Cefadroxil. A review of its antibacterial, pharmacokinetic and therapeutic properties in comparison with cephalexin and cephradine.

B Tanrisever, P J Santella
Author Information

Abstract

Cefadroxil is an oral cephalosporin which is similar to cephalexin and cephradine in structure and spectrum of antibacterial activity, but has different pharmacokinetic properties. Not only does cefadroxil exhibit a longer serum half-life, and thus a prolonged duration of activity, but it is virtually unaffected by simultaneous food intake. The concentrations of cefadroxil attained in body tissues and fluids are also higher and more sustained than those of cephalexin and cephradine. These characteristics permit the administration of cefadroxil during meals on a once-daily or twice-daily basis, thus encouraging patient compliance which often determines the successful management of out-patient infections. Many studies have established the efficacy of the administration of once- or twice-daily cefadroxil, compared with regimens of cephalexin or cephradine given 4 times daily, in the management of infections in the respiratory tract, urinary tract, skin and soft tissues, and bones and joints.

References

  1. J Antimicrob Chemother. 1982 Sep;10 Suppl B:77-84 [PMID: 7142098]
  2. Am J Ophthalmol. 1970 May;69(5):868-72 [PMID: 4392534]
  3. Antimicrob Agents Chemother. 1973 Feb;3(2):262-5 [PMID: 4208282]
  4. J Pediatr. 1985 Aug;107(2):161-8 [PMID: 4020539]
  5. J Antimicrob Chemother. 1982 Sep;10 Suppl B:121-3 [PMID: 6815160]
  6. J Antimicrob Chemother. 1982 Sep;10 Suppl B:149-52 [PMID: 6821596]
  7. J Int Med Res. 1980;8(Suppl 1):29-33 [PMID: 7439502]
  8. Am J Dis Child. 1972 May;123(5):457-61 [PMID: 4623690]
  9. Arzneimittelforschung. 1981;31(3):478-81 [PMID: 7194673]
  10. Chemotherapy. 1974;20(5):257-62 [PMID: 4411952]
  11. J Antimicrob Chemother. 1982 Sep;10 Suppl B:109-13 [PMID: 7142086]
  12. J Antimicrob Chemother. 1982 Sep;10 Suppl B:53-6 [PMID: 7142094]
  13. J Int Med Res. 1980;8(Suppl 1):2-8 [PMID: 7439500]
  14. J Int Med Res. 1980;8(Suppl 1):21-8 [PMID: 7439501]
  15. Antimicrob Agents Chemother. 1977 Jul;12(1):93-7 [PMID: 883822]
  16. Chemotherapy. 1979;25(4):189-95 [PMID: 456077]
  17. J Antibiot (Tokyo). 1979 Jul;32(7):718-26 [PMID: 541265]
  18. J Urol. 1980 Feb;123(2):141-7 [PMID: 7354506]
  19. Pediatr Infect Dis. 1985 Jul-Aug;4(4):358-61 [PMID: 3161007]
  20. Chemotherapy. 1979;25(1):9-13 [PMID: 33784]
  21. Surg Clin North Am. 1975 Dec;55(6):1379-90 [PMID: 1105835]
  22. Pediatr Clin North Am. 1972 Feb;19(1):151-66 [PMID: 4558883]
  23. Urology. 1980 Jan;15(1):40-3 [PMID: 6986067]
  24. Medicine (Baltimore). 1965 Jan;44:1-36 [PMID: 14264351]
  25. Annu Rev Med. 1981;32:559-81 [PMID: 7013689]
