Carbenicillin
Carbenicillin is a bactericidal antibiotic belonging to the carboxypenicillin subgroup of the penicillins.[2] It was discovered by scientists at Beecham and marketed as Pyopen. It has Gram-negative coverage which includes Pseudomonas aeruginosa but limited Gram-positive coverage. The carboxypenicillins are susceptible to degradation by beta-lactamase enzymes, although they are more resistant than ampicillin to degradation. Carbenicillin is also more stable at lower pH than ampicillin.
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| Trade names | Geocillin; Pyopen |
| Other names | CB[1] |
| AHFS/Drugs.com | Monograph |
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| Routes of administration | Oral, parenteral |
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| Pharmacokinetic data | |
| Bioavailability | 30 to 40% |
| Protein binding | 30 to 60% |
| Metabolism | Minimal |
| Elimination half-life | 1 hour |
| Excretion | Renal (30 to 40%) |
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| ECHA InfoCard | 100.022.882 |
| Chemical and physical data | |
| Formula | C17H18N2O6S |
| Molar mass | 378.40 g·mol−1 |
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Pharmacology
The antibiotic is highly soluble in water and is acid-labile. A typical lab working concentration is 50 to 100 µg per ml.
It is a semi-synthetic analogue of the naturally occurring benzylpenicillin. Carbenicillin at high doses can cause bleeding. Use of carbenicillin can cause hypokalemia by promoting potassium loss at the distal convoluted tubule of the kidney.
In molecular biology, carbenicillin may be preferred as a selecting agent (see plasmid stabilisation technology) because its breakdown results in byproducts with a lower toxicity than analogous antibiotics like ampicillin. Carbenicillin is more stable than ampicillin and results in fewer satellite colonies on selection plates. However, in most situations this is not a significant problem so ampicillin is sometimes used due to its lower cost.
Spectrum of bacterial susceptibility and resistance
Carbenicillin has been shown to be effective against bacteria responsible for causing urinary tract infections including Pseudomonas aeruginosa, Escherichia coli, and some Proteus species. The following represents carbenicillin susceptibility data for a few medically significant organisms.[3] This is not representative of all species of bacteria susceptible to carbenicillin exposure.
- Escherichia coli 1.56 μg/ml - 64 μg/ml
- Proteus mirabilis 1.56 μg/ml - 3.13 μg/ml
- Pseudomonas aeruginosa 3.13 μg/ml - >1024 μg/ml
References
- "Antibiotic abbreviations list". Retrieved 22 June 2023.
- Basker MJ, Comber KR, Sutherland R, Valler GH (1977). "Carfecillin: antibacterial activity in vitro and in vivo". Chemotherapy. 23 (6): 424–35. doi:10.1159/000222012. PMID 21771.
- "Carbenicillin Disodium, USP Susceptibility and Minimum Inhibitory Concentration (MIC) Data" (PDF). January 6, 2020.