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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Cefuroxime Pharmacology Podcast

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 8 June 2023

⏱️ 14 minutes

🧾️ Download transcript

Summary

On this episode, I discuss cefuroxime pharmacology, adverse effects, drug interaction, pharmacokinetics, and much more.



Cefuroxime is a 2nd generation cephalosporin that binds Penicillin-binding proteins and prevents bacterial cell wall synthesis.



Medications that create a higher pH in the stomach such as antacids can ultimately reduce the concentrations of cefuroxime.



Cefuroxime is primarily eliminated by the kidney. Dose adjustments are recommended for patients with a CrCL less than 30 mls/min.

Transcript

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0:00.0

Hey all, welcome back to the real-life pharmacology podcast. I'm your host, pharmacist, Derek Christensen.

0:05.2

Thank you so much for listening today. So always go check out real-life pharmacology.com.

0:10.7

Grab your free 31-page PDF on the top 200 drugs.

0:14.8

Great little study guide if you're taking pharmacology classes or a great little refresher, if you're out in clinical practice,

0:21.2

just some of the most important things you're going to come across in real life,

0:25.1

as well as things that certainly show up on pharmacology and board exams throughout your career as well.

0:31.1

So again, go check that out, real life pharmacology.com, simply an email.

0:36.7

We'll get you access to that. And then we'll get you

0:39.3

info out when we have new things available, such as a podcast like this episode. All right,

0:46.4

let's get into the drug of the day today, and that is Cephyroxime. Brand name of this medication

0:52.3

is Seftin, and it is a a second generation cephalosporin.

0:58.3

So if you remember with cephalosporins, kind of in general, the higher the generation you go up,

1:06.7

it tends to maybe have a little bit more coverage and maybe a little bit more gram-negative coverage.

1:13.5

Cephroxene being a second-generation cephalosporin,

1:17.3

really the most common coverage we're going to have here is gram-positive infections.

1:24.1

You can think of it along the lines of, or at least pretty similar to something like amoxicillin, for example.

1:33.5

Mechanistically, cephalosporins work similar to penicillin antibiotics as well.

1:40.1

So they inhibit bacterial cell wall production, and they do this by binding penicillin binding proteins.

1:48.0

And ultimately, this blocks the final step of peptidoglycan synthesis.

1:56.1

And that peptidoglycan is a part or basically what forms the bacterial cell wall.

2:07.1

So if the bacteria can't form its cell wall, obviously that's going to cause death of the bacteria,

2:13.8

which is what we're trying to do when we try to treat infections here.

...

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