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阿莫西林 | 26787-78-0

中文名称
阿莫西林
中文别名
阿莫林;羟氨苄青霉素;(2S,5R,6R)-3,3-二甲基-6-[(R)-(-)-2-氨基-2-(4-羟基苯基)乙酰氨基]-7-氧代-4-硫杂-
英文名称
amoxicillin
英文别名
amoxycillin;Amx;amoxil;amoxicilin;amoxicilline;amoxacillin;amoxillin;augmentin;AMC30;Amox;(2S,5R,6R)-6-[[(2R)-2-amino-2-(4-hydroxyphenyl)acetyl]amino]-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid;co-amoxiclav;amoxycilin;ampicillin;amoxylin;6-[D(-)-α-amino-p-hydroxyphenylacetamido]penicillanic acid;AMO;(2S,5R,6R)-6-[[(2R)-2-azaniumyl-2-(4-hydroxyphenyl)acetyl]amino]-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylate
阿莫西林化学式
CAS
26787-78-0
化学式
C16H19N3O5S
mdl
MFCD00056860
分子量
365.41
InChiKey
LSQZJLSUYDQPKJ-NJBDSQKTSA-N
BEILSTEIN
——
EINECS
——
  • 物化性质
  • 计算性质
  • ADMET
  • 安全信息
  • SDS
  • 制备方法与用途
  • 上下游信息
  • 反应信息
  • 文献信息
  • 表征谱图
  • 同类化合物
  • 相关功能分类
  • 相关结构分类

物化性质

  • 熔点:
    140 °C
  • 沸点:
    743.2±60.0 °C(Predicted)
  • 密度:
    1.54±0.1 g/cm3(Predicted)
  • LogP:
    0.87 at 25℃
  • 物理描述:
    Solid
  • 溶解度:
    9.58e-01 g/L
  • 颜色/状态:
    Crystals from water
  • 气味:
    Penicillin-type odor
  • 味道:
    Bitter tasting
  • 蒸汽压力:
    4.69X10-17 mm Hg at 25 °C (est)
  • 亨利常数:
    Henry's Law constant = 2.49X10-21 atm-cu m/mol at 25 °C (est)
  • 稳定性/保质期:
    Following reconstitution, amoxicillin oral suspensions should preferably be refrigerated at 2-8 °C, but refrigeration is not necessary and the suspension are stable for 14 days at room temp or 2-8 °C
  • 旋光度:
    Specific optical rotation: +248 deg to +268 deg
  • Caco2细胞的药物渗透性:
    -6.1
  • 解离常数:
    2.6
  • 碰撞截面:
    187.4 Ų [M+H]+ [CCS Type: TW, Method: calibrated with polyalanine and drug standards]

计算性质

  • 辛醇/水分配系数(LogP):
    -2
  • 重原子数:
    25
  • 可旋转键数:
    4
  • 环数:
    3.0
  • sp3杂化的碳原子比例:
    0.437
  • 拓扑面积:
    158
  • 氢给体数:
    4
  • 氢受体数:
    7

