β-Lactamase Inhibitors

Chemical Structure / Formula of β-Lactamase Inhibitors

  • Examples: Clavulanic acid (C8H9NO5), Sulbactam (C8H11NO5S), Tazobactam (C10H12N4O5S).
  • Contain a β-lactam ring but lack strong antibacterial activity themselves.

β-Lactamase Inhibitors

Clavulanic acid

Mechanism of Action

  • Irreversibly bind to bacterial β-lactamases, preventing them from breaking down β-lactam antibiotics.
  • Given in combination with penicillins or cephalosporins (e.g., Amoxicillin-Clavulanate).

Uses

  • Used with penicillins or cephalosporins to treat resistant infections (Pseudomonas, Enterobacteriaceae).
  • Common combinations:
    • Amoxicillin + Clavulanic acid (Augmentin)
    • Piperacillin + Tazobactam (Zosyn)

Side Effects of β-Lactamase Inhibitors

  • Mostly due to the antibiotic they are combined with.
  • Common: GI upset, diarrhea.
  • Serious: Hypersensitivity reactions.

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