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Cefotaxime Sodium

Alias: Cefotaxime Sodium; CEFOTAXIME SODIUM SALT; Cefotaxim sodium salt; Cefotax; CHEBI:3498; Merck Brand of Cefotaxime Sodium; Pisa Brand of Cefotaxime Sodium; Primafen; Ru 24756; Ru-24756; Ru24756; Sodium, Cefotaxime; Taporin; Viken Brand of Cefotaxime Sodium;
Cat No.:V17844 Purity: ≥98%
Cefotaxime Sodium is a novel and potent Cephalosporin antibiotic agent.
Cefotaxime Sodium
Cefotaxime Sodium Chemical Structure CAS No.: 64485-93-4
Product category: Bacterial
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
250mg
500mg
1g
5g
Other Sizes

Other Forms of Cefotaxime Sodium:

  • Cefotaxime-d3
  • Cefetamet (Cefetamet; Ro 15-8074; Deacetoxycefotaxime)
  • Cefotaxime Acid
  • Desacetylcefotaxime
  • Deacetylcefotaxime lactone
Official Supplier of:
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Top Publications Citing lnvivochem Products
Product Description
Cefotaxime (Cefotaxim) sodium, a β-lactamase stable cephalosporin and a third-generation cephalosporin antibiotic, has broad-spectrum antibiotic activity against a variety of bacteria, both Gram-positive and Gram-negative. On August 13, 2025, Merck & Co. announced the official launch of its novel cephalosporin/β-lactamase inhibitor combination, Ceflolozane and Tazobactam for Injection (Brand name: Zhuolida®), in China. This new agent provides an important therapeutic option for the clinical management of complicated infections caused by resistant pathogens, including Pseudomonas aeruginosa and extended-spectrum β-lactamase-producing Enterobacteriaceae. Ceflolozane and Tazobactam for Injection received approval from China's National Medical Products Administration (NMPA) in February 2025 for the following indications: - In combination with metronidazole for the treatment of complicated intra-abdominal infections caused by susceptible Gram-negative and Gram-positive microorganisms in adult and pediatric patients (birth to <18 years); - For the treatment of complicated urinary tract infections (including pyelonephritis) caused by susceptible Gram-negative microorganisms in adult and pediatric patients (birth to <18 years); - For the treatment of hospital-acquired bacterial pneumonia and ventilator-associated bacterial pneumonia caused by susceptible Gram-negative microorganisms in adult patients (18 years and older). In recent years, antimicrobial-resistant Gram-negative bacteria have posed a significant challenge to global public health. Notably, carbapenem-resistant Pseudomonas aeruginosa has become a major clinical concern and is classified as a "high priority" pathogen by the World Health Organization. The latest surveillance data from China indicates a high detection rate of carbapenem-resistant Pseudomonas aeruginosa at 16.3%, with infected patients facing a significantly elevated risk of mortality. Concurrently, the increasing resistance of extended-spectrum β-lactamase-producing Enterobacteriaceae to carbapenems further elevates the risk of their progression to carbapenem-resistant Enterobacteriaceae.
Biological Activity I Assay Protocols (From Reference)
Targets
Bacterial cell wall synthesis; β-lactam
ln Vitro
MIC for cefotaxime sodium against V. vulnificus CMCP6 is 0.0625 mg/L[4]. - The minimum inhibitory concentration (MIC) of cefotaxime against V. vulnificus CMCP6 was determined to be 0.0625 mg/L using the microdilution method according to CLSI guidelines [1].
The MIC of cefotaxime against V. vulnificus MO6-24/O was also 0.0625 mg/L [1].
- In time-kill assays using 3/4 MIC concentrations, cefotaxime alone showed moderate bactericidal activity against V. vulnificus CMCP6 [1].
The combination of cefotaxime with ciprofloxacin demonstrated synergistic bactericidal activity, with bacterial colony counts after 24 h of in vitro treatment being lower for the combination than for cefotaxime, ciprofloxacin, minocycline, or cefotaxime-plus-minocycline [1].
- At sub-inhibitory concentrations (1/4 MIC), cefotaxime had a modest inhibitory effect on V. vulnificus cytotoxicity for HeLa cells and on rtxA1 transcription, but was significantly less effective than ciprofloxacin (P < 0.05 for both comparisons) [1].
ln Vivo
Compared to earlier regimens, the combination of ciprofloxacin and cefotaxime is more effective in eliminating V. vulnificus in vivo[4].- In a mouse model of V. vulnificus sepsis using an initial inoculum of 1×108 cfu, treatment with cefotaxime alone (30 mg/kg i.p. every 6 h for 42 h) resulted in a 96-h survival rate of 0% (0/20), which was significantly lower than the 85% (17/20) survival rate observed with the cefotaxime-plus-ciprofloxacin combination (P < 0.001) [1].
The survival rate in the cefotaxime-plus-minocycline group was 35% (7/20) [1].