ADMET

代谢
与人类肝脏微粒体孵化导致了7种代谢物的检测。M1代谢物经历了羟基化,M2经历了氧化脱氨,M3至M5经历了脂肪链的氧化,M6经历了脱羧,而M7经历了葡萄糖苷酸化。
Incubation with human liver microsomes has lead to the detection of 7 metabolites. The M1 metabolite has undergone hydroxylation, M2 has undergone oxidative deamination, M3 to M5 have undergone oxidation of the aliphatic chain, M6 has undergone decarboxylation, and M7 has undergone glucuronidation.
来源:DrugBank
毒理性
  • 毒性总结
鉴定和使用:阿莫西林是一种半合成的抗生素,与青霉素有关。人类接触和毒性:在青霉素治疗(包括阿莫西林)的患者中,已经报告了严重的、偶尔致命的过敏反应(过敏性)。尽管过敏性反应在注射治疗之后更为常见,但口服青霉素的患者中也有发生。这些反应在有过青霉素过敏史和/或对多种过敏原敏感史的个体中更易发生。有报告称,有过青霉素过敏史的个人在用头孢菌素类药物治疗时经历了严重反应。在使用阿莫西林治疗前,应仔细询问以前对青霉素、头孢菌素或其他过敏原的过敏反应。如果发生过敏反应,应停止使用阿莫西林,并采取适当的疗法。没有证据显示使用这些药物与先天性畸形的发生率或类型有任何关联。使用这些药物与宫内生长迟缓或围产期死亡没有关联,但使用者(8.9%)的早产率与非使用者(6.5%)之间存在显著差异。动物研究:在小鼠和大鼠中进行了高达2000 mg/kg剂量的生殖研究。没有证据表明阿莫西林对胎儿造成伤害。然而,100 ug/mL的阿莫西林在体外改变了大鼠肾脏发育。长期使用阿莫西林可能对植入物周围的骨形成产生负面影响。尚未进行检测阿莫西林单独的致突变潜力的研究;然而,以下信息来自对阿莫西林和克拉维酸钾4:1混合物的测试。阿莫西林和克拉维酸钾在 Ames 细菌突变试验和酵母基因转化试验中未显示致突变性。阿莫西林和克拉维酸钾在小鼠淋巴瘤试验中呈弱阳性。阿莫西林和克拉维酸钾在小鼠微核试验和小鼠显性致死试验中呈阴性。
IDENTIFICATION AND USE: Amoxicillin is a semi-synthetic antibiotic related to penicillin. HUMAN EXPOSURE AND TOXICITY: Serious and occasionally fatal hypersensitivity (anaphylactic) reactions have been reported in patients on penicillin therapy including amoxicillin. Although anaphylaxis is more frequent following parenteral therapy, it has occurred in patients on oral penicillins. These reactions are more likely to occur in individuals with a history of penicillin hypersensitivity and/or a history of sensitivity to multiple allergens. There have been reports of individuals with a history of penicillin hypersensitivity who have experienced severe reactions when treated with cephalosporins. Before initiating therapy with amoxicillin, careful inquiry should be made regarding previous hypersensitivity reactions to penicillins, cephalosporins, or other allergens. If an allergic reaction occurs, amoxicillin should be discontinued and appropriate therapy instituted. There was no evidence of any association between use of these drugs and the incidence or type of congenital malformation. There was no association with use of these drugs and intrauterine growth retardation or perinatal death, but there was a significant difference in the rate of prematurity in the users (8.9%) compared with nonusers (6.5%). ANIMAL STUDIES: Reproduction studies have been performed in mice and rats at doses up to 2000 mg/kg. There was no evidence of harm to the fetus due to amoxicillin. However, 100 ug/mL amoxicillin altered rat renal development in vitro. Prolonged use of amoxicillin might have a negative effect on bone formation around implants. Studies to detect mutagenic potential of amoxicillin alone have not been conducted; however, the following information is available from tests on a 4:1 mixture of amoxicillin and potassium clavulanate. Amoxicillin and potassium clavulanate was non-mutagenic in the Ames bacterial mutation assay, and the yeast gene conversion assay. Amoxicillin and potassium clavulanate was weakly positive in the mouse lymphoma assay. Amoxicillin and potassium clavulanate was negative in the mouse micronucleus test and in the dominant lethal assay in mice.
来源:Hazardous Substances Data Bank (HSDB)
毒理性
  • 肝毒性
在少数病例中,接受氨苄西林(包括阿莫西林)治疗的人出现了特异性的肝脏损伤。这些病例的特点是潜伏期短,从几天到长达两周不等。肝脏损伤的发作可能在停用抗生素后发生。与氨苄西林引起的肝脏损伤相关的血清酶模式包括肝细胞模式,表现为ALT和AST显著升高,碱性磷酸酶轻微升高,并在停药后迅速恢复。此外,还描述了胆汁淤积性肝损伤的形式,表现为碱性磷酸酶显著升高(正如青霉素引起的肝脏损伤所见),其中一些与长期胆汁淤积有关(案例1)。肝脏损伤的发作可能伴有超敏反应的迹象或症状,如嗜酸性粒细胞增多、皮疹和关节痛,在某些情况下还伴有中毒性表皮坏死松解症或史蒂文斯-约翰逊综合征。 比单独使用阿莫西林引起的肝脏损伤更为常见的是,在使用阿莫西林和克拉维酸联合治疗后发生的典型胆汁淤积性肝炎。事实上,这种联合用药目前是美国、欧洲和澳大利亚特异质急性肝损伤最常见的原因。然而,这种损伤通常归因于克拉维酸而不是阿莫西林。临床特征相似,但可能并不完全相同。在看似由阿莫西林引起的肝脏损伤病例中,应额外努力确保不是误服了阿莫西林-克拉维酸[奥格门汀]。 可能性评分:B(极有可能是临床上明显的肝脏损伤的罕见原因)。
