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Not available in the U.S.

Flucloxacillin

FLOXAPEN

What it isA penicillinase-resistant isoxazolyl penicillin that inhibits bacterial cell-wall synthesis and resists staphylococcal beta-lactamase.

Why this oneA first-line anti-staphylococcal penicillin for MSSA infections in the UK, Europe, and Australia, analogous to U.S. dicloxacillin and nafcillin.

What limits itIt is not available in the U.S. and carries a notable risk of delayed cholestatic hepatitis strongly associated with the HLA-B*57:01 allele.

NO BOXED WARNINGS

Principal riskNot FDA-approved (not marketed in the U.S.), so no FDA boxed warning.

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Flucloxacillin ballicule

Flucloxacillin ballicule: receptor binding, kinetics and half-life diagram

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