics 2217:synthesis inhibition ( 2101:Ceftolozane/tazobactam 2091:Cefoperazone/sulbactam 1990:β-lactamase inhibitors 968:(Press release). U.S. 818:Greer ND (July 2008). 660:Pseudomonas aeruginosa 615:Pseudomonas aeruginosa 2131:Sulbactam/durlobactam 2116:Meropenem/vaborbactam 2096:Ceftazidime/avibactam 1228:β-lactamase resistant 1168:β-lactamase sensitive 921:Johnson & Johnson 748:Johnson & Johnson 2121:Panipenem/betamipron 2066:Ampicillin/sulbactam 1178:Benzylpenicillin (G) 1112:cell wall by binding 2106:Imipenem/cilastatin 2076:Aztreonam/avibactam 1887:Ceftaroline fosamil 742:of Japan under the 738:It was launched by 34: 2327:Never to phase III 2259:Hydrolyze NAM-NAG 1347:Carboxypenicillins 1110:layer of bacterial 1106:(inhibit synthesis 972:. October 17, 2007 2337: 2336: 2198: 2197: 2144: 2143: 1951: 1950: 1733:Antipseudomonal ( 1641:Cefuroxime axetil 1437: 1436: 1433: 1432: 1380:Ureidopenicillins 1271: 1270: 1135: 1128: 1124: 1114:to and inhibiting 1009:10.1021/op034088n 919:(Press release). 591: 590: 519:Interactive image 419:CompTox Dashboard 220: 123: 106: 16:(Redirected from 2372: 2155: 1526: 1382:(4th generation) 1349:(4th generation) 1290:(3rd generation) 1288:Aminopenicillins 1284: 1231:(2nd generation) 1171:(1st generation) 1164: 1153: 1139: 1134: 1126: 1122: 1108:of peptidoglycan 1104: 1069: 1062: 1055: 1046: 1040: 1027: 1021: 1012: 981: 980: 978: 977: 962: 956: 955: 953: 945: 932: 931: 929: 928: 918: 910: 901: 900: 864: 858: 857: 847: 815: 809: 808: 772: 703:Pharmacokinetics 608:class. It is a 587: 586: 579: 521: 501: 486: 480: 474: 468: 462: 442: 441: 427: 425: 410: 390: 370: 350: 330: 320: 319: 305: 218: 215: 193: 133: 122: 119: 116: 105: 102: 89: 75: 57:Finibax, Doribax 42: 35: 33: 21: 2380: 2379: 2375: 2374: 2373: 2371: 2370: 2369: 2340: 2339: 2338: 2333: 2332: 2317:Clinical trials 2296: 2248: 2194: 2177: 2140: 2044: 2017:Clavulanic acid 1984: 1947: 1919: 1901: 1873: 1840: 1705: 1612: 1519: 1515: 1511: 1503: 1461:Antipseudomonal 1429: 1403: 1374: 1341: 1278: 1267: 1230: 1222: 1170: 1158: 1131:transpeptidases 1130: 1120: 1115: 1113: 1111: 1109: 1107: 1105: 1103: 1095: 1073: 1043: 1030: 1019: 1015: 994: 990: 988:Further reading 985: 984: 975: 973: 964: 963: 959: 951: 947: 946: 935: 926: 924: 923:. 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1214: 1213:Clometocillin 1211: 1209: 1206: 1204: 1203:Pheneticillin 1201: 1199: 1196: 1194: 1191: 1189: 1186: 1184: 1181: 1179: 1176: 1175: 1173: 1169: 1165: 1162: 1160: 1154: 1151: 1148: 1144: 1140: 1137: 1132: 1118: 1102: 1098: 1093: 1089: 1085: 1081: 1077: 1070: 1065: 1063: 1058: 1056: 1051: 1050: 1047: 1038: 1034: 1029: 1025: 1018: 1014: 1010: 1006: 1003:(6): 846–50. 1002: 998: 993: 992: 987: 971: 967: 961: 958: 950: 944: 942: 940: 938: 934: 922: 915: 909: 907: 903: 898: 894: 890: 886: 882: 878: 875:(9): 709–16. 874: 870: 863: 860: 855: 851: 846: 841: 837: 833: 830:(3): 337–41. 829: 825: 821: 814: 811: 806: 802: 798: 794: 790: 786: 783:(4): 219–25. 