InAADR

Drug Information

Drug Name: Piperacillin (66258-76-2)
PubChem ID: 43672
SMILES: CCN1CCN(C(=O)C1=O)C(=O)N[C@H](C2=CC=CC=C2)C(=O)N[C@H]3[C@@H]4N(C3=O)[C@H](C(S4)(C)C)C(=O)O
InchiKey: IVBHGBMCVLDMKU-GXNBUGAJSA-N
Therapeutic Category:

Computed Drug Properties

Molecular Weight (dalton): 517.564
LogP: -0.2403
Ring Count: 1
Hydrogen Bond Acceptor Count: 7
Hydrogen Bond Donor Count: 3
Total Polar Surface Area: 156.43

This panel provides information on interacting drugs and their ADRs along with references

Interacting drug Toxicity Interaction Type Mechanism Reference
Gentamicin (1403-66-3) Nephrotoxicity Antagonistic The nephrotoxic effects of gentamicin is well documented. The reason why piperacillin increase the risk of nephrotoxicity is not clear. One suggestion is that sodium loading may protect the kidney from tobramycin toxicity and piperacillin has only 40% as much sodium Gentamicin inactivation by piperacillin or carbenicillin in patients with end-stage renal disease
Tobramycin (32986-56-4) Nephrotoxicity Antagonistic The nephrotoxic effects of tobramicin is well documented. The reason why piperacillin increase the risk of nephrotoxicity is not clear. One suggestion is that sodium loading may protect the kidney from tobramycin toxicity and piperacillin has only 40% as much sodium In vivo inactivation of tobramycin by piperacillin

This panel provides drug-protein interaction and their ADRs along with references

Toxicity Interacting Protein Mechanism Reference

This panel provides drug-food interactions and their ADRs along with references

Food Toxicity Reference

This panel provides information on metabolites and their ADRs along with references