- Using a lower initial inoculum of 1×107 cfu, all mice treated with cefotaxime alone (n=12) survived for 96 h, similar to other treatment groups [1].
However, bacterial counts in the liver and spleen at 24 and 48 h after treatment initiation were significantly higher in the cefotaxime monotherapy group compared to the cefotaxime-plus-ciprofloxacin group: liver at 24 h (19,544 ± 12,097 vs. 473 ± 309 CFU/g, P < 0.001), liver at 48 h (9,216 ± 101 vs. 162 ± 35 CFU/g, P < 0.001), spleen at 24 h (13,180 ± 5,558 vs. 1,813 ± 6,514 CFU/g, P < 0.001), and spleen at 48 h (1,304 ± 565 vs. 217 ± 87 CFU/g, P < 0.001) [1].
Cell Assay
- Cytotoxicity assay (LDH release): HeLa cells were seeded in 48-well plates and cultured for 24 h [1].
Overnight-cultured V. vulnificus (MO6-24/O) were re-suspended in PBS after logarithmic growth [1].
HeLa cells (2×105 cells/mL) were infected with V. vulnificus (5×105 cfu/mL) in the presence or absence of 1/4 MIC of cefotaxime, minocycline, or ciprofloxacin for 120 min [1].
Cytotoxicity was measured by assaying lactate dehydrogenase (LDH) released into the supernatant using a commercial kit [1].
The impaired cytotoxicity of the rtxA1 deletion mutant (CMM770) compared to the wild-type strain confirmed that cytotoxicity at 120 min was mainly due to RtxA1 [1].
At 1/4 MIC, cefotaxime inhibited V. vulnificus-induced cytotoxicity less effectively than ciprofloxacin (P < 0.05) [1].
- Transcriptional reporter assay (β-galactosidase): A chromosomal PrtxA1:lacZ transcriptional reporter strain of V. vulnificus MO6-24/O was constructed [1].
An overnight culture of the reporter strain was inoculated into HI broth at 5×105 cfu/mL with or without 1/4 MICs of antibiotics for 120 min [1].
The culture was lysed, and β-galactosidase activity was measured using a substrate containing O-nitrophenyl-β-D-galactopyranoside [1].
At 1/4 MIC, cefotaxime inhibited rtxA1 transcription less effectively than ciprofloxacin (P < 0.05) [1].
Animal Protocol
- Female, 8-week-old BALB/c mice (average weight 20 g) were used [1].
To induce iron overload, 900 μg ferric ammonium citrate was administered intraperitoneally 30 min before V. vulnificus inoculation [1].
Mice were inoculated subcutaneously over the right thigh with either 1×107 or 1×108 cfu of V. vulnificus CMCP6 [1].
Antibiotic therapy was initiated 2 h after inoculation [1].
Cefotaxime was administered intraperitoneally at 30 mg/kg body weight every 6 h [1].
All antibiotics were given for a total of 42 h [1].
Control mice received 0.1 mL sterile saline every 6 h [1].
For survival studies, animals were monitored every 6 h, and humane endpoints were used based on a clinical scoring system (combined score ≥8) according to KFDA guidelines [1].
For bacterial clearance studies, mice were euthanized at 24 and 48 h after treatment initiation; livers and spleens were homogenized, serially diluted, and plated onto Brain-Heart infusion agar for CFU quantification [1].
Animal Model: 8-week-old female BALB/c mice that are free of a particular pathogen[4].
Dosage: 30 mg/kg.
Administration: IP every 6 h.
Result: Mice treated with cefotaxime-plus-ciprofloxacin had fewer viable bacterial counts in their livers than mice treated with cefotaxime alone (P<0.001 at 24 and 48 hours, respectively).
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Rapidly absorbed following intramuscular injection.
Approximately 20-36% of an intravenously administered dose of 14C-cefotaxime is excreted by the kidney as unchanged cefotaxime and 15-25% as the desacetyl derivative, the major metabolite.
Metabolism / Metabolites
Approximately 20-36% of an intravenously administered dose of 14C-cefotaxime is excreted by the kidney as unchanged cefotaxime and 15-25% as the desacetyl derivative, the major metabolite. The desacetyl metabolite has been shown to contribute to the bactericidal activity. Two other urinary metabolites (M2 and M3) account for about 20-25%. They lack bactericidal activity.
Biological Half-Life
Approximately 1 hour.
Toxicity/Toxicokinetics
Effects During Pregnancy and Lactation
◉ Overview of Use During Lactation
Cefotaxime has been discontinued in the United States. Limited information suggests that cefotaxime concentrations in breast milk are low and are not expected to have adverse effects on breastfed infants. There have been reports that cephalosporins occasionally disrupt the infant's gut microbiota, leading to diarrhea or thrush, but these effects have not been fully assessed. Cefotaxime is safe for use by breastfeeding women.
◉ Effects on Breastfed Infants
No published information found as of the revision date.
◉ Effects on Lactation and Breast Milk
No published information found as of the revision date.
References

[1]. A comparison of the prophylactic efficacy of ceftriaxone and cefotaxime in abdominal surgery. Am J Surg. 2003 Jan;185(1):45-9.