782: 778: 771: 768: 761: 759: 757: 753: 749: 745: 741: 733: 731: 724: 722: 716: 714: 707: 702: 700: 698: 697:gram-positive 689: 683: 679: 678: 674: 672: 665: 663: 661: 657: 653: 649: 645: 644:gram-negative 641: 640:gram-positive 633: 631: 627: 625: 619: 617: 616: 611: 607: 603: 599: 595: 585: 578: 572: 563: 558: 554: 547: 538: 534: 527: 520: 516: 515: 513: 510: 505: 498: 496: 492: 459: 457: 453: 448: 440: 436: 435:DTXSID2046678 432: 431: 429: 420: 416: 409: 405: 404: 402: 400: 396: 389: 385: 384: 382: 380: 376: 369: 365: 364: 362: 360: 356: 349: 345: 344: 342: 340: 336: 329: 325: 324: 322: 315: 311: 304: 300: 299: 297: 295: 291: 283: 279: 275: 271: 266: 262: 255: 250: 247: 244: 242: 238: 234: 230: 224: 214: 213: 211: 209: 205: 200: 192: 187: 184: 183: 181: 179: 175: 172: 168: 165: 163: 157: 150: 149: 147: 145: 139: 132: 128: 118: 115: 110: 101: 100: 98: 96: 92: 88: 84: 82: 78: 74: 70: 68: 64: 60: 56: 54: 50: 47:Clinical data 45: 41: 36: 19: 2355:Pyrrolidines 2241:inhibitors ( 2231:inhibitors ( 2159:Lipopeptides 2150:Polypeptides 2049:Combinations 1980:Nocardicin A 1897:Ceftobiprole 1740:Cefoperazone 1598:Cefaloridine 1583:Cefaloglycin 1521:Carbacephems 1464: 1389:Piperacillin 1218:Penamecillin 1119:, a group of 1036: 1032: 1023: 1000: 996: 974:. Retrieved 960: 925:. Retrieved 872: 868: 862: 827: 823: 813: 780: 776: 770: 755: 740:Shionogi Co. 737: 728: 720: 711: 708:Distribution 693: 669: 637: 628: 620: 613: 601: 597: 593: 592: 581:   575:   408:ChEMBL491571 281: 277: 273: 269: 208:Legal status 202:Legal status 95:License data 2313:from market 2292:Teixobactin 2270:Tyrothricin 2239:bactoprenol 2233:Cycloserine 2039:Vaborbactam 2029:Durlobactam 1957:Monobactams 1915:Cefiderocol 1907:Siderophore 1892:Ceftolozane 1806:Cefpimizole 1776:Cefpodoxime 1771:Cefpiramide 1766:Cefmenoxime 1761:Ceftizoxime 1756:Cefdaloxime 1735:Ceftazidime 1724:Ceftriaxone 1696:Carbacephem 1690:Cefmetazole 1646:Cefamandole 1608:Cefatrizine 1588:Cefacetrile 1573:Cefroxadine 1517:Cephamycins 1443:Carbapenems 1399:Mezlocillin 1356:Ticarcillin 1297:Amoxicillin 1263:Methicillin 1238:Cloxacillin 1208:Azidocillin 1198:Propicillin 1143:Penicillins 869:Drug Safety 824:Proceedings 610:beta-lactam 502: g·mol 303:148016-81-3 252:Identifiers 81:MedlinePlus 53:Trade names 2360:Sulfamides 2344:Categories 2280:Tyrocidine 2275:Gramicidin 2243:Bacitracin 2219:Fosfomycin 2190:Ramoplanin 2168:Daptomycin 2034:Relebactam 2007:Tazobactam 1938:Cefquinome 1925:Veterinary 1869:Cefquinome 1859:Cefozopran 1821:Ceftiolene 1811:Cefsulodin 1801:Cefodizime 1786:Cefditoren 1781:Ceftibuten 1729:Cefotaxime 1700:Loracarbef 1666:Cephamycin 1656:Ceforanide 1636:Cefuroxime 1593:Cefalonium 1563:Cefazaflur 1558:Cefazedone 1548:Cefadroxil 1415:Mecillinam 1394:Azlocillin 1370:Temocillin 1311:Hetacillin 1302:Ampicillin 976:2007-10-25 927:2010-05-19 762:References 744:brand name 717:Metabolism 690:Resistance 685:condition. 