Rare instances of idiosyncratic liver injury have been reported in persons receiving the aminopenicillins including amoxicillin. Cases are characterized by a short latency period of a few days to as long as two weeks. The onset of liver injury can occur after the antibiotic is stopped. The serum enzyme pattern associated with aminopenicillin liver injury has included a hepatocellular pattern with marked elevations in ALT and AST, and minimal elevations in alkaline phosphatase and rapid recovery after withdrawal. In addition, cholestatic forms of hepatic injury with marked alkaline phosphatase elevations (as also seen with penicillin-induced liver injury) have also been described, some of which have been associated with prolonged cholestasis (Case 1). The onset of hepatic injury may be accompanied by signs or symptoms of hypersensitivity such as eosinophilia, rash and arthralgias, and in some cases is accompanied by toxic epidermal necrolysis or Stevens Johnson syndrome. Much more common than liver injury from amoxicillin alone is the typically cholestatic hepatitis that occurs after treatment with the combination of amoxicillin and clavulanate. Indeed, this combination is currently the most common cause of idiosyncratic acute liver injury in the United States, Europe and Australia. The injury, however, is usually attributed to the clavulanate rather than amoxicillin. The clinical features are similar but perhaps not completely the same. In cases of liver injury seeming due to amoxicillin, an extra effort should be made to make sure that it was not amoxicillin-clavulanate [Augmentin] that was taken. Likelihood score: B (highly likely but rare cause of clinically apparent liver injury).
来源:LiverTox
毒理性
  • 药物性肝损伤
阿莫西林
Compound:amoxicillin
来源:Drug Induced Liver Injury Rank (DILIrank) Dataset
毒理性
  • 药物性肝损伤
药物性肝损伤标注:低药物性肝损伤关注
DILI Annotation:Less-DILI-Concern
来源:Drug Induced Liver Injury Rank (DILIrank) Dataset
毒理性
  • 药物性肝损伤
严重程度等级:5
Severity Grade:5
来源:Drug Induced Liver Injury Rank (DILIrank) Dataset
吸收、分配和排泄
  • 吸收
阿莫西林大约有60%的生物利用度。口服250毫克剂量的阿莫西林达到的最大血药浓度为3.93±1.13毫克/升,达到峰值时间(Tmax)为1.31±0.33小时,药时曲线下面积(AUC)为27.29±4.72毫克*小时/升。口服875毫克剂量的阿莫西林达到的最大血药浓度为11.21±3.42毫克/升,达到峰值时间(Tmax)为1.52±0.40小时,药时曲线下面积(AUC)为55.04±12.68毫克*小时/升。
Amoxicillin is approximately 60% bioavailable. A 250mg dose of oral amoxicillin reaches a Cmax 3.93±1.13mg/L with a Tmax 1.31±0.33h and an AUC of 27.29±4.72mg\*h/L. A 875mg dose of oral amoxicillin reaches a Cmax 11.21±3.42mg/L with a Tmax 1.52±0.40h and an AUC of 55.04±12.68mg\*h/L.
来源:DrugBank
吸收、分配和排泄
  • 消除途径
125毫克至1克剂量的阿莫西林在6小时后有70-78%通过尿液排出。
125mg to 1g doses of amoxicillin are 70-78% eliminated in the urine after 6 hours.
来源:DrugBank
吸收、分配和排泄
  • 分布容积
阿莫西林的中央分布体积为27.7升。
The central volume of distribution of amoxicillin is 27.7L.
来源:DrugBank
吸收、分配和排泄
  • 清除
阿莫西林的平均清除率为21.3L/小时。
The mean clearance of amoxicillin is 21.3L/h.
来源:DrugBank
吸收、分配和排泄
一位48岁的女性因肺炎球菌性脑膜炎入院。在使用高剂量阿莫西林(320 mg/kg/天)治疗4天后,她出现了急性少尿性肾功能衰竭,并通过红外光谱法确认了阿莫西林结晶。在减少阿莫西林剂量、进行一次血液透析疗程并进一步补充水分后,病情有所好转。阿莫西林主要以原形通过尿液排出。
... A 48 year-old woman was admitted because of pneumococcal meningitis. After 4 days on high-dose amoxicillin (320 mg/kg/day), she developed acute oliguric renal failure and amoxicillin crystallization was documented by infrared spectrometry. The outcome was favorable after amoxicillin dosage tapering, together with one single hemodialysis session and further hydratation. Amoxicillin is mainly excreted in the urine in its unchanged form.
来源:Hazardous Substances Data Bank (HSDB)

