Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Cefepime
Drug ID BADD_D00386
Description Cefepime is a fourth-generation cephalosporin antibiotic developed in 1994. Cefepime is active against Gram-positive and Gram-negative bacteria, with greater activity against both than third-generation antibiotics. Cefepime is usually reserved to treat severe nosocomial pneumonia, infections caused by multi-resistant microorganisms (e.g. Pseudomonas aeruginosa) and empirical treatment of febrile neutropenia.
Indications and Usage For the treatment of pneumonia (moderate to severe) caused by Streptococcus pneumoniae, including cases associated with concurrent bacteremia, Pseudomonas aeruginosa, Klebsiella pneumoniae, or Enterobacter species. Also for empiric treatment of febrile neutropenic patients and uncomplicated and complicated urinary tract infections (including pyelonephritis) caused by Escherichia coli or Klebsiella pneumoniae, when the infection is severe, or caused by Escherichia coli, Klebsiella pneumoniae, or Proteus mirabilis, when the infection is mild to moderate, including cases associated with concurrent bacteremia with these microorganisms. Also for the treatment of uncomplicated skin and skin structure infections caused by Staphylococcus aureus (methicillin-susceptible strains only) or Streptococcus pyogenes and complicated intra-abdominal infections (used in combination with metronidazole) caused by Escherichia coli, viridans group streptococci, Pseudomonas aeruginosa, Klebsiella pneumoniae, Enterobacter species, or Bacteroides fragilis.
Marketing Status approved; investigational
ATC Code J01DE01
DrugBank ID DB01413
KEGG ID D02376
MeSH ID D000077723
PubChem ID 5479537
TTD Drug ID D0A1CB
NDC Product Code 44567-130; 60505-6144; 60505-6146; 63323-326; 66794-209; 60505-6245; 66288-8100; 66794-210; 60505-6147; 82608-011; 44567-241; 60505-6246; 0338-1301; 44567-240; 63323-340; 10402-003; 52946-0919; 60505-6145; 0409-9735; 44567-131; 0409-9566; 66558-0204
UNII 807PW4VQE3
Synonyms Cefepime | Cefepim | Cefepime Hydrochloride | Maxipime | Axépim | Quadrocef | BMY 28142 | BMY-28142 | BMY28142
Chemical Information
Molecular Formula C19H24N6O5S2
CAS Registry Number 88040-23-7
SMILES C[N+]1(CCCC1)CC2=C(N3C(C(C3=O)NC(=O)C(=NOC)C4=CSC(=N4)N)SC2)C(=O)[O-]
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice.
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal pain07.01.05.002--
Activated partial thromboplastin time prolonged13.01.02.001--
Aggression19.05.01.0010.000049%-
Agitation17.02.05.012; 19.06.02.0010.000180%
Agranulocytosis01.02.03.0010.000073%-
Alanine aminotransferase increased13.03.04.005--
Altered state of consciousness17.02.04.001; 19.07.01.0030.000122%-
Anaemia01.03.02.001--
Anaphylactic reaction10.01.07.001; 24.06.03.0060.000457%
Anaphylactic shock10.01.07.002; 24.06.02.004---
Angioedema10.01.05.009; 22.04.02.008; 23.04.01.0010.000369%-
Aphasia17.02.03.001; 19.21.01.0010.000413%
Aplastic anaemia01.03.03.002---
Apnoea22.02.01.0010.000049%
Aspartate aminotransferase13.03.04.008---
Blister12.01.06.002; 23.03.01.0010.000107%-
Blood bilirubin13.03.04.015---
Blood calcium13.11.01.041---
Blood calcium decreased13.11.01.002---
Blood calcium increased13.11.01.003---
Blood creatinine13.13.01.020---
Blood phosphorus13.11.01.023---
Blood potassium13.11.01.032---
Blood potassium increased13.11.01.011---
Blood urea13.13.01.019---
Body temperature increased13.15.01.001---
Bronchitis11.01.09.001; 22.07.01.001--
Burning sensation08.01.09.029; 17.02.06.0010.000049%-
Cardiac arrest02.03.04.0010.000122%
Cardiac failure congestive02.05.01.0020.000049%-
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ADReCS-Target
Drug Name ADR Term Target
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