Metabolism of oral cephalothin and related cephalosporins in the rat

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Abstract
The fate of orally administered [14C]cephalothin has been studied in the rat. This antibiotic undergoes degradation in the gut followed by the subsequent absorption of a portion of the degradation products. About 50 percent of the administered radioactivity appears in the urine as a mixture of thienylacetylglycine, thienylacetamidoethanol and an unidentified polar metabolite. Evidence is presented indicating that thienylacetamidoethanol arises by the enzymic reduction of a metabolic intermediate, thienylacetamidoacetaldehyde. The metabolic fate of cephalothin is very similar to that of cephaloram reported earlier. The fate of [14C]cephaloridine and 7-phenoxy[l-14C]acetamidocephalo-sporin was also investigated. In addition to the expected metabolites, about 5 percent of the cephaloridine dose is absorbed unchanged. With 7-phenoxy[l-l4c]acetamidocephalosporin, 15 percent of the dose is recovered in urine as deacetyl-7-phenoxy[1-14C]acetamidocephalosporin.