安全信息

  • 危险品标志:
    Xn
  • 安全说明:
    S22,S36/37
  • 危险类别码:
    R42/43
  • WGK Germany:
    2
  • 海关编码:
    2941109200
  • 危险品运输编号:
    NONH for all modes of transport

SDS

SDS:c974c15292d6f9ceffd8ab7d249f500d
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制备方法与用途

这种生产工艺主要可以分为以下几个步骤:

  1. 脱酯液的准备:首先通过特定方法从青霉素发酵液中提取6-氨基青霉烷酸(6-APA),这是整个生产过程的基础原料。

  2. 6-APA到阿莫西林的合成

    • 碱化处理,即将6-APA在适当条件下用氨水进行碱化,以调节pH值至约7.23。
    • 酶催化缩合反应:加入D-对羟基苯甘氨酸甲酯,并加入阿莫西林合成酶。通过控制合适的温度和pH值,使6-APA与D-对羟基苯甘氨酸甲酯发生缩合反应生成阿莫西林粗品。
    • 酸化溶解:将所得阿莫西林粗品用盐酸酸化以完全溶解。
  3. 提纯

    • 结晶:通过调节pH值至约5.05并控制低温条件,使阿莫西林从溶液中结晶析出。
    • 抽滤、洗涤和干燥:对所得晶体进行抽滤分离,并用适当溶剂(如水或丙酮)洗涤以除去未反应的杂质后,在真空条件下进行干燥。
  4. 产品收率与效率:最终产品阿莫西林从脱酯液到阿莫西林干粉的整体转化率为约85.91%,显示出较高的产率和工艺可行性。

此方法不仅关注了产品的合成,还特别注意了各个步骤中条件的精确控制以及产物的质量保证。通过严格的原料选择、中间体处理及最终产品提纯过程来确保最终阿莫西林成品的质量符合临床应用的标准要求。

上下游信息

  • 上游原料
    中文名称 英文名称 CAS号 化学式 分子量
  • 下游产品
    中文名称 英文名称 CAS号 化学式 分子量
    • 1
    • 2
    • 3

