Cefoperazone |
![]() Last updated: 15/09/2025 |
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(Also known as: cephoperazone) |
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A broad spectrum antibiotic used against gram-positive, gram-negative and anaerobic bacteria | |
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Used to treat bacterial infections including those affecting the respiratory tract, abdomen, skin, and female genital tracts. Also used to manage clinical mastitis in lactating cows | |
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Cattle; Horses; Sheep |
Approval status |
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Approved - usually available as a prescription only medicine to be authorised by a veterinarian (POM-V) | |
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Approved |
Chemical structure |
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Cefoperazone exhibits stereoisomerism, specifically optical isomerism, due to the presence of chiral centres in its molecular structure. The key chiral centres are located at the 6th and 7th positions of the beta-lactam ring and the dihydrothiazine ring, which are common to all cephalosporins. In cefoperazone, the configuration is typically (6R,7R), which is essential for its antibacterial activity. Additionally, the side chain attached to the 7-position contains another chiral centre, contributing to the molecule’s overall stereochemistry. The stereochemistry of cefoperazone is crucial because only specific isomers can effectively bind to penicillin-binding proteins in bacterial cell walls, thereby inhibiting peptidoglycan cross-linking and leading to bacterial cell death. | |
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C₂₅H₂₇N₉O₈S₂ | |
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CCN1CCN(C(=O)C1=O)C(=O)NC(C2=CC=C(C=C2)O)C(=O)NC3C4N(C3=O)C(=C(CS4)CSC5=NN=NN5C)C(=O)O | |
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CCN1CCN(C(=O)C1=O)C(=O)N[C@H](C2=CC=C(C=C2)O)C(=O)N[C@H]3[C@@H]4N(C3=O)C(=C(CS4)CSC5=NN=NN5C)C(=O)O | |
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GCFBRXLSHGKWDP-XCGNWRKASA-N | |
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InChI=1S/C25H27N9O8S2/c1-3-32-8-9-33(21(39)20(32)38)24(42)27-15(12-4-6-14(35)7-5-12)18(36)26-16-19(37)34-17(23(40)41)13(10-43-22(16)34)11-44-25-28-29-30-31(25)2/h4-7,15-16,22,35H,3,8-11H2,1-2H3,(H,26,36)(H,27,42)(H,40,41)/t15-,16-,22-/m1/s1 | |
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Yes |
General status |
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Antibiotic, Antibacterial, Medicinal drug | |
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Cephalosporin | |
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Semi-synthetic | |
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Broad-spectrum, inhibits bacterial cell wall synthesis | |
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[Peptidoglycan synthetase ftsI, Antagonist], [Penicillin-binding protein 1B, Antagonist], [Penicillin-binding protein 2, Antagonist], [Penicillin-binding protein 1A, Antagonist], [Penicillin-binding protein 1B, Antagonist], [D-alanyl-D-alanine carboxypeptidase dacC, Antagonist], [Penicillin-binding protein 1A, Antagonist], [Penicillin-binding protein 5 precursor, Antagonist], [Penicillin-binding protein 4, Antagonist] | |
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62893-19-0 | |
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263-749-4 | |
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44187 | |
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Antiinfectants for systemic use: Antibacterials for intramammary | |
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QJ51DA32 | |
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No | |
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Allowed substance (Table 1: Bovine) | |
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645.67 | |
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(6R,7S)-7-{[2-[(4-ethyl-2,3-dioxo-piperazine-1-carbonyl)amino]-2-(4-hydroxyphenyl)acetyl}amino]-3-[(1-methyltetrazol-5-yl)sulfanylmethyl]-8-oxo-5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylic acid | |
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Solid |
Commercial |
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Current | |||
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1974, patented; 1981, first clinical approvals | |||
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Often formulated as an intramammary suspension liquid | |||
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Cefoperazone is synthesised through a multi-step chemical process that begins with the condensation of alpha-(4-ethyl-2,3-dioxo-1-piperazinocarbonylamino)-p-hydroxyphenylacetic acid with 7-amino-3-[(1-methyl-1H-tetrazol-5-yl)thiomethyl]-3-cephem-4-carboxylic acid. This reaction is typically carried out in the presence of ethyl chlorocarbonate and N,O-bis(trimethylsilyl)acetamide in an organic solvent like acetonitrile, forming cefoperazone sodium as the final product. | |||
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Published GHG data is not available for most pharmaceuticals. However, according to industry, global averages suggest producing 1 kg of a typical active pharmaceutical ingredient can range from 10 to 100 kg CO₂e for small molecule drugs and potentially up to 1000 kg CO₂e for complex biologicals such as vaccines, depending on the drug type, its formulation, complexity of synthesis, solvent recovery, and energy sources used. |
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64.2 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
Moderate | ||||||||
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169 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) 4 = Verified data |
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1.82 X 10-01 | Calculated | - | |||||||
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-0.74 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
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1.28 X 10-24 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
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As this parameter is not normally measured directly, a surrogate measure is used: ‘Photochemical oxidative DT₅₀’. Where data is available, this can be found in the Fate Indices section below. | ||||||||||
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Soil adsorption and mobility |
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Fate indices |
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Known soil and groundwater metabolites |
None
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Ref: T-1551-A | - | Rat (Urine, Bile) | - | ||||
Ref: T-1551-D | - | Rat (Faeces) | - | ||||
Ref: T-1551-F | - | Rat (Urine, Bile) | - |
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Terrestrial ecotoxicology |
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> 15000 | Q3 Q = Miscellaneous data from online sources Rat3 = Unverified data of known source |
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Aquatic ecotoxicology |
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General |
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High (class III) | - | - | ||||||||
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> 15000 | Q3 Q = Miscellaneous data from online sources Rat3 = Unverified data of known source |
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In rats paranteral administration led to excretion mainly in the bile with little metabolism. However with rabbits, dogs and mokey the majority is lost in the urine. Oral administration leads to excretion in the faeces. | A5 A = EU regulatory and evaluation data as published by EC, EFSA (RAR, DAR & Conclusion dossiers), EMA (e.g. EU Annex III PIC DGD) (EU - Pesticides database; EFSA Scientific Publications ) 5 = Verified data used for regulatory purposes |
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Health issues |
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Harmful by skin contact and inhalation Possible blood toxicant |
Handling issues |
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No information available | |||
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Not listed (Not listed) | |||
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cefoperazone | ||
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cefoperazono | ||
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Record last updated: | 15/09/2025 |
Contact: | aeru@herts.ac.uk |
Please cite as: | Lewis, K.A., Tzilivakis, J., Warner, D. and Green, A. (2016) An international database for pesticide risk assessments and management. Human and Ecological Risk Assessment: An International Journal, 22(4), 1050-1064. DOI: 10.1080/10807039.2015.1133242 |