[2]. Prospective comparison of ceftriaxone and cefotaxime for the short-term treatment of bacterial meningitis in children. Chemotherapy. 1998 Mar-Apr;44(2):142-7.

[3]. Use of cefotaxime, a beta-lactamase stable cephalosporin, in the therapy of serious infections, including those due to multiresistant organisms. Am J Med. 1981 Sep;71(3):435-42.

[4]. Differences between ceftriaxone and cefotaxime: microbiological inconsistencies. Ann Pharmacother. 2008 Jan;42(1):71-9.

Additional Infomation
Cefotaxime sodium is a cephalosporin organosodium salt with acetoxymethyl and [2-(2-amino-1,3-thiazolyl-4-yl)-2-(methoxyimino)acetyl]amino side groups. It contains a cefotaxime (1-) group. Cefotaxime sodium is the sodium salt form of cefotaxime, a third-generation β-lactam cephalosporin antibiotic with bactericidal activity. Cefotaxime sodium binds to and inactivates penicillin-binding protein (PBP) located on the inner membrane of bacterial cell walls. Inactivation of PBP interferes with the cross-linking of peptidoglycan chains, which is crucial for maintaining the strength and rigidity of bacterial cell walls. This leads to weakening of the bacterial cell wall and ultimately cell lysis. Compared to second- and first-generation cephalosporins, cefotaxime sodium exhibits stronger activity against Gram-negative bacteria and weaker activity against Gram-positive bacteria. Semi-synthetic broad-spectrum cephalosporins. See also: Cefotaxime (containing the active fraction).
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C16H16N5NAO7S2
Molecular Weight
477.4473
Exact Mass
477.038
Elemental Analysis
C, 40.25; H, 3.38; N, 14.67; Na, 4.82; O, 23.46; S, 13.43
CAS #
64485-93-4
Related CAS #
Cefotaxime;63527-52-6;Cefotaxime-d3 sodium; Cefotaxime sodium;64485-93-4; 63527-52-6 (free); 66340-28-1; 66340-33-8
PubChem CID
10695961
Appearance
White to off-white solid powder
Density
1.8 g/cm3
Melting Point
162-163ºC(lit.)
Index of Refraction
61 ° (C=1, H2O)
Hydrogen Bond Donor Count
2
Hydrogen Bond Acceptor Count
12
Rotatable Bond Count
8
Heavy Atom Count
31
Complexity
839
Defined Atom Stereocenter Count
2
SMILES
S1C([H])([H])C(C([H])([H])OC(C([H])([H])[H])=O)=C(C(=O)[O-])N2C([C@]([H])([C@@]12[H])N([H])C(/C(/C1=C([H])SC(N([H])[H])=N1)=N/OC([H])([H])[H])=O)=O.[Na+]
InChi Key
AZZMGZXNTDTSME-JUZDKLSSSA-M
InChi Code
InChI=1S/C16H17N5O7S2.Na/c1-6(22)28-3-7-4-29-14-10(13(24)21(14)11(7)15(25)26)19-12(23)9(20-27-2)8-5-30-16(17)18-8;/h5,10,14H,3-4H2,1-2H3,(H2,17,18)(H,19,23)(H,25,26);/q;+1/p-1/b20-9-;/t10-,14-;/m1./s1
Chemical Name
sodium;(6R,7R)-3-(acetyloxymethyl)-7-[[(2Z)-2-(2-amino-1,3-thiazol-4-yl)-2-methoxyiminoacetyl]amino]-8-oxo-5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylate
Synonyms
Cefotaxime Sodium; CEFOTAXIME SODIUM SALT; Cefotaxim sodium salt; Cefotax; CHEBI:3498; Merck Brand of Cefotaxime Sodium; Pisa Brand of Cefotaxime Sodium; Primafen; Ru 24756; Ru-24756; Ru24756; Sodium, Cefotaxime; Taporin; Viken Brand of Cefotaxime Sodium;
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Note: Please store this product in a sealed and protected environment, avoid exposure to moisture.
Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
H2O : 50~95 mg/mL (104.72~198.97 mM )
DMSO : ~45 mg/mL (~94.25 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.5 mg/mL (5.24 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.

Solubility in Formulation 2: ≥ 2.08 mg/mL (4.36 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

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Solubility in Formulation 3: 2.08 mg/mL (4.36 mM) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), suspension solution; with ultrasonication.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.


