J01DF01 - Aztreonam |
Probably Not Porphyrinogenic |
PNP |
Rationale
No data pointing to CYP-metabolism. The drug has, however, been shown to interfere with hepatic CYPs in animal studies. Probably of small human clinical significance.
Chemical description
Monocyclic betalactam antibiotic parenterally administered (1-2 g x 3). Used in various gramnegative bacterial infections, e.g. Pneumonia, urinary tract infections, urogenital gonococc infections, upper respiratory tract infections in cystic fibrosis. About 60.-80% ot the dose is excreted in unchanged form in urine within 8 hours. In male rats the total hepatic CYP content is reported to decrease after administration of aztreonam. In female rats the hepatic CYP-activity is slightly increased: Ohmori et al. Aztreonam decreases hepatic … (PMID 8153141). Sagami et al. Effect of aztreonam on immuno... (PMID 2813957). Horie et al. Sex difference in responsiveness... (PMID 3566801)
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References
| # | Citation details | PubMed ID |
|---|---|---|
| 1. | Sex difference in responsiveness to Aztreonam of monooxygenase system in liver microsomes from rats.
Horie T, Kitada M, et al. Biochem Pharmacol. 1987 Apr; 36(7):1053-7.
|
3566801 |
| 2. | Aztreonam decreases hepatic microsomal cytochrome P450 in cynomolgus monkeys.
Ohmori S, Horie T, et al. Pharmacology. 1994 Mar; 48(3):137-42.
|
8153141 |
| 3. | Effect of aztreonam on immunohistochemical localizations of cytochrome P-450 (M-1) in male rats.
Sagami F, Tsukidate K, et al. Res Commun Chem Pathol Pharmacol. 1989 Sep; 65(3):337-44.
|
2813957 |
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