<unk>  (or moxalactam) is an oxacephem antibiotic usually grouped with the cephalosporins. In oxacephems such as<unk> , the sulfur atom of the cephalosporin core is replaced with an oxygen atom.<unk>  has been associated with prolonged bleeding time, and several cases of coagulopathy, some fatal, were reported during the 1980s.<unk>  is no longer available in the United States. As with other cephalosporins with a methylthiotetrazole side chain,<unk>  causes an antabuse reaction when mixed with alcohol. Additionally, the methylthiotetrazole side chain inhibits γ-carboxylation of glutamic acid; this can interfere with the actions of vitamin K. It has been described as a third-generation cephalosporin.
Latamoxef
Avibactam
Monobactam
Telithromycin
Amikacin
Merafloxacin
Imipenem
Azithromycin