反应信息

  • 作为反应物:
    描述:
    参考文献:
    名称:
    Pharmaceutical Composition for the Eradication of Helicobacter Pylori and Preparation Method Thereof
    摘要:
    这项发明涉及一种制备方法,用于根除幽门螺杆菌的制药组合物,其形式为泡腾片剂、悬浮液或粉剂。该制药组合物包括有效剂量的β-内酰胺类抗生素、有效剂量的大环内酯类抗生素、有效剂量的抗酸剂(如质子泵抑制剂和H2受体拮抗剂),以及制药可接受的载体。当使用PPI抗酸剂时,可以添加有效剂量的碱性物质(如碳酸盐或碳酸氢盐)以增加胃的pH值,这可以保护酸敏感抗生素或PPI的降解,进一步提高制药组合物的生物利用度,以达到根除幽门螺杆菌的目的。
    公开号:
    US20110160156A1
  • 作为产物:
    描述:
    参考文献:
    名称:
    Pharmaceutical Composition for the Eradication of Helicobacter Pylori and Preparation Method Thereof
    摘要:
    这项发明涉及一种制备方法,用于根除幽门螺杆菌的制药组合物,其形式为泡腾片剂、悬浮液或粉剂。该制药组合物包括有效剂量的β-内酰胺类抗生素、有效剂量的大环内酯类抗生素、有效剂量的抗酸剂(如质子泵抑制剂和H2受体拮抗剂),以及制药可接受的载体。当使用PPI抗酸剂时,可以添加有效剂量的碱性物质(如碳酸盐或碳酸氢盐)以增加胃的pH值,这可以保护酸敏感抗生素或PPI的降解,进一步提高制药组合物的生物利用度,以达到根除幽门螺杆菌的目的。
    公开号:
    US20110160156A1
  • 作为试剂:
    描述:
    光气三乙胺Penicillin G potassium三乙胺盐酸盐 、 ice 、 三乙胺阿莫西林四氢呋喃 作用下, 以 四氢呋喃乙酸乙酯 为溶剂, 生成 5Amino-2-o-chlorophenyl-4-hydroxy-pyrimidine
    参考文献:
    名称:
    Penicillins and salts thereof
    摘要:
    化合物的公式为##STR1##其中A为苯基;4-羟基苯基;2-或3-噻吩基;环己基;环己烯-1-基;环己-1,4-二烯-1-基;或3,4-二取代苯基,其中取代基可以相同也可以不同,选自氯、羟基或甲氧基的群;R为不同类型的脂肪族、环状脂肪族、芳香族或杂环基团;以及与无机或有机碱形成的非毒性、药理学上可接受的盐。这些化合物以及它们的盐用作抗生素。
    公开号:
    US04241056A1
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文献信息

