Hospitalized patients with sepsis or severe nosocomial infections are frequently treated empirically with broadspectrum antibiotics. Cefepime hydrochloride, a fourth-generation cephalosporin, is a common antibiotic of first choice. Its proconvulsant properties are well described in the literature, 1
Synthesis of cefepime-d3 and cefepime-d8
✍ Scribed by Hajime Kamachi; Takaaki Okita; Takashi Tsuno; Takayuki Naito
- Publisher
- John Wiley and Sons
- Year
- 1990
- Tongue
- French
- Weight
- 242 KB
- Volume
- 28
- Category
- Article
- ISSN
- 0022-2135
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✦ Synopsis
Abstract
Synthesis of cefepime‐d~3~ (6a) and cefepime‐d~8~ (6b) is described. Diphenylmethyl 7‐benzylideneamino‐3‐chloromethyl‐3‐cephem‐4‐carboxylate (2) was treated with sodium iodide to afford the iodide 3, which was, without isolation, allowed to react with N‐methyl‐d~3~‐pyrrolidine to give the quarternary salt 4a. Deblocking of 4a with HCO~2~H and HCl gave 7‐amino‐3‐(N‐methyl‐d~3~‐pyrrolidinio)methyl‐3‐cephem‐4‐carboxylate hydrochloride (5a). Acylation of 5a with benzotriazol‐1‐yl (Z)‐2‐(2‐aminothiazol‐4‐yl)‐2‐methoxyiminoacetate followed by treatment with dil. H~2~SO~4~ afforded 6a sulfate. In the same way, 6b was synthesized using N‐methyl‐pyrrolidine‐d~8~.
📜 SIMILAR VOLUMES
A simple, rapid and reproducible high-performance liquid chromatographic method for the quantitative determination of cefepime in human plasma was developed. Ceftazidime was used as internal standard. Chromatography was performed on a reversed-phase encapped column (Hypersil BDS C 18 ). The samples,
## Abstract ## Background With the availability of new broad‐spectrum antibiotics, initial therapy with a single agent has become an alternative to classic combinations, especially β‐lactam antibiotics plus aminoglycosides, in the management of febrile neutropenic cancer patients. ## Procedure S