List of β-lactam antibiotics

This is a list of common β-lactam antibioticsboth administered drugs and those not in clinical useorganized by structural class. Antibiotics are listed alphabetically within their class or subclass by their nonproprietary name. If an antibiotic is a combination drug, both ingredients will be listed.

Penams

β-lactamase-sensitive

  • Benzathine
  • benzylpenicillin (Penicillin G)
  • Benzathine penicillin G
  • Benzathine penicillin V
  • Phenoxymethylpenicillin (penicillin V)
  • Procaine penicillin
  • Pheneticillin

β-lactamase-resistant

  • Cloxacillin
  • Dicloxacillin
  • Flucloxacillin
  • Methicillin
  • Nafcillin
  • Oxacillin
  • Temocillin

Broad spectrum

  • Amoxicillin
  • Ampicillin

Extended spectrum (Antipseudomonal)

  • Mecillinam
  • Piperacillin
  • Carbenicillin
  • Ticarcillin

Carboxypenicillins

  • Carbenicillin
  • Ticarcillin

Ureidopenicillins

  • Azlocillin
  • Mezlocillin
  • Piperacillin

Cephems

First generation (moderate spectrum)

  • Cefazolin
  • Cephalexin
  • Cephalosporin C
  • Cephalothin
  • Cefapirin

Second generation (moderate spectrum)

cefuroxime, cefaclor, cefprozil

With anti-Haemophilus activity

  • Cefaclor
  • Cefamandole
  • Cefuroxime

With anti-anaerobic activity

  • Cefotetan
  • Cefoxitin

Third generation (broad spectrum)

  • Cefixime
  • Cefotaxime
  • Cefpodoxime
  • Ceftazidime
  • Ceftriaxone
  • Cefdinir

Fourth generation (broad spectrum)

(With β-lactamase stability and enhanced activity against Gram-positive bacteria and Pseudomonas aeruginosa)

  • Cefepime
  • Cefpirome

Fifth generation* (broad spectrum)

(activity against MRSA and variably VRE. *Not universally accepted nomenclature. NO Antipseudomonal activity, mostly ceftriaxone coverage with additional MRSA and some VRE)

  • Ceftaroline, Ceftobiprole

Carbapenems and penems

(Broadest spectrum of β-lactam antibiotics)

  • Biapenem
  • Doripenem
  • Ertapenem
  • Faropenem
  • Imipenem
  • Meropenem
  • Panipenem
  • Razupenem
  • Tebipenem
  • Thienamycin

Monobactams

  • Aztreonam
  • Tigemonam
  • Nocardicin A
  • Tabtoxinine β-lactam (does not inhibit penicillin-binding proteins)

β-lactamase inhibitors

  • Clavulanic acid
  • Tazobactam
  • Sulbactam
  • Avibactam
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