Metabolite Toxicity Place of Metabolism Mechanism Reference

This panel provides information on drug category

Toxicity Source
Abdominal Abscess MetaADEDB
Abdominal Distension MetaADEDB
Abnormal Eeg MetaADEDB
Abnormal Laboratory Findings MetaADEDB
Abnormal Lfts MetaADEDB
Abscess Bacterial MetaADEDB
Accident MetaADEDB
Acinetobacter Infections MetaADEDB
Activated Partial Thromboplastin Time Prolonged MetaADEDB
Acute Generalised Exanthematous Pustulosis MetaADEDB
Acute Hepatic Failure MetaADEDB
Acute Kidney Injury MetaADEDB
Acute Leukaemia MetaADEDB
Acute Pancreatitis MetaADEDB
Acute Pulmonary Oedema MetaADEDB
Acute Respiratory Distress Syndrome MetaADEDB
Acute Respiratory Failure MetaADEDB
Acute Sinusitis MetaADEDB
Acute Tonsillitis MetaADEDB
Adenovirus Infection MetaADEDB
Adhesion MetaADEDB
Adrenal Neoplasm MetaADEDB
Adynamic Ileus MetaADEDB
Afib MetaADEDB
Agranulocytosis SIDER
Alanine Aminotransferase Increased MetaADEDB
Alcoholic Intoxication MetaADEDB
Altered State Of Consciousness MetaADEDB
Alternaria Infection MetaADEDB
Alveolitis MetaADEDB
Anaemia SIDER
Anaemia Postoperative MetaADEDB
Anaphylactic Reaction ADReCS
Anaphylactic Shock SIDER
Anaphylactoid Reaction SIDER
Anemia MetaADEDB
Anemia Hemolytic MetaADEDB
Anemia Hemolytic Autoimmune MetaADEDB
Angiodysplasia MetaADEDB
Anti-Erythropoietin Antibody Positive MetaADEDB
Anuria MetaADEDB
Aortic Valve Sclerosis MetaADEDB
Arterial Haemorrhage MetaADEDB
Arteriovenous Shunt Operation MetaADEDB
Artificial Crown Procedure MetaADEDB
Ascites MetaADEDB
Aseptic Meningitis MetaADEDB
Aspartate Aminotransferase Decreased MetaADEDB
Aspartate Aminotransferase Increase MetaADEDB
Aspergillosis MetaADEDB
Aspiration Pneumonia MetaADEDB
Asteatosis MetaADEDB
Asthenia SIDER
Asystole MetaADEDB
Atrophy MetaADEDB
Autoimmune Disorder MetaADEDB
Bacteraemia MetaADEDB
Bacteremia MetaADEDB
Bacteria Sputum Identified MetaADEDB
Bacterial Culture Positive MetaADEDB
Bacterial Infections MetaADEDB
Bacterial Pneumonia MetaADEDB
Bacterial Test Positive MetaADEDB
Bacterial Toxaemia MetaADEDB
Basal Ganglion Degeneration MetaADEDB
Bence Jones Protein Urine MetaADEDB
Beta 2 Microglobulin Urine Increased MetaADEDB
Biliary Fibrosis MetaADEDB
Biliary Tract Infection MetaADEDB
Binocular Eye Movement Disorder MetaADEDB
Black Stools MetaADEDB
Bladder Inflammation MetaADEDB
Bleb MetaADEDB
Bleeding Time Prolonged SIDER
Blood Alkaline Phosphatase Abnormal MetaADEDB
Blood Alkaline Phosphatase Increased MetaADEDB
Blood Bilirubin Increased MetaADEDB
Blood Bilirubin Unconjugated Increased MetaADEDB
Blood Chloride Decreased MetaADEDB
Blood Creatine Phosphokinase Increased MetaADEDB
Blood Creatinine Decreased MetaADEDB
Blood Creatinine Increased ADReCS
Blood Culture Positive MetaADEDB
Blood Glucose Decreased MetaADEDB
Blood Immunoglobulin G MetaADEDB
Blood In Urine MetaADEDB
Blood Lactate Dehydrogenase Increased MetaADEDB
Blood Magnesium Decreased MetaADEDB
Blood Ph Decreased MetaADEDB
