The Basics

What is Cefoperazone?

One of few cephalosporin antibiotics effective in treating Pseudomonas bacterial infections.

Brand names for Cefoperazone

Cefobid

How Cefoperazone is classified

Anti-Infective Agents, Antibacterial Agents, Cephalosporins

Cefoperazone During Pregnancy

Cefoperazone pregnancy category

Category BNote that the FDA has deprecated the use of pregnancy categories, so for some medications, this information isn’t available. We still think it’s useful to list historical info, however, given what a common proxy this has been in the past.

What we know about taking Cefoperazone while pregnant

Reproduction studies have been performed in mice, rats, and monkeysat doses up to 10 times the human dose and have revealed no evidence of impaired fertility orharm to the fetus due to CEFOBID. There are, however, no adequate and well controlled studiesin pregnant women. Because animal reproduction studies are not always predictive of humanresponse, this drug should be used during pregnancy only if clearly needed.

Taking Cefoperazone While Breastfeeding

What are recommendations for lactation if you're taking Cefoperazone?

Limited information indicates cefoperazone produces low levels in milk that are not expected to cause adverse effects in breastfed infants. Occasionally disruption of the infant’s gastrointestinal flora, resulting in diarrhea or thrush have been reported with cephalosporins, but these effects have not been adequately evaluated. Cefoperazone is acceptable in nursing mothers.

Maternal / infant drug levels

Limited information indicates cefoperazone produces low levels in milk that are not expected to cause adverse effects in breastfed infants. Occasionally disruption of the infant’s gastrointestinal flora, resulting in diarrhea or thrush have been reported with cephalosporins, but these effects have not been adequately evaluated. Cefoperazone is acceptable in nursing mothers.

Possible effects of Cefoperazone on milk supply

Relevant published information was not found as of the revision date.

Possible alternatives to Cefoperazone

None listed

List of References

Lactation sources: Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501922/1. Takase Z, Shirafuji H, Uchida M. Fundamental and clinical studies of cefoperazone (T-1551) in the field of obstetrics and gynecology. Chemotherapy (Tokyo). 1980;28 (Suppl 6):825-36.
2. Matsuda S. Transfer of antibiotics into maternal milk. Biol Res Pregnancy. 1984;5:57-60. PMID: 6743732
3. Matsuda S, Kashiwagura T, Hirayama H. Passage into the human milk and clinical evaluation of sulbactam/cefoperazone. Jpn J Antibiot. 1985;38:223-9. PMID: 2989572

Disclaimer: This material is provided for educational purposes only and is not intended for medical advice, diagnosis, or treatment. Consult your healthcare provider with any questions.

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