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Cefepime

Generic Name
Cefepime
Drug Type
Small Molecule
Chemical Formula
C19H24N6O5S2
CAS Number
88040-23-7
Unique Ingredient Identifier
807PW4VQE3

Overview

Cefepime is a fourth-generation cephalosporin antibiotic developed in 1994. Cefepime is active against Gram-positive and Gram-negative bacteria, and has greater activity against both compared to third-generation antibiotics. Cefepime is normally used to treat severe nosocomial pneumonia and infections caused by multi-resistant microorganisms such as Pseudomonas aeruginosa, and is also indicated for the empirical treatment of febrile neutropenia. The popularity of its third-generation predecessors, its clinical efficacy, and the high prevalence of multidrug-resistant bacteria might be some of the factors leading to an increase in the use of cefepime. The activity of cefepime against Enterobacteriaceae, Pseudomonas aeruginosa, and Staphylococcus aureus is due to its high stability toward beta-lactamases. In general, cefepime seems to be well tolerated; however, patients treated with this antibiotic, especially those with renal impairment, may develop neurotoxicity.

Background

Cefepime is a fourth-generation cephalosporin antibiotic developed in 1994. Cefepime is active against Gram-positive and Gram-negative bacteria, and has greater activity against both compared to third-generation antibiotics. Cefepime is normally used to treat severe nosocomial pneumonia and infections caused by multi-resistant microorganisms such as Pseudomonas aeruginosa, and is also indicated for the empirical treatment of febrile neutropenia. The popularity of its third-generation predecessors, its clinical efficacy, and the high prevalence of multidrug-resistant bacteria might be some of the factors leading to an increase in the use of cefepime. The activity of cefepime against Enterobacteriaceae, Pseudomonas aeruginosa, and Staphylococcus aureus is due to its high stability toward beta-lactamases. In general, cefepime seems to be well tolerated; however, patients treated with this antibiotic, especially those with renal impairment, may develop neurotoxicity.

Indication

Cefepime is indicated for the treatment of pneumonia caused by susceptible bacteria, and for empiric therapy for febrile neutropenic patients. Cefepime is also indicated for the treatment of uncomplicated and complicated urinary tract infections (including pyelonephritis), uncomplicated skin and skin structure infections, and complicated intra-abdominal infections (used in combination with metronidazole) in adults caused by susceptible bacteria.

Associated Conditions

  • Bacterial Infections
  • Complicated Intra-Abdominal Infections (cIAIs)
  • Complicated Urinary Tract Infection
  • Febrile Neutropenia
  • Meningitis, Bacterial
  • Pyelonephritis
  • Severe Pneumonia
  • Uncomplicated Urinary Tract Infections
  • Moderate Pneumonia
  • Uncomplicated skin and subcutaneous tissue bacterial infections

FDA Approved Products

Cefepime
Manufacturer:Apotex Corp.
Route:INTRAVENOUS
Strength:2 g in 1 1
Approved: 2021/11/22
NDC:60505-6147
Cefepime
Manufacturer:Apotex Corp.
Route:INTRAVENOUS, INTRAMUSCULAR
Strength:1 g in 1 1
Approved: 2021/11/22
NDC:60505-6146
Cefepime
Manufacturer:WG Critical Care, LLC
Route:INTRAVENOUS
Strength:2 g in 20 mL
Approved: 2019/05/31
NDC:44567-241
Cefepime
Manufacturer:WG Critical Care, LLC
Route:INTRAVENOUS, INTRAMUSCULAR
Strength:1 g in 20 mL
Approved: 2019/05/31
NDC:44567-240
Exblifep
Manufacturer:Allecra Therapeutics SAS
Route:INTRAVENOUS
Strength:2 g in 1 1
Approved: 2024/02/28
NDC:83289-101

Singapore Approved Products

ROXIPIME POWDER FOR SOLUTION FOR INJECTION 2G/VIAL
Manufacturer:Pharma Vision San. Ve Tic. A.Ş., Qilu Antibiotics Pharmaceutical Co., Ltd. (Blend-Cefepime Hydrochloride (Contains Arginine))
Form:INJECTION, POWDER, FOR SOLUTION
Strength:2g per vial
Online:Yes
Approved: 2018/02/08
Approval:SIN15420P
Cefevon powder for solution for injection 2g/vial
Manufacturer:Antibioticos do Brasil Ltda.
Form:INJECTION, POWDER, FOR SOLUTION
Strength:2000mg
Online:Yes
Approved: 2012/06/11
Approval:SIN14156P
CEFEPIME-AFT POWDER FOR INJECTION 1G/VIAL
Manufacturer:QILU PHARMACEUTICAL CO., LTD, QILU ANTIBIOTICS PHARMACEUTICAL CO., LTD (Blend-Cefepime Hydrochloride (Contains Arginine))
Form:INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION
Strength:1000MG
Online:Yes
Approved: 2014/11/06
Approval:SIN14658P
CEFEPIME KABI POWDER FOR SOLUTION FOR INJECTION OR INFUSION 2 g/vial
Manufacturer:Labesfal Laboratorios Almiro S.A. (Fresenius Kabi Group)(primary and secondary packing), Fresenius Kabi iPSUM S.R.L
Form:INJECTION, POWDER, FOR SOLUTION
Strength:2000 mg/vial
Online:Yes
Approved: 2016/04/12
Approval:SIN14988P
CEFEPIME KABI POWDER FOR SOLUTION FOR INJECTION OR INFUSION 1 g/vial
Manufacturer:Labesfal Laboratorios Almiro S.A. (Fresenius Kabi Group)(primary and secondary packing), Fresenius Kabi iPSUM S.R.L (Intermediate)
Form:INJECTION, POWDER, FOR SOLUTION
Strength:1000 mg/vial
Online:Yes
Approved: 2016/04/12
Approval:SIN14987P

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