Cefprozil

Chemical formula: C₁₈H₁₉N₃O₅S  Molecular mass: 389.426 g/mol  PubChem compound: 5281006

Pharmacodynamic properties

Cefprozil is a semi synthetic broad-spectrum cephalosporin antibiotic intended for oral administration. It has in vitro activity against a broad range of Gram-positive and Gram-negative bacteria. The bactericidal action of cefprozil results from inhibition of cell-wall synthesis.

Pharmacokinetic properties

Cefprozil is well absorbed following oral administration in both fasting and non-fasting subjects. The oral bioavailability of cefprozil is about 90%. The pharmacokinetics of cefprozil are not altered when administered with meals, or when coadministered with antacid. Average plasma concentrations after administration of cefprozil to fasting subjects are shown in the following table. Urinary recovery accounts for 60% of the administered dose.

DosageMean Plasma Cefprozil* Concentrations (mcg/mL)8-hour Urinary Excretion
Peak ~1.5 hr4 hr8 hr
250 mg6.11.70.260%
500 mg10.53.20.462%
1 g18.38.41.054%

* Data represent mean values from 12 healthy, young male volunteers.

During the first four-hour period after drug administration, the average urine concentrations following the 250 mg, 500 mg, and 1 g doses were approximately 170 mcg/mL, 450 mcg/mL and 600 mcg/mL, respectively.

The average plasma half-life in normal subjects is 1.3 hours. Plasma protein binding is approximately 36% and is independent of concentration in the range of 2 mcg/mL to 20 mcg/mL. There is no evidence of accumulation of cefprozil in the plasma in individuals with normal renal function following multiple oral doses of up to 1 g every 8 hours for 10 days.

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