Blood Phosphorus Increased MetaADEDB
Blood Potassium Decreased SIDER
Blood Potassium Increased MetaADEDB
Blood Urea Increased MetaADEDB
Blood Uric Acid MetaADEDB
Body Temperature Increased SIDER
Bone Marrow Failure MetaADEDB
Bordetella Infections MetaADEDB
Brain Compression MetaADEDB
Brain Damage MetaADEDB
Brain Herniation MetaADEDB
Brain Oedema MetaADEDB
Bronchopneumonia MetaADEDB
Burning Sensation Mucosal MetaADEDB
C-Reactive Protein Increased MetaADEDB
Cachectic MetaADEDB
Caecitis MetaADEDB
Calculus Bladder MetaADEDB
Cancer MetaADEDB
Candida Infection MetaADEDB
Candida Pneumonia MetaADEDB
Candidiasis SIDER
Capillary Leak Syndrome MetaADEDB
Cardiac Enlargement MetaADEDB
Cardiac Failure MetaADEDB
Cardiac Failure Acute MetaADEDB
Cardiac Failure Chronic MetaADEDB
Cardiac Output Decreased MetaADEDB
Cardiac Septal Defect MetaADEDB
Cardiac Tamponade MetaADEDB
Cardiogenic Shock MetaADEDB
Cardiomyopathy MetaADEDB
Catheter Site Infection MetaADEDB
Cellulitis MetaADEDB
Cerebral Atrophy MetaADEDB
Cerebral Calcification MetaADEDB
Cerebral Haemorrhage MetaADEDB
Cerebral Infarct MetaADEDB
Cheilitis MetaADEDB
Cholangiolitis MetaADEDB
Cholangitis MetaADEDB
Cholecystectomies MetaADEDB
Cholecystitis MetaADEDB
Cholestasis MetaADEDB
Chronic Allograft Nephropathy MetaADEDB
Chronic Kidney Disease MetaADEDB
Chronic Left Ventricular Failure MetaADEDB
Chronic Lymphocytic Leukaemia Transformation MetaADEDB
Clostridial Infection MetaADEDB
Clostridium Colitis MetaADEDB
Cmv Infection MetaADEDB
Coagulation Test Abnormal MetaADEDB
Colitis SIDER
Colitis Pseudomembranous MetaADEDB
Colonic Pseudo-Obstruction MetaADEDB
Condition Aggravated MetaADEDB
Confusion MetaADEDB
Convulsion SIDER
Coombs Negative Haemolytic Anaemia MetaADEDB
Coombs Test Positive ADReCS
Corneal Disorder MetaADEDB
Crush Syndrome MetaADEDB
Cryptococcosis MetaADEDB
Csf Neutrophil Count Increased MetaADEDB
Csf Neutrophil Count Positive MetaADEDB
Culture Wound Positive MetaADEDB
Cyst MetaADEDB
Cystic Fibrosis MetaADEDB
Cytomegalovirus Antigen MetaADEDB
Cytomegalovirus Test Positive MetaADEDB
Cytomegalovirus Viraemia MetaADEDB
Daydreaming MetaADEDB
Decreased Activity MetaADEDB
Decreased Interest MetaADEDB
Decubitus Ulcer MetaADEDB
Deep Vein Thrombosis SIDER
Delirium Febrile MetaADEDB
Dental Caries MetaADEDB
Dental Operation MetaADEDB
Depressed Level Of Consciousness MetaADEDB
Dermatitis SIDER
Diabetes MetaADEDB
Diabetic Gangrene MetaADEDB
Dialysis MetaADEDB
Diarrhea MetaADEDB
Diarrhoea SIDER
Diarrhoea Haemorrhagic SIDER
Disease Of Liver MetaADEDB
Disease Progression MetaADEDB
Disease Recurrence MetaADEDB
Disorder Lung MetaADEDB
Disorder Renal MetaADEDB
Disseminated Intravascular Coagulation MetaADEDB
Diverticular Perforation MetaADEDB
Dizziness SIDER
Drug Eruptions MetaADEDB
Drug Exposure During Pregnancy MetaADEDB
Drug Fever SIDER
Drug Hypersensitivity MetaADEDB
Drug Interaction SIDER
Drug Physiologic Incompatibility MetaADEDB