  • Electrophilic Sulfonium-Promoted Peptide and Protein Amidation in Aqueous Media
    作者:Chuan Wan、Yuan Feng、Zhanfeng Hou、Chenshan Lian、Liang Zhang、Yuhao An、Jinming Sun、Dongyan Yang、Chenran Jiang、Feng Yin、Rui Wang、Zigang Li
    DOI:10.1021/acs.orglett.1c04017
    日期:2022.1.21
    A novel amidation strategy using electrophilic sulfonium, which is soluble and stable in aqueous conditions, was developed. The sulfoniums could activate thioacid and carboxyl acid to efficiently react with amines to afford amides. This method enables applications in amidation in both aqueous media and solid-phase peptide synthesis, peptide/protein modifications, and reactive lysines of a proteome
    开发了一种使用亲电锍的新型酰胺化策略,该锍在水性条件下可溶且稳定。锍可以活化硫代酸和羧酸,有效地与胺反应生成酰胺。该方法可用于水介质和固相肽合成中的酰胺化、肽/蛋白质修饰以及在 pH 10 的蛋白质组的反应性赖氨酸以及基于活性的蛋白质分析。还使用这种方法对 USP7-UBL2 结构域进行了肽配体定向标记。
  • N-PHENYL-1,1,1-TRIFLUOROMETHANESULFONAMIDE HYDRAZONE DERIVATIVE COMPOUNDS AND THEIR USAGE IN CONTROLLING PARASITES
    申请人:Winzenberg Norman Kevin
    公开号:US20070238700A1
    公开(公告)日:2007-10-11
    Novel N-phenyl-1,1,1-trifluoromethanesulfonamide compounds useful for controlling endo and/or ectoparasites in the environment are provided, together with methods of making the same, and methods of using the inventive compounds to treat parasite infestations in vivo and ex vivo.
    提供了一种用于控制环境中内外寄生虫的新型N-苯基-1,1,1-三氟甲磺酰胺化合物,以及制备这些化合物的方法,以及利用这些创新化合物治疗体内和体外寄生虫感染的方法。
  • [EN] OXAZOLIDINONE COMPOUNDS AND METHODS OF USE THEREOF AS ANTIBACTERIAL AGENTS<br/>[FR] COMPOSÉS OXAZOLIDINONE ET PROCÉDÉS D'UTILISATION DE CES DERNIERS EN TANT QU'AGENTS ANTIBACTÉRIENS
    申请人:MERCK SHARP & DOHME
    公开号:WO2017066964A1
    公开(公告)日:2017-04-27
    The present invention relates to oxazolidinone compounds of Formula (I): and pharmaceutically acceptable salts thereof, wherein A, E, and R1 are as defined herein. The present invention also relates to compositions which comprise at least one oxazolidinone compound of the invention. The invention also provides methods for inhibiting growth of mycobacterial cells as well as a method of treating mycobacterial infections by Mycobacterium tuberculosiscomprising administering a therapeutically effective amount of an oxazolidinone of the invention and/or apharmaceutically acceptable salt thereof, or a composition comprising such compound and/or salt.
    本发明涉及式(I)的噁唑烷酮化合物及其药学上可接受的盐,其中A、E和R1如本文所定义。本发明还涉及包含本发明至少一种噁唑烷酮化合物的组合物。该发明还提供了抑制分枝杆菌细胞生长的方法,以及通过给予治疗有效量的本发明的噁唑烷酮和/或其药学上可接受的盐,或包含该化合物和/或盐的组合物来治疗结核分枝杆菌感染的方法。
  • [EN] DERIVATIVES OF AMANITA TOXINS AND THEIR CONJUGATION TO A CELL BINDING MOLECULE<br/>[FR] DÉRIVÉS DE TOXINES D'AMANITES ET LEUR CONJUGAISON À UNE MOLÉCULE DE LIAISON CELLULAIRE
    申请人:HANGZHOU DAC BIOTECH CO LTD
    公开号:WO2017046658A1
    公开(公告)日:2017-03-23
    Derivatives of Amernita toxins of Formula (I), wherein, formula (a) R 1, R 2, R 3, R 4, R 5, R 6, R 7, R 8, R 9, R 10, X, L, m, n and Q are defined herein. The preparation of the derivatives. The therapeutic use of the derivatives in the targeted treatment of cancers, autoimmune disorders, and infectious diseases.
    Amernita毒素的衍生物的化学式(I),其中,化学式(a)中的R 1、R 2、R 3、R 4、R 5、R 6、R 7、R 8、R 9、R 10、X、L、m、n和Q在此处被定义。这些衍生物的制备。这些衍生物在靶向治疗癌症、自身免疫性疾病和传染病中的治疗用途。
  • [EN] A CONJUGATE OF A CYTOTOXIC AGENT TO A CELL BINDING MOLECULE WITH BRANCHED LINKERS<br/>[FR] CONJUGUÉ D'UN AGENT CYTOTOXIQUE À UNE MOLÉCULE DE LIAISON CELLULAIRE AVEC DES LIEURS RAMIFIÉS
    申请人:HANGZHOU DAC BIOTECH CO LTD
    公开号:WO2020257998A1
    公开(公告)日:2020-12-30
    Provided is a conjugation of cytotoxic drug to a cell-binding molecule with a side-chain linker. It provides side-chain linkage methods of making a conjugate of a cytotoxic molecule to a cell-binding ligand, as well as methods of using the conjugate in targeted treatment of cancer, infection and immunological disorders.
    提供了一种将细胞毒性药物与一个侧链连接分子结合的共轭物。它提供了制备细胞毒性分子与细胞结合配体的共轭物的侧链连接方法,以及在靶向治疗癌症、感染和免疫性疾病中使用该共轭物的方法。
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