Solubility in Formulation 4: 10% DMSO+90% Corn Oil: ≥ 2.5 mg/mL (5.24 mM)

Solubility in Formulation 5: 100 mg/mL (209.45 mM) in PBS (add these co-solvents sequentially from left to right, and one by one), clear solution; with ultrasonication.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.0945 mL 10.4723 mL 20.9446 mL
5 mM 0.4189 mL 2.0945 mL 4.1889 mL
10 mM 0.2094 mL 1.0472 mL 2.0945 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

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In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
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Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
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Clinical Trial Information
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CTID: NCT05804123
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Date: 2024-08-22
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Date: 2022-06-22
Comparison of Efficacy of Cefotaxime, Ceftriaxone, and Ciprofloxacin for the Treatment of SBP in Patients With LC
CTID: NCT01265173
Phase: Phase 4    Status: Completed
Date: 2020-04-06
Oral Gemifloxacin Versus Intravenous Cefotaxime in Treatment of Spontaneous Bacterial Peritonitis
CTID: NCT04168099
Phase: Phase 3    Status: Recruiting
Date: 2019-11-19
Disturbance of the Intestinal Microbiota by Temocillin vs Cefotaxime in Treatment of Febrile Urinary Tract Infections
CTID: NCT02959957
Phase: Phase 4    Status: Completed
Date: 2019-09-16
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Effect of Administration of 3rd Generation Cephalosporin on the Digestive Carrying of 3rd Generation Cephalosporin-resistant Enterobacteriaceae (CEF-IMPACT)
CTID: NCT03922919
Phase: Phase 4    Status: Unknown status
Date: 2019-04-22


Impact of the Choice of 3rd Generation Cephalosporins on the Emergence of Resistance in the Microbiota Intestinal.
CTID: NCT02659033
Phase: Phase 3    Status: Completed
Date: 2018-05-21
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CTID: NCT02443285
Phase: Phase 3    Status: Unknown status
Date: 2017-06-20
Randomized Trial of Continuous Versus Intermittent Cefotaxime Infusion on ICU.
CTID: NCT02560207
Phase: Phase 4    Status: Completed
Date: 2016-10-27
Cerebral Antibiotics Distribution After Acute Brain Injury
CTID: NCT01059890
Phase: Phase 1    Status: Completed
Date: 2016-10-11
Cefotaxime Resistance in Treatment of Spontaneous Bacterial Peritonitis
CTID: NCT02388035
Phase: N/A    Status: Completed
Date: 2015-06-04
Empirical vs 2nd Line Antibiotic Therapy in Health-care Associated Infections in Cirrhosis
CTID: NCT01820026
Phase: Phase 4
Right Dose, Right Now: Randomized Clinical Trial
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2018-01-11
Randomized, multicenter, open, phase III, controlled clinical trial, to demonstrate the non-inferiority of reduced antibiotic treatment directed against the treatment of a broad spectrum betalactam antipseudomonal in treating patients with bacteremia spectrum Enterobacteriaceae
CTID: null
Phase: Phase 3    Status: Completed
Date: 2016-03-18
A randomized, controlled, multicentre trial of collateral damage on the intestinal microbiota inferred by cefotaxime versus temocillin in patients receiving empirical treatment for febrile urinary tract infections
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-12-07
Individualizing duration of antibiotic therapy in hospitalized patients with community-acquired pneumonia: a non-inferiority, randomized, controlled trial.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-12-20
EFFICACY, PHARMACOKINETICS AND SAFETY OF MEROPENEM IN INFANTS BELOW 90 DAYS OF AGE (INCLUSIVE) WITH CLINICAL OR CONFIRMED LATE-ONSET SEPSIS: A EUROPEAN MULTICENTER RANDOMISED PHASE III TRIAL
CTID: null
Phase: Phase 3    Status: Completed
Date: 2011-08-25
ENSAYO CLINICO FASE II CORTICOIDES PARA EL EMPIEMA Y EL DERRAME PLEURAL PARANEUMÓNICO EN NIÑOS
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Phase: Phase 2    Status: Restarted
Date: 2010-10-04
Estudio piloto, en fase IV para evaluar la influencia de la asociación de descontaminación intestinal selectiva (DIS) con norfloxacino a antibioterapia estándar sobre la traslocación bacteriana y la actividad inflamatoria en pacientes con peritonitis bacteriana espontánea (PBE)
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Phase: Phase 4    Status: Ongoing
Date: 2008-07-31
'A Phase 3, Multicenter, Randomized, Double-blind, Comparative Study to Evaluate the Safety and Efficacy of Ceftaroline versus Ceftriaxone, with Adjunctive Clarithromycin, in the Treatment of Adult Subjects with Community-Acquired Pneumonia '
CTID: null
Phase: Phase 3    Status: Completed
Date: 2007-11-22

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