  26. Antimicrob Agents Chemother. 1979 Jul;16(1):1-6 [PMID: 475366]
  27. Antimicrob Agents Chemother. 1978 May;13(5):845-8 [PMID: 666305]
  28. Arzneimittelforschung. 1980;30(2):301-3 [PMID: 6821594]
  29. J Antimicrob Chemother. 1982 Sep;10 Suppl B:57-63 [PMID: 7142095]
  30. J Antimicrob Chemother. 1982 Sep;10 Suppl B:99-103 [PMID: 7142101]
  31. J Int Med Res. 1980;8(Suppl 1):98-100 [PMID: 7439514]
  32. J Int Med Res. 1980;8(Suppl 1):94-7 [PMID: 7439513]
  33. Lancet. 1982 Jul 17;2(8290):140-3 [PMID: 6123849]
  34. J Pharm Sci. 1975 Dec;64(12):1899-926 [PMID: 1107514]
  35. J Antimicrob Chemother. 1978 Jan;4(1):9-17 [PMID: 342484]
  36. Lancet. 1980 Sep 6;2(8193):498-502 [PMID: 6105559]
  37. J Antimicrob Chemother. 1982 Sep;10 Suppl B:125-35 [PMID: 6754685]
  38. Antimicrob Agents Chemother. 1986 Jul;30(1):105-9 [PMID: 3752972]
  39. J Antimicrob Chemother. 1982 Sep;10 Suppl B:143-7 [PMID: 6754687]
  40. Antimicrob Agents Chemother. 1977 Feb;11(2):324-30 [PMID: 848939]
  41. Urology. 1978 Sep;12(3):321-4 [PMID: 360561]
  42. Med J Aust. 1975 Oct 18;2(16):627-30 [PMID: 1207539]
  43. J Antimicrob Chemother. 1982 Sep;10 Suppl B:33-8 [PMID: 7142091]
  44. Clin Pharmacol Ther. 1979 May;25(5 Pt 1):514-21 [PMID: 436355]
  45. J Pediatr. 1978 Jan;92(1):131-4 [PMID: 619055]
  46. Urology. 1976 May;7(5):497-9 [PMID: 1274008]
  47. Am J Dis Child. 1971 Jun;121(6):477-80 [PMID: 4931846]
  48. Drugs. 1980 Aug;20(2):137-54 [PMID: 6995096]
  49. J Clin Pharmacol. 1979 Apr;19(4):185-94 [PMID: 438352]
  50. J Int Med Res. 1980;8(Suppl 1):40-4 [PMID: 7439504]
  51. Antimicrob Agents Chemother. 1977 Feb;11(2):331-8 [PMID: 848940]
  52. J Antimicrob Chemother. 1982 Sep;10 Suppl B:47-51 [PMID: 7142093]
  53. J Int Med Res. 1980;8(Suppl 1):103-5 [PMID: 7439497]
  54. Antimicrob Agents Chemother. 1972 Jun;1(6):504-7 [PMID: 4680813]
  55. J Int Med Res. 1980;8(Suppl 1):106-10 [PMID: 7439498]
  56. J Infect Dis. 1982 Jun;145(6):815-21 [PMID: 7200999]
  57. Clin Pediatr (Phila). 1982 Feb;21(2):83-8 [PMID: 7035049]
  58. J Int Med Res. 1980;8(Suppl 1):58-63 [PMID: 7439507]
  59. J Antimicrob Chemother. 1982 Sep;10 Suppl B:93-8 [PMID: 7142100]
  60. Pediatrics. 1978 Nov;62(5):738-43 [PMID: 581516]
  61. J Antimicrob Chemother. 1982 Sep;10 Suppl B:65-72 [PMID: 7142096]
  62. Acta Paediatr Scand. 1981;70(3):285-8 [PMID: 7246123]
  63. Am J Med Sci. 1974 Jan;267(1):41-8 [PMID: 4150176]
  64. J Int Med Res. 1980;8(Suppl 1):34-9 [PMID: 7439503]
  65. J Int Med Res. 1978;6(6):441-51 [PMID: 363481]
  66. JAMA. 1981 Oct 16;246(16):1790-5 [PMID: 6792379]

MeSH Term

Cefadroxil
Cephalexin
Cephalosporins
Cephradine
Humans
Kinetics

Chemicals

Cephalosporins
Cefadroxil
Cephradine
Cephalexin

Word Cloud

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