Drug Withdrawal Syndrome Neonatal MetaADEDB
Drug-Induced Liver Injury MetaADEDB
Eating Disorder MetaADEDB
Ebv Infection MetaADEDB
Ecchymosis SIDER
Ejection Fraction MetaADEDB
Electromechanical Dissociation MetaADEDB
Encephalitis Allergic MetaADEDB
Encephalitis Fungal MetaADEDB
Endometrial Atrophy MetaADEDB
Enteritis Infectious MetaADEDB
Enterobacter Pneumonia MetaADEDB
Enterococcal Infection MetaADEDB
Enterocolitis MetaADEDB
Eosinophil Count Increased MetaADEDB
Eosinophil Percentage Increased MetaADEDB
Eosinophilia SIDER
Eosinophilic Myocarditis MetaADEDB
Eosinophilic Pneumonia MetaADEDB
Epidermal Necrosis MetaADEDB
Epididymitis MetaADEDB
Epilepsy MetaADEDB
Epstein-Barr Virus Associated Lymphoproliferative Disorder MetaADEDB
Epstein-Barr Virus Test Positive MetaADEDB
Eruption SIDER
Erythema SIDER
Erythema Multiforme SIDER
Escherichia Bacteraemia MetaADEDB
Escherichia Coli Infections MetaADEDB
Esophageal Stenosis MetaADEDB
Exanthema MetaADEDB
Extrasystoles MetaADEDB
Eye Laser Surgery MetaADEDB
Fasciitis MetaADEDB
Fatigue SIDER
Fear Of Death MetaADEDB
Febrile Infection MetaADEDB
Febrile Neutropenia MetaADEDB
Femoral Neck Fracture MetaADEDB
Fever MetaADEDB
Flavobacteriaceae Infections MetaADEDB
Foetor Hepaticus SIDER
Foreign Body Reaction MetaADEDB
Fungal Disease MetaADEDB
Furuncle MetaADEDB
Gamma-Glutamyltransferase Increased MetaADEDB
Gastric Mucosal Lesion MetaADEDB
Gastric Polyps MetaADEDB
Gastric Ulcer MetaADEDB
Gastrointestinal Bleed MetaADEDB
Gastrointestinal Necrosis MetaADEDB
Gastrointestinal Perforation MetaADEDB
Gastrointestinal Stoma Complication MetaADEDB
Gastrointestinal Stromal Tumour MetaADEDB
General Physical Health Deterioration MetaADEDB
Glucose Urine MetaADEDB
Graft Loss MetaADEDB
Graft Versus Host Disease MetaADEDB
Gram Stain Positive MetaADEDB
Gram-Negative Bacterial Infections MetaADEDB
Gram-Positive Bacterial Infections MetaADEDB
Granulocyte Count Decreased MetaADEDB
Haematoma SIDER
Haemodialysis MetaADEDB
Haemodynamic Instability MetaADEDB
Haemoglobin SIDER
Haemolysis MetaADEDB
Haemolytic Anaemia SIDER
Haemophilus Infections MetaADEDB
Haemorrhage SIDER
Haemorrhage Coronary Artery MetaADEDB
Haemorrhage Intracranial MetaADEDB
Haemorrhage Rectum MetaADEDB
Haemorrhage Subcutaneous MetaADEDB
Haemostasis MetaADEDB
Haemothorax MetaADEDB
Hallucinations MetaADEDB
Headache SIDER
Hearing Loss MetaADEDB
Heart Rate Abnormal MetaADEDB
Heart Valve Incompetence MetaADEDB
Helicobacter Infection MetaADEDB
Hemiplegia MetaADEDB
Hepatic Congestion MetaADEDB
Hepatic Enzyme Increased ADReCS
Hepatic Function Abnormal MetaADEDB
Hepatitis SIDER
Hepatitis B MetaADEDB
Hepatitis C Antibody Positive MetaADEDB
Hepatitis C Positive MetaADEDB
Hepatitis Cholestatic SIDER
Hepatitis Fulminant MetaADEDB
Hepatocellular Damage MetaADEDB
Hepatocellular Injury SIDER
Herpes Virus Infection MetaADEDB
High Blood Pressure MetaADEDB
Histiocytosis Haematophagic MetaADEDB
Human Herpesvirus 8 Infection MetaADEDB
