Reduced efficacy, increased bacterial resistance, higher cost, and more adverse effects. Ineffective against MRSA.
Blind therapy with this fixed-dose combination is irrational and harmful and should be avoided.
Source: KDT 7e · p723
Penicillin · Antibiotic
Cloxacillin is an isoxazolyl penicillin (penicillinase-resistant penicillin) that inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs) and blocking transpeptidation of peptidoglycan. The bulky isoxazolyl side chain at the 6-position of the beta-lactam ring provides steric hindrance that prevents access by staphylococcal penicillinases (beta-lactamases), conferring activity against methicillin-susceptible Staphylococcus aureus (MSSA). Its narrow spectrum is restricted primarily to gram-positive cocci.
. Single dose of oral metronidazole (additional intraoperative or postoperative doses may be given for
Reduced efficacy, increased bacterial resistance, higher cost, and more adverse effects. Ineffective against MRSA.
Blind therapy with this fixed-dose combination is irrational and harmful and should be avoided.
Source: KDT 7e · p723
Drug interaction classified as: excretion
Source: DDInter
10 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.
Continue into a citation-backed clinical answer with the drug context already attached.
Sources: KD Tripathi 7e·Verified: 2026-05-10 · House clinical team