<unk>  (INN) or amdinocillin pivoxil (USAN, trade names Selexid, Penomax and Coactabs) is an orally active prodrug of mecillinam, an extended-spectrum penicillin antibiotic.<unk>  is the pivaloyloxymethyl ester of mecillinam.<unk>  is only considered to be active against Gram-negative bacteria, and is used primarily in the treatment of lower urinary tract infections. In the Nordic countries, it has been widely used in that indication since the 1970s. It has been proposed as the first-line drug of choice for empirical treatment of acute cystitis. It has also been used to treat paratyphoid fever and shigellosis.
Pivmecillinam
Mecillinam
Cefuroxime axetil
Milbemycin oxime
Mezlocillin
Cefotiam
Cethromycin
Piperacillin