Hyperammonaemia MetaADEDB
Hyperamylasaemia MetaADEDB
Hyperbilirubinaemia SIDER
Hypercapnia MetaADEDB
Hypercoagulation MetaADEDB
Hypereosinophilic Syndrome MetaADEDB
Hyperlipaemia MetaADEDB
Hypersensitivity SIDER
Hypoalbuminaemia MetaADEDB
Hypokalaemia SIDER
Hypomagnesaemia MetaADEDB
Hypotonia SIDER
Hypoxia MetaADEDB
Hypoxic Encephalopathy MetaADEDB
Ild MetaADEDB
Immunosuppression MetaADEDB
Impaired Gastric Emptying MetaADEDB
Impaired Healing MetaADEDB
Implant Site Infection MetaADEDB
Incisional Hernia Obstructive MetaADEDB
Increased Platelet Count MetaADEDB
Increased White Blood Cell Count MetaADEDB
Induration SIDER
Infection MetaADEDB
Infection Upper Respiratory MetaADEDB
Iucd Complication MetaADEDB
Jaw Operation MetaADEDB
Kidney Diseases MetaADEDB
Kidney Transplant Rejection MetaADEDB
Lacrimal Disorder MetaADEDB
Large Intestinal Ulcer MetaADEDB
Large Intestine Perforation MetaADEDB
Left Ventricular Dysfunction MetaADEDB
Left Ventricular End-Diastolic Pressure Increased MetaADEDB
Left Ventricular Hypertrophy MetaADEDB
Leucopenia MetaADEDB
Leukoencephalopathy MetaADEDB
Leukopenia SIDER
Leukopenia Neonatal MetaADEDB
Life Support MetaADEDB
Lip Discolouration MetaADEDB
Liver Disorder SIDER
Liver Transplant Rejection MetaADEDB
Local Reaction SIDER
Low Cardiac Output Syndrome MetaADEDB
Lung Edema MetaADEDB
Lung Infiltration MetaADEDB
Lung Injury MetaADEDB
Lung Transplant MetaADEDB
Lyell MetaADEDB
Lymphocyte Count MetaADEDB
Lymphocyte Count Decreased MetaADEDB
Lymphocyte Percentage Decreased MetaADEDB
Lymphocyte Stimulation Test Positive MetaADEDB
Lymphocytosis MetaADEDB
Lymphoproliferative Disorder MetaADEDB
Malignant Ascites MetaADEDB
Malignant Neoplasm Progression MetaADEDB
Malnourished MetaADEDB
Mastoiditis MetaADEDB
Meningitis Bacterial MetaADEDB
Metastases To Bone Marrow MetaADEDB
Metastases To Pleura MetaADEDB
Monocyte Percentage Decreased MetaADEDB
Mouth Bleeding MetaADEDB
Mouth Pain MetaADEDB
Mucosal Inflammation MetaADEDB
Mucous Membrane Disorder MetaADEDB
Multi-Organ Failure MetaADEDB
Muscle Necrosis MetaADEDB
Muscle Relaxant Therapy ADReCS
Muscle Relaxation SIDER
Nausea SIDER
Necrolysis Epidermal SIDER
Necrotising Fasciitis MetaADEDB
Neonatal Aspiration MetaADEDB
Neonatal Respiratory Failure MetaADEDB
Nephritis SIDER
Nephritis Interstitial SIDER
Nephropathy Toxic MetaADEDB
Neumonia MetaADEDB
Neuropathy Peripheral MetaADEDB
Neutropenia SIDER
No Therapeutic Response MetaADEDB
Nocardiosis MetaADEDB
Occult Blood Positive MetaADEDB
Odynophagia MetaADEDB
Oliguria MetaADEDB
Oral Disorder MetaADEDB
Oral Herpes MetaADEDB
Oral Infection MetaADEDB
Oral Intake Reduced MetaADEDB
Osteolysis MetaADEDB
Osteoporosis MetaADEDB
Ovarian Atrophy MetaADEDB
Overweight MetaADEDB
Pain SIDER
Pancreatic Cyst MetaADEDB
Pancytopenia SIDER
Papilloma Viral Infection MetaADEDB
Parkinsonian Gait MetaADEDB
Patent Ductus Arteriosus Repair MetaADEDB
Pathogen Resistance MetaADEDB
Pericardial Effusion MetaADEDB