606:carbapenem 507:3D model ( 495:Molar mass 368:BHV525JOBH 339:ChemSpider 294:CAS Number 261:IUPAC name 241:Metabolism 27:Antibiotic 2323:Phase III 2311:Withdrawn 2287:Isoniazid 2173:Surfactin 2024:Avibactam 2002:Sulbactam 1975:Carumonam 1970:Tigemonam 1965:Aztreonam 1943:Cefovecin 1933:Ceftiofur 1864:Cefpirome 1835:Latamoxef 1826:Oxacephem 1796:Cefetamet 1751:Cefcapene 1675:Cefotetan 1670:Cefoxitin 1661:Cefuzonam 1651:Cefonicid 1631:Cefprozil 1603:Cefalotin 1578:Ceftezole 1568:Cefradine 1553:Cefapirin 1543:Cefalexin 1538:Cefazolin 1498:Ritipenem 1493:Faropenem 1486:Panipenem 1475:Meropenem 1465:Doripenem 1456:Ertapenem 1337:Epicillin 1258:Nafcillin 1253:Oxacillin 1101:β-lactams 1080:cell wall 1033:Formulary 725:Excretion 594:Doripenem 160:Routes of 142:Pregnancy 131:Doripenem 73:Monograph 67:Drugs.com 32:Doripenem 2263:lysozyme 2209:Inhibit 1854:Cefepime 1830:Flomoxef 1816:Cefteram 1791:Cefotiam 1746:Cefdinir 1719:Cefixime 1680:Cefminox 1626:Cefaclor 1491:Penems ( 1481:Biapenem 1470:Imipenem 1279:spectrum 1277:Extended 1159:spectrum 1129:-alanine 1125:-alanyl- 1084:envelope 897:25385572 889:19670912 854:18628935 805:72019292 797:20685624 584:(verify) 178:ATC code 144:category 1509:Cephems 1026:. 2008. 845:2446428 756:Doribax 602:Finibax 598:Doribax 456:Formula 314:PubChem 194:) 188: ( 186:J01DH04 129::  111::  87:a608015 18:Doribax 2306:WHO-EM 2013:Clavam 1447:Penems 1157:Narrow 1147:Penams 895:  887:  852:  842:  803:  795:  624:sepsis 533:SMILES 500:420.50 399:ChEMBL 388:D03895 223:℞-only 221: 124:  114:by INN 107:  2253:Other 2225:DADAL 2182:Other 1998:Penam 1408:Other 1020:(PDF) 952:(PDF) 917:(PDF) 893:S2CID 801:S2CID 553:InChI 509:JSmol 348:66040 328:73303 246:Renal 1117:PBPs 1092:J01D 1088:J01C 1082:and 885:PMID 850:PMID 793:PMID 648:MRSA 642:and 379:KEGG 359:UNII 235:data 63:AHFS 2215:NAM 1005:doi 877:doi 840:PMC 832:doi 785:doi 424:EPA 318:CID 191:WHO 127:FDA 109:EMA 2346:: 2319:: 2229:AR 2211:PG 1445:/ 1363:/ 1037:42 1035:. 1022:. 999:. 936:^ 905:^ 891:. 883:. 873:32 871:. 848:. 838:. 828:21 826:. 822:. 799:. 791:. 781:22 779:. 626:. 618:. 600:, 470:24 464:15 276:,6 272:,5 268:(4 217:US 171:IV 169:, 167:IM 121:US 104:EU 2245:) 2235:) 2227:/ 2221:) 2072:) 2068:( 2041:) 2019:) 2015:( 2009:) 2000:( 1837:) 1828:( 1742:) 1702:) 1698:( 1692:) 1668:( 1500:) 1488:) 1477:) 1463:( 1421:) 1417:( 1333:) 1304:( 1249:) 1240:( 1149:) 1145:( 1133:) 1127:D 1123:D 1094:) 1090:- 1086:( 1068:e 1061:t 1054:v 1011:. 1007:: 1001:7 979:. 930:. 899:. 879:: 856:. 834:: 807:. 787:: 596:( 511:) 488:2 485:S 482:6 479:O 476:4 473:N 467:H 461:C 426:) 422:( 282:S 278:S 274:S 270:R 219:: 151:B 65:/ 20:)

Index

Doribax

Trade names
AHFS
Drugs.com
Monograph
MedlinePlus
a608015
License data
EMA
by INN
FDA
Doripenem
Pregnancy
category

Routes of
administration

IM
IV
ATC code
J01DH04
WHO
Legal status
℞-only
Pharmacokinetic
Metabolism
Renal
IUPAC name
CAS Number
148016-81-3
PubChem
73303

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