Medical Description
Antibiotic, belongs to Cephalosporin (Second Generation) used in the treatment of acute otitis media, pneumonia, streptococcal pharyngitis, urinary tract infection and prophylaxis or treatment of bite wound infection.
Indication & Usage
-Acute otitis media: Oral: 500 mg twice daily; duration of therapy is 5 to 7 days (mild to moderate infection) or 10 days (severe infection).
-Pneumonia: Oral: 500 mg twice daily as part of an appropriate combination regimen. Duration is for a minimum of 5 days; patients should be clinically stable with normal vital signs before discontinuing therapy.
-Streptococcal pharyngitis: Oral: 250 mg twice daily for 10 days.
-Urinary tract infection, cystitis, acute uncomplicated or acute simple cystitis (infection limited to the bladder without signs/symptoms of upper tract, prostate, or systemic infection): Oral: 250 mg twice daily for 5 to 7 days.
-Chronic obstructive pulmonary disease: Oral: 500 mg twice daily for 5 to 7 days.
-Surgical prophylaxis (eg, cardiac surgery, head and neck surgery): IV: 1.5 g within 60 minutes prior to surgical incision; use in combination with metronidazole for select head and neck procedures. Cefuroxime dose may be repeated intraoperatively in 4 hours if procedure is lengthy or if there is excessive blood loss.
-Acute cholecystitis: IV: 1.5 g every 8 hours; continue for 1 day after gallbladder removal or until clinical resolution in patients managed nonoperatively.
-Prophylaxis or treatment bite wound infection (animal or human bite): Oral: 500 mg twice daily, in combination with an agent appropriate for anaerobes. Duration of prophylaxis is 3 to 5 days. Duration of treatment for established infection typically ranges from 5 to 14 days and varies based on clinical response and patient-specific factors.
-Pediatric dosing: see Dosage and administration section.
Active Ingredients
Cefuroxime
Dosage & Administration
-Suspension: Administer with food. Shake well before use.
-Tablet: May administer with or without food.
-Intramuscular injection: Inject deep IM into large muscle mass.
-Intravenous injection: Inject direct IV over 3 to 5 minutes. Infuse intermittent infusion over 15 to 30 minutes.
-Pediatric dosing:
-General dosing for the susceptible infection: infants, children, and adolescents: Mild to moderate infection: Oral: 20 to 30 mg/kg/day divided twice daily; maximum dose: 500 mg/dose, intramuscular or intravenous injections: 75 to 100 mg/kg/day divided in 3 doses; maximum dose: 1,500 mg/dose. While in case of severe infection: intramuscular or intravenous injections: 100 to 200 mg/kg/day divided in 3 to 4 doses; maximum dose: 1,500 mg/dose.
-Acute otitis media: Infants ≥3 months and children: Oral suspension: 15 mg/kg/dose twice daily for 10 days; maximum dose: 500 mg/dose.
-Pharyngitis/tonsillitis: Infants ≥3 months and children: Oral suspension: 10 mg/kg/dose twice daily for 10 days; maximum dose: 250 mg/dose. while the dose for adolescents is: Oral tablets: 250 mg twice daily for 10 days.
-Sinusitis: Infants ≥3 months and children: Oral suspension: 15 mg/kg/dose twice daily for 10 days; maximum dose: 500 mg/dose. Adolescents: Oral tablet: 250 mg twice daily for 10 days.
-Uncomplicated urinary tract infection: Infants and children 2 to 24 months: Oral suspension: 10 to 15 mg/kg/dose twice daily. While for children >24 months: Moderate to severe disease (possible pyelonephritis): Oral suspension: 20 to 30 mg/kg/day divided twice daily; maximum dose: 500 mg/dose. While for adolescents: Oral tablet: 250 mg twice daily for 7 to 10 days.
-Pneumonia: Infants and children: IV: 35 to 50 mg/kg/dose 3 times daily; maximum dose: 2,000 mg/dose.
Side Effects
Diarrhea, local thrombophlebitis, diaper rash, increased lactate dehydrogenase, nausea and vomiting, unpleasant taste, vaginitis, decreased hematocrit, decreased hemoglobin, eosinophilia, increased serum alanine aminotransferase, increased serum alkaline phosphatase, increased serum aspartate aminotransferase.
Safety Advice
-Should not be given to patients suffering from hypersensitivity to cefuroxime.
-Prolonged use may result in fungal or bacterial superinfection.
-Use with caution in patients with a history of colitis.
-Use with caution in patients with renal impairment.
-Use with caution in patients with a history of seizure disorder.
-Incase of over dose be ready to tell or show what was taken, how much and when it happened, and seek immediate medical attention. For additional information call us on 16676. Always tell your physician your detailed medical history.
Storage
Store at room temperature.
Drug Interactions
-Antacids: May decrease the serum concentration of Cefuroxime.
-BCG Vaccine: Antibiotics may diminish the therapeutic effect of BCG Vaccine.
-Histamine H2 Receptor Antagonists: May decrease the absorption of Cefuroxime.
-Inhibitors of the Proton Pump (PPIs and PCABs): May decrease the absorption of Cefuroxime.
-Sodium Picosulfate: Antibiotics may diminish the therapeutic effect of Sodium Picosulfate.
-Vitamin K Antagonists (eg, warfarin): Cephalosporins may enhance the anticoagulant effect of Vitamin K Antagonists.
Pregnancy & Lactation
-Cefuroxime crosses the placenta. An increased risk of major birth defects or other adverse fetal or maternal outcomes has generally not been observed following maternal use of cephalosporin antibiotics, including cefuroxime. Cefuroxime is one of the antibiotics effective for prophylactic use prior to cesarean delivery.
-Cefuroxime is present in breast milk. The relative infant dose (RID) of cefuroxime is 0.5%, in general, breastfeeding is considered acceptable when the RID is <10%. Diarrhea has been reported in breastfeeding infants exposed to cefuroxime. In general, antibiotics that are present in breast milk may cause non-dose-related modification of bowel flora, the decision to breastfeed during therapy should consider the risk of infant exposure, the benefits of breastfeeding to the infant, and benefits of treatment to the mother.
Manufacture
BIOMED PHARMACEUTICALS