Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Cefepime
Drug ID BADD_D00386
Description Cefepime is a fourth-generation cephalosporin antibiotic developed in 1994. Cefepime is active against Gram-positive and Gram-negative bacteria, with greater activity against both than third-generation antibiotics. Cefepime is usually reserved to treat severe nosocomial pneumonia, infections caused by multi-resistant microorganisms (e.g. Pseudomonas aeruginosa) and empirical treatment of febrile neutropenia.
Indications and Usage For the treatment of pneumonia (moderate to severe) caused by Streptococcus pneumoniae, including cases associated with concurrent bacteremia, Pseudomonas aeruginosa, Klebsiella pneumoniae, or Enterobacter species. Also for empiric treatment of febrile neutropenic patients and uncomplicated and complicated urinary tract infections (including pyelonephritis) caused by Escherichia coli or Klebsiella pneumoniae, when the infection is severe, or caused by Escherichia coli, Klebsiella pneumoniae, or Proteus mirabilis, when the infection is mild to moderate, including cases associated with concurrent bacteremia with these microorganisms. Also for the treatment of uncomplicated skin and skin structure infections caused by Staphylococcus aureus (methicillin-susceptible strains only) or Streptococcus pyogenes and complicated intra-abdominal infections (used in combination with metronidazole) caused by Escherichia coli, viridans group streptococci, Pseudomonas aeruginosa, Klebsiella pneumoniae, Enterobacter species, or Bacteroides fragilis.
Marketing Status Prescription; Discontinued
ATC Code J01DE01
DrugBank ID DB01413
KEGG ID D02376
MeSH ID D000077723
PubChem ID 5479537
TTD Drug ID D0A1CB
NDC Product Code 60505-6146; 66288-8100; 44567-130; 66794-210; 10402-003; 0409-9735; 0409-9566; 63323-326; 52946-0919; 44567-240; 60505-6145; 66794-209; 0338-1301; 60505-6144; 44567-241; 63323-340; 44567-131; 60505-6147
Synonyms Cefepime | Cefepim | Cefepime Hydrochloride | Maxipime | Axépim | Quadrocef | BMY 28142 | BMY-28142 | BMY28142
Chemical Information
Molecular Formula C19H24N6O5S2
CAS Registry Number 88040-23-7
SMILES C[N+]1(CCCC1)CC2=C(N3C(C(C3=O)NC(=O)C(=NOC)C4=CSC(=N4)N)SC2)C(=O)[O-]
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Pruritus23.03.12.0010.001490%
Pruritus genital23.03.12.008; 21.10.01.002--Not Available
Pseudomembranous colitis11.02.02.002; 07.19.01.003--Not Available
Purpura24.07.06.005; 23.06.01.004; 01.01.04.0030.000213%
Pyelonephritis20.01.09.001; 11.01.14.002--Not Available
Pyrexia08.05.02.0030.001171%
Rash23.03.13.0010.002129%Not Available
Rash generalised23.03.13.0020.000639%Not Available
Rash macular23.03.13.0030.000319%Not Available
Rash pruritic23.03.12.0020.000319%Not Available
Renal failure20.01.03.0050.000167%Not Available
Renal tubular necrosis20.01.07.0030.000426%Not Available
Respiratory arrest22.02.01.0090.000056%Not Available
Rhabdomyolysis15.05.05.0020.000213%
Seizure17.12.03.0010.002023%
Sepsis11.01.11.003--
Septic shock11.01.11.004; 24.06.02.0110.000139%Not Available
Shock24.06.02.002--Not Available
Somnolence19.02.05.003; 17.02.04.0060.000745%
Status epilepticus17.12.03.0050.002768%Not Available
Stevens-Johnson syndrome23.03.01.007; 12.03.01.014; 11.07.01.005; 10.01.03.0200.000319%
Stupor19.02.05.004; 17.02.04.0070.000213%Not Available
Tachycardia02.03.02.007--Not Available
Tardive dyskinesia17.01.02.0120.000213%Not Available
Thrombocytopenia01.08.01.0020.000639%Not Available
Toxic encephalopathy17.13.01.004; 12.03.01.0270.000532%Not Available
Toxic epidermal necrolysis23.03.01.008; 12.03.01.015; 11.07.01.006; 10.01.01.006--
Tremor17.01.06.0020.000852%
Unresponsive to stimuli17.02.05.0310.000319%Not Available
Urinary tract infection20.08.02.001; 11.01.14.004--
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