Clavam

Clavams are a class of antibiotics. This antibiotic is derived from Streptomyces clavuligerus NRRL 3585.[1] Clavam is produced to form a new β-lactam antibiotic.[1] This class is divided into the clavulanic acid class and the 5S clavams class. Clavulanic acid is a broad-spectrum antibiotic and 5S clavams may have anti-fungal properties. They are similar to penams, but with an oxygen substituted for the sulfur.[2] Thus, they are also known as oxapenams.

An example is clavulanic acid,[3] from which this compound class receives its name.

Clavulanic acid, a type of Clavam, has antibiotic properties. It can be used as a medication to treat a variety of bacterial infections. CLAVAM tablets may be effective for short term treatment of bronchitis, cystitis, sinusitis, otitis media, or skin infections.[4] Clavams are commonly used in conjunction with other antibiotics such as amoxicillin to produce a broader therapeutic effect.

Clavulanic acid strongly inhibits b-lactamase in bacteria, which is associated with its antibiotic properties. B - lactam antibiotics generally have a common feature which is the 3-carbon and 1-nitrogen ring (beta-lactam ring) that is highly reactive. [5]Different molecules of the Clavam class have been shown to inhibit the action of several fungal species. 5S Clavams do not have an inhibitory effect on b-lactamase, but are involved in methionine biosynthesis inhibition, making them bacteriostatic agents.[6] Additionally, 5S Clavams may have inhibitory effects on RNA synthesis, which is a common property of anti-fungal medications.[7] Clavams have wide-ranging bioactivity, and may have greater therapeutic use than current research indicates.[8] Because of their activity on b-lactamase, this class of antibiotics can evade antibiotic resistance in bacteria, which is a risk associated with other antibiotics such as penicillins.


Taking Clavam

  • Clavams tablets can be ingested orally, preferably with a meal as the method of absorption is directly through the GI tract. Dosage depends on the extent of infection, and the course of medication must be completed for full benefits.
  • It is recommended to complete the course of medication as stopping in between may lead to severe infection that can stop responding to the antibiotic as a whole
  • Drug - drug interactions include gout medicine (allopurinol, probenecid), blood thinner (warfarin), anticancer, or anti-arthritis drug (methotrexate), and drug to prevent organ transplant (mycophenolate mofetil). [9]

References

  1. Pruess, D. L.; Kellett, M. (1983). "Ro 22-5417, A NEW CLAVAM ANTIBIOTIC FROM STREPTOMYCES CLAVULIGERUS I. DISCOVERY AND BIOLOGICAL ACTIVITY". The Journal of Antibiotics. 36 (3): 208–212. doi:10.7164/antibiotics.36.208. ISSN 0021-8820.
  2. "Medscape.com". Retrieved 2008-12-29.
  3. Chemical Research Laboratory, Oxford University (The Schofield Group). "Antibiotic Biosynthesis, Clavulanic Acid Mode of Action and Biosynthesis". Archived from the original on 2011-06-05. Retrieved 2011-07-25.
  4. "Clavam". NPS MedicineWise. Retrieved 2021-04-29.
  5. Pandey, Neelanjana; Cascella, Marco (2022), "Beta Lactam Antibiotics", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID 31424895, retrieved 2022-04-04
  6. Jensen, Susan E (2012-10-01). "Biosynthesis of clavam metabolites". Journal of Industrial Microbiology and Biotechnology. 39 (10): 1407–1419. doi:10.1007/s10295-012-1191-0. ISSN 1476-5535. PMID 22948564.
  7. Röhl, F.; Rabenhorst, J.; Zähner, H. (1987-05-01). "Biological properties and mode of action of clavams". Archives of Microbiology. 147 (4): 315–320. doi:10.1007/BF00406126. ISSN 1432-072X. PMID 3304182.
  8. Cierpucha, Maciej; Panfil, Irma; Danh, Tong Thanh; Chmielewski, Marek; Kurzatkowski, Wieslaw; Rajnisz, Aleksandra; Solecka, Jolanta (October 2007). "Synthesis of 3-Substituted-clavams: Antifungal Properties, DD -Peptidase and β-Lactamase Inhibition". The Journal of Antibiotics. 60 (10): 622–632. doi:10.1038/ja.2007.80. ISSN 1881-1469. PMID 17965478.
  9. "Clavam 625 Tablet 10's Price, Uses, Side Effects, Composition". Apollo Pharmacy. Retrieved 2022-04-04.


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