Cloxacillin
ANTIINFECTIVES FOR SYSTEMIC USE
Also known as: cloxacillin benzathine, cloxacillin sodium, cloxacillin sodium salt, Methocillin S
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Cloxacillin is an ofm drug catalogued in DrugCentral. It was first approved by the FDA in 1974. DrugCentral lists 7 molecular targets, including sugE, bla LAT-2 and blaACC-4. Recorded indications include Acute bacterial sinusitis, Continuation Therapy for Acute Osteomyelitis, Continuation Therapy for Chronic Osteomyelitis and Infection due to Staphylococcus aureus.
- Approval status: ofm (first approved 1974 by the FDA).
- Molecular targets: sugE, bla LAT-2, blaACC-4 and bla (7 listed in DrugCentral).
- Indications: Acute bacterial sinusitis, Continuation Therapy for Acute Osteomyelitis, Continuation Therapy for Chronic Osteomyelitis, Infection due to Staphylococcus aureus and Infection of skin AND/OR subcutaneous tissue and others.
- ATC code: J01CF02 (Beta-lactamase resistant penicillins).
- Molecular formula: C19H18ClN3O5S; molecular weight 435.88 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (14)
- Acute bacterial sinusitis
- Continuation Therapy for Acute Osteomyelitis
- Continuation Therapy for Chronic Osteomyelitis
- Infection due to Staphylococcus aureus
- Infection of skin AND/OR subcutaneous tissue
- Lower respiratory tract infection
- Pharyngitis
- Sinusitis
- Staphylococcal meningitis
- Staphylococcal pneumonia
- Staphylococcal septicemia
- Staphylococcus Aureus Bronchitis
- Staphylococcus Aureus Urinary Tract Infection
- Staphylococcus Epidermidis Urinary Tract Infection
Off-label uses (4)
- Bacterial endocarditis
- Cholangitis
- Diabetic Foot Infection Due to Gram-Positive Bacteria
- Pyrexia of unknown origin
Contraindications (3)
- Infectious mononucleosis
- Kidney disease
- Pseudomembranous enterocolitis
Mechanism & targets
Molecular targets (7)
| Target | Gene | Action | Activity |
|---|---|---|---|
| Efflux transporter; SugE | sugE | unknown | IC50 8.40 |
| Beta-lactamase | bla LAT-2 | unknown | IC50 8.40 |
| Beta-lactamase | blaACC-4 | unknown | IC50 7.59 |
| Beta-lactamase TEM | bla | unknown | Ki 4.89 |
| Beta-lactamase TEM | bla; blaT-3; blaT-4; | unknown | Ki 4.89 |
| Penicillin-binding protein 1A | pbpA | unknown | — |
| Penicillin-binding protein | pbp4|mecA|pbpA|PBP2|pbpF | inhibitor | — |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 1974-09-17 | FDA | — | GLAXOSMITHKLINE |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
J01CF02 | ANTIINFECTIVES FOR SYSTEMIC USE › ANTIBACTERIALS FOR SYSTEMIC USE › BETA-LACTAM ANTIBACTERIALS, PENICILLINS › Beta-lactamase resistant penicillins |
Reported adverse-event signals
Strongest FDA FAERS disproportionality signals (log-likelihood ratio). A signal is a statistical association in spontaneous reports, not proof that the drug causes the event.
| MedDRA term | LLR |
|---|---|
| Drug reaction with eosinophilia and systemic symptoms | 409.9 |
| Acute kidney injury | 352.2 |
| Agranulocytosis | 125.4 |
| Rash maculo-papular | 118.9 |
| Eosinophilia | 89.5 |
| Cholestasis | 88.6 |
| Tubulointerstitial nephritis | 81.3 |
| Hepatocellular injury | 71.0 |
| Jaundice | 68.7 |
| Toxic epidermal necrolysis | 57.7 |
| Thrombocytopenia | 57.0 |
| Nephritis allergic | 52.6 |
Chemical structure
Full physicochemical, ADMET and 3D-structure analysis of Cloxacillin is on its molecule page.
| Molecular formula | C19H18ClN3O5S |
|---|---|
| Molecular weight | 435.88 g/mol |
| CAS number | 61-72-3 |
| InChIKey | LQOLIRLGBULYKD-JKIFEVAISA-N |
| PubChem CID | 6098 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Cloxacillin used for?
DrugCentral lists the following indications for Cloxacillin: Acute bacterial sinusitis, Continuation Therapy for Acute Osteomyelitis, Continuation Therapy for Chronic Osteomyelitis, Infection due to Staphylococcus aureus, Infection of skin AND/OR subcutaneous tissue, Lower respiratory tract infection, Pharyngitis and Sinusitis and others.
How does Cloxacillin work?
Its molecular targets in DrugCentral include sugE, bla LAT-2, blaACC-4 and bla.
When was Cloxacillin first approved?
Cloxacillin was first approved by the FDA in 1974.
What is the chemical formula of Cloxacillin?
Cloxacillin has the molecular formula C19H18ClN3O5S and a molecular weight of 435.88 g/mol.
Browse: all drugs starting with C · drug guides by category · protein targets A–Z.
Sources
- DrugCentral drug card 720 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL1200388 — compound record and bioactivity
- PubChem CID 6098 — chemical identifiers
- DrugBank DB01147 — drug record
- FDA UNII O6X5QGC2VB — substance identity
- DailyMed: FDA labels for Cloxacillin — current prescribing information (label search)
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
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