Peritoneal Disorder MetaADEDB
Peritonitis MetaADEDB
Perivascular Dermatitis MetaADEDB
Platelet Count MetaADEDB
Pleural Effusion MetaADEDB
Pleurisy MetaADEDB
Pneumatosis MetaADEDB
Pneumocystis Jiroveci Pneumonia MetaADEDB
Pneumonia MetaADEDB
Pneumonia Aspergillus MetaADEDB
Pneumonia Cytomegaloviral MetaADEDB
Pneumonia Fungal MetaADEDB
Pneumonia Klebsiella MetaADEDB
Post Procedural Haematoma MetaADEDB
Post Procedural Haemorrhage MetaADEDB
Postoperative Wound Complication MetaADEDB
Primary Effusion Lymphoma MetaADEDB
Productive Cough MetaADEDB
Propofol Infusion Syndrome MetaADEDB
Proteus Infection MetaADEDB
Prothrombin Time Prolonged MetaADEDB
Pruritus SIDER
Pseudomembranous Colitis SIDER
Pseudomonal Sepsis MetaADEDB
Pseudomonas Infections MetaADEDB
Pulmonary Alveolar Haemorrhage MetaADEDB
Pulmonary Arrest MetaADEDB
Pulmonary Congestion MetaADEDB
Pulmonary Hypertension MetaADEDB
Pyelonephritis MetaADEDB
Pyrexia ADReCS
Rash SIDER
Rash Vesicular ADReCS
Renal Failure SIDER
Renal Graft Loss MetaADEDB
Renal Impairment MetaADEDB
Renal Infarct MetaADEDB
Renal Insufficiency MetaADEDB
Renal Necrosis MetaADEDB
Respiratory Failure MetaADEDB
Respiratory Syncytial Virus Infection MetaADEDB
Salmonella MetaADEDB
Seizures SIDER
Sensory Disturbance MetaADEDB
Sepsis Syndrome MetaADEDB
Septic Embolus MetaADEDB
Septic Shock MetaADEDB
Serum Potassium Decreased SIDER
Shock SIDER
Shock Haemorrhagic MetaADEDB
Shunt Occlusion MetaADEDB
Shunt Thrombosis MetaADEDB
Sick Sinus Syndrome MetaADEDB
Skin Bacterial Infection MetaADEDB
Skin Erosion MetaADEDB
Sleep Apnea MetaADEDB
Sleep Disorder MetaADEDB
Speech Disorder MetaADEDB
Spondyloarthropathy MetaADEDB
Sputum Culture Positive MetaADEDB
Staphylococcal Bacteraemia MetaADEDB
Staphylococcal Infections MetaADEDB
Staphylococcal Scalded Skin Syndrome MetaADEDB
Stevens-Johnson Syndrome ADReCS
Streptococcal Bacteraemia MetaADEDB
Streptococcal Infections MetaADEDB
Subcutaneous Abscess MetaADEDB
Subdural Haemorrhage MetaADEDB
Superinfection SIDER
Supraventricular Tachycardia MetaADEDB
Surgical Wound Infection MetaADEDB
Suture Rupture MetaADEDB
Systemic Mycosis MetaADEDB
Tachycardia Ventricular MetaADEDB
Thrombocytopenia SIDER
Thrombophlebitis SIDER
Thrombosis SIDER
Thrombotic Microangiopathy MetaADEDB
Thyroid Atrophy MetaADEDB
Tongue Paralysis MetaADEDB
Tonsillitis MetaADEDB
Tooth Disease MetaADEDB
Toxic Epidermal Necrolysis SIDER
Tracheal Stenosis MetaADEDB
Tracheo-Oesophageal Fistula MetaADEDB
Tracheostomy MetaADEDB
Transaminases Increased MetaADEDB
Traumatic Haematoma MetaADEDB
Tubulointerstitial Nephritis SIDER
Upper Gastrointestinal Bleeding MetaADEDB
Upper Respiratory Tract Inflammation MetaADEDB
Urinary Tract Infections MetaADEDB
Urologic Diseases MetaADEDB
Urticaria SIDER
Venous Thrombosis SIDER
Ventricular Fibrillation MetaADEDB
Vessel Puncture Site Haematoma MetaADEDB
Vomiting SIDER
Wound Dehiscence MetaADEDB

InAADR: Drug-Protein-ADRs database