RiteMED Cefuroxime

RiteMED Cefuroxime

cefuroxime

Manufacturer:

RiteMED

Distributor:

RiteMED
Concise Prescribing Info
Contents
Cefuroxime (tab: axetil; inj: Na)
Indications/Uses
Tab: Treatment of susceptible infections including upper & lower resp tract, uncomplicated skin & skin structure infections, uncomplicated UTI, uncomplicated gonorrhea & early Lyme disease. Inj: Treatment of infections including resp tract infections, UTI, skin & soft tissue infections, septicemia, meningitis, gonorrhea & bone & joint infections.
Dosage/Direction for Use
Tab Adult & adolescent ≥13 yr Acute sinusitis, tonsillopharyngitis & bacterial exacerbations of chronic bronchitis; uncomplicated skin & skin structure infections 250-500 mg 12 hrly for 10 days. Acute otitis media 500 mg 12 hrly for 10 days. Secondary bacterial infections of acute bronchitis 250-500 mg 12 hrly for 5-10 days. Uncomplicated UTI including pyelonephritis 250-500 mg 12 hrly for 7-10 days. Uncomplicated gonorrhea 1,000 mg as a single dose. Early Lyme disease 500 mg 12 hrly for 20 days. Inj Deep IM inj, slow IV inj over 3-5 min or by IV infusion. Adult 750 mg by IM or IV inj every 8 hr. Severe infection 1.5 mg IV every 6-8 hr. Pneumonia 1.5 mg IM or IV inj bid for 48-72 hr followed by oral cefuroxime for 7-10 days. Acute exacerbation of chronic bronchitis 750 mg IM or IV inj bid followed by oral cefuroxime for 5-10 days. Meningitis 3 g IV every 8 hr. Gonorrhea 1.5 g IM single dose, divided between 2 different inj sites. Surgical infection prophylaxis 1.5 g IV pre-op, supplemented by 750 mg IM every 8 hr for up to 24-48 hr depending upon the procedure. Infant & childn 30-60 mg/kg daily, increase to 100 mg/kg daily if necessary, given in 3 or 4 divided doses. Meningitis 200-400 mg/kg daily IV in 3-4 divided doses, decreased to 100 mg/kg daily after 3 days or when there is clinical improvement. Neonates Similar dose w/ infant & childn, but in 2 or 3 divided doses. Meningitis 100 mg/kg IV daily, decreased to 50 mg/kg daily when indicated. Adult w/ marked renal impairment (CrCl 10-20 mL/min) 750 mg bid; <10 mL/min 750 mg once daily. Patients on hemodialysis 750 mg by IV or IM at the end of each dialysis.
Administration
Should be taken with food.
Special Precautions
Hypersensitivity. Elderly. Tab: Consider diagnosis of C. difficile-associated diarrhea (CDAD) in patients who develop diarrhea. Discontinue use if seizure develops. History of GI disease particularly colitis. Monitor prothrombin time. Transient Jarisch-Herxheimer reaction. Porphyria; renal & hepatic impairment. Overgrowth of nonsusceptible organism (prolonged or repeated use). May impair ability to drive or operate machinery. Pregnancy & lactation. Inj: Monitor renal function in patients receiving high dose cephalosporins; pre-existing renal impairment.
Adverse Reactions
Tab: Dermatologic/hypersensitivity reactions, GI, hematologic, nervous system, musculoskeletal, genitourinary, hepatic, resp & CV effects; Jarisch-Herxheimer reaction, mild to severe hearing loss, increased or decreased serum glucose conc, lockjaw-type reactions & viral illness. Inj: GI disturbance including diarrhea, nausea, vomiting; SJS & TEN; moderate hearing loss.
Drug Interactions
Tab: Increased conc & reduced tubular secretion w/ probenecid. Increased risk of nephrotoxicity w/ aminoglycosides. Concomitant use of potent diuretics including furosemide & ethacrynic acid may increase the risk of renal toxicity. Decreased bioavailability w/ oral antacids. May reduce estrogen absorption & efficacy of combined OCs. Inj: Reduced renal clearance w/ probenecid.
MIMS Class
Cephalosporins
ATC Classification
J01DC02 - cefuroxime ; Belongs to the class of second-generation cephalosporins. Used in the systemic treatment of infections.
Presentation/Packing
Form
RiteMED Cefuroxime powd for inj 750 mg
Packing/Price
1's (P272/vial)
Form
RiteMED Cefuroxime tab 250 mg
Packing/Price
100's (P3,100/box, P31/tab)
Form
RiteMED Cefuroxime tab 500 mg
Packing/Price
60's (P52.75/tab, P3,165/box)
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