Mechanism of action of Cefmetazole
The bactericidal activity of cefmetazole results from the inhibition of cell wall synthesis via affinity for penicillin-binding proteins (PBPs). Cefmetazole is a second-generation cephalosporin. The cephalosporins are bactericidal drugs with both gram-positive and gram-negative activity. They inhibit bacterial cell wall synthesis in a way similar to the penicillins. Cefmetazole is more active than 1st-generation cephalosporins against indole-positive Proteus, Serratia, anaerobic gram-negative bacilli (including B. fragilis), and some E. coli, Klebsiella, and P. mirabilis, but is less active than cefoxitin or cefotetan against most gram-negative bacilli.
Indications of Cefmetazole
For the treatment of infections caused by susceptible organisms.
- For the treatment of serious infections caused by susceptible strains microorganisms.
- Lower respiratory tract infections, including pneumonia and lung abscess,s
- Urinary tract infections caused by Escherichia coli, Klebsiella species,
- Intra-abdominal infections, including peritonitis and intra-abdominal abscess,
- Gynecological infections, including endometritis, pelvic cellulitis, and pelvic inflammatory
Cefmetazole, Contra-Indications
- Liver problems
- Interstitial nephritis
- Subacute cutaneous lupus erythematosus
- Systemic lupus erythematosus
- Allergies cephalosporins & beta-lactams
Cefmetazole Side Effects
The most common
- Nausea and vomiting
- Abdominal or stomach pain, discomfort, or tenderness
- Severe stomach ache
- Severe diarrhea
- Vaginal thrush
- Skin rash
- A headache
- chest pain
- constipation
- a cough
- diarrhea or loose stools
- difficulty with breathing
- dizziness
- heartburn
- muscle pain
More common
- Abdominal or stomach pain, discomfort, or tenderness
- chills or fever
- difficulty with moving
- headache, severe and throbbing
- joint or back pain
- muscle aching or cramping
- muscle pains or stiffness
- chest pressure or squeezing pain in the chest
- discomfort in arms, shoulders, neck or upper back
- excessive sweating
- feeling of heaviness, pain, warmth and/or swelling in a leg or in the pelvis
- sudden tingling or coldness in an arm or leg
- sudden slow or difficult speech
- sudden drowsiness or need to sleep
- fast breathing
- sharp pain when taking a deep breath
- fast or slow heartbeat
- coughing up blood
- rust colored urine
- decreased amount of urine
Rare
- Anxiety
- change in vision
- seizures
- abnormal or fast heart rate
- tremors
- weight loss
- chest pain or tightness
- confusion
- cough
- Agitation
- arm, back, or jaw pain
- blurred vision
- chest pain or discomfort
- convulsions
- extra heartbeats
- fainting
- hallucinations
- headache
- irritability
- lightheadedness
- mood or mental changes
- muscle pain or cramps
- muscle spasm or jerking of all extremities
Cefmetazole Drug Interactions
Cefmetazole may interact with following drugs, suppliments, & may change the efficacy of drugs
- Aminoglycoside antibiotics (e.g., gentamicin, tobramycin)
- Probenecid
- Typhoid vaccine
- cholera vaccine,
- Amoxicillin
- Picosulfuric acid
- Aspirin Low Strength (aspirin)
- Phenindione
- Diphenhydramine
- Fluindione
- Rosuvastatin
- Duloxetine
- Diphenadione
- Albuterol
- Phenprocoumon
- Topiramate
- Clorindione
- Carbamazepin
- BCG vaccine
- Vitamin D3 (cholecalciferol)
- Alprazolam
- Cetirizine
- Phenprocoumon
- Picosulfuric acid
- Warfarin
Pregnancy Catagory of Cefmetazole
FDA Pregnancy Category B
Pregnancy
It is not known if cefmetazole is safe for use by pregnant women. This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Lactation
This medication may passes into breast milk. If you are a breast-feeding mother and are taking cefmetazole it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.It is not known if cefmetazole is safe for children under 6 months of age.
References