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cefazolin

Cephalosporin (First-Generation) · Antibacterial, β-Lactam Antibiotic, Cell Wall Synthesis Inhibitor (First-Generation Cephalosporin)

Cephalosporin (First-Generation)Antibacterial, β-Lactam Antibiotic, Cell Wall Synthesis Inhibitor (First-Generation Cephalosporin)ATC null
CDSCO approved
EXCRETION
not curated
INTERACTIONS
1 major
SEVERE in our sources
PREGNANCY
X
FDA category + note
Top interactions
  • RifampicinSevereDatabaseDDInter

Mechanism

Not yet extracted

Indications

Skin and soft-tissue infectionsSerious infections due to MSSA (e.g., endocarditis)Perioperative surgical prophylaxisSurgical prophylaxisProphylaxis for dirty/contaminated surgical woundsMost PnG sensitive organisms (Streptococci pyogenes and viridans, gonococci, meningococci, C. diphtheriae, H. influenzae, clostridia and Actinomyces)Klebsiella, Moraxella catarrhalis and E. coli (relatively high activity)Surgical prophylaxis (preferred parenteral first generation)Serious infections sensitive to methicillin but resistant to penicillin (alternative for penicillin-allergic patients)

Dosing

Adult
1 g i.v. (single injection just before procedure) for surgical prophylaxis; 1 g i.v. 8 hourly for 5 days (dirty contaminated wounds)
Pediatric
25 mg/kg i.v. (single injection just before procedure) for surgical prophylaxis

Pharmacokinetics

Half-life
2 hours
Bioavailability
>90%
Protein binding
89 ± 2%
Metabolism
slower tubular secretion
Excretion
80 ± 16%

Side effects

Common
Susceptible to staphylococcal beta-lactamaseGastrointestinal side effects (e.g., diarrhea)
Serious
  • Hypersensitivity reactions (rash to anaphylaxis)
  • Serum sickness
  • Stevens-Johnson syndrome
  • Nephropathy
  • Hematologic reactions (neutropenia, prolonged use)
  • Neurotoxicity (seizure, high doses, renal impairment)

Pregnancy & lactation

Pregnancy

X

Drug interactions

Rifampicin
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

11 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

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Sources: KD Tripathi 7e, Goodman & Gilman 14e, Harrison 22e·Verified: 2026-05-10 · House clinical team