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cefotetan

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

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

Mechanism

Not yet extracted

Indications

Gynecologic infectionsPerioperative surgical prophylaxis (intra-abdominal and gynecological surgical procedures)Anaerobic and mixed aerobic-anaerobic infections (e.g., peritonitis and pelvic inflammatory disease)Pelvic Inflammatory Disease (PID)

Dosing

Adult
For Pelvic Inflammatory Disease (PID) (inpatient): 2 g IV q12h (with doxycycline), continuing for at least 48 h after clinical improvement, then oral doxycycline to complete 14 days.
Renal adjustment
Not specified in this chapter.

Side effects

Common
Gastrointestinal 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

B

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