This is a list of common β-lactam antibiotics—both administered drugs and those not in clinical use—organized by structural class. Antibiotics are listed alphabetically within their class or subclass by their nonproprietary name. If an antibiotic is a combination drug, both ingredients will be listed.

Penams

Narrow-spectrum

β-lactamase-sensitive

Benzathine benzylpenicillin (Penicillin G) Benzathine penicillin G Benzathine penicillin V Phenoxymethylpenicillin (penicillin V) Procaine penicillin Pheneticillin

β-lactamase-resistant

Cloxacillin Dicloxacillin Flucloxacillin Methicillin Nafcillin Oxacillin Temocillin

Broad spectrum

Amoxicillin Ampicillin

Extended spectrum (Antipseudomonal)

Mecillinam Piperacillin Carbenicillin Ticarcillin

Carboxypenicillins

Carbenicillin Ticarcillin

Ureidopenicillins

Azlocillin Mezlocillin Piperacillin

Cephems

First generation (moderate spectrum)

Cefazolin Cephalexin Cephalosporin C Cephalothin Cefapirin

Second generation (moderate spectrum) cefuroxime, cefaclor, cefprozil

With anti-Haemophilus activity

Cefaclor Cefamandole Cefuroxime

With anti-anaerobic activity

Cefotetan Cefoxitin

Third generation (broad spectrum)

Cefixime Cefotaxime Cefpodoxime Ceftazidime Ceftriaxone Cefdinir

Fourth generation (broad spectrum) (With β-lactamase stability and enhanced activity against Gram-positive bacteria and Pseudomonas aeruginosa)

Cefepime Cefpirome

Fifth generation* (broad spectrum) (activity against MRSA and variably VRE. *Not universally accepted nomenclature. NO Antipseudomonal activity, mostly ceftriaxone coverage with additional MRSA and some VRE)

Ceftaroline, Ceftobiprole

Carbapenems and penems (Broadest spectrum of β-lactam antibiotics)

Biapenem Doripenem Ertapenem Faropenem Imipenem Meropenem Panipenem Razupenem Tebipenem pivoxil Thienamycin

Monobactams

Aztreonam Tigemonam Nocardicin A Tabtoxinine β-lactam (does not inhibit penicillin-binding proteins)

β-lactamase inhibitors

Clavulanic acid Tazobactam Sulbactam Avibactam