Τόμος 1 (1987) – Τεύχος 2 – Άρθρο 1 – Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Διεθνής Έκδοση – Volume 1 (1987) – Issue 2 – Article 1 – Epitheorese Klinikes Farmakologias και Farmakokinetikes-International Edition

Title β-lactamins: pharmacodynamics and pharmacokinetics
Author Charalambos T. Plessas¹ and Stavros T. Plessas²

1. Professor of Physiology, University of Athens and Technological Educational Institution (T.E.I) of Athens

2. Editor-in-Chief of Journals “Epitheorese Klinikes Farmakologias και Farmakokinetikes” – Greek Edition and “Review of Clinical Pharmacology and Pharmacokinetics” – International Edition

Citation Plessas, C.T. and Plessas, T.: β-Lactamins: Pharmacodynamics and Pharmacokinetics, Epitheorese Klin. Farmakol. Farmakokinet. 1(2): 75-92 (1987)
Publication Date 1987-10
Full Text Language English
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Keywords β-Lactamins, pharmacodynamics, pharmacokinetics.
Other Terms review article
Summary β-Lactamins, common denomination of penicillins, cephalosporins, clavams, 1-oxacephems, 1-carbapenems, nocardicins, monobactams and some other products, are characterised by the presence in their molecule of an β-lactam ring fused, or not to another ring. Their biological activity is directly related to an intact β-lactam ring, while the side chains primarly determine antibacterial spectrum, sensitivity to β-lactamases and pharmacokinetic properties. These antibiotics have a general similarity in their mechanism of action; they interfere in the synthesis of the cell wall of sensitive bacteria by inhibiting peptidoglycan production, and this may lead to bacteriolysis. The antibacterial spectrum of β-lactamins reflects mainly their stabilities to β-lactamase-bacterial enzymes which inactivate these antibiotics by breaking their β-lactam ring. β-Lactamins have a half-life less than 2 hours (some exceptions: cefotetan 3-4 h; ceftriaxone 7 h; cefonicid 4-5 h), a volume of distribution 10-20 L, and they are eliminated mainly unchanged in the urine.
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A.        PENICILLINS

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B.        CEPHALOSPORINS

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C.        OTHER β-LACTAMINS

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50.       J.S. Remington (ed.): Carbapenems: New class of antibiotics. Am. J. Med. 78 (Suppl. 6A): 1 (25 papers) (1985)

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