Oditen 400 mg (Capsule)

Unit Price: ৳ 120.00 (1 x 7: ৳ 840.00)
Strip Price: ৳ 840.00

Medicine Details

Indications

  • Acute Bacterial Exacerbations of Chronic Bronchitis
  • Acute Bacterial Otitis Media
  • Pharyngitis and Tonsillitis

Pharmacology

Ceftibuten is a semi-synthetic Cephalosporin antibiotic for oral administration that exerts its bactericidal action by binding to essential target proteins of the bacterial cell wall.

Dosage & Administration

  • Otitis Media:
    • 400 mg orally every 24 hours for 10 days
    • >6 months: 9 mg/kg/day (maximum 400 mg) every 24 hours for 10 days
  • Tonsillitis/Pharyngitis:
    • 400 mg orally every 24 hours for 10 days
    • >6 months: 9 mg/kg/day (maximum 400 mg) every 24 hours for 10 days
  • Bronchitis:
    • 400 mg orally every 24 hours for 10 days
    • >12 years: 400 mg orally every 24 hours for 10 days
  • Cystitis:
    • 400 mg orally every 24 hours for 7 days
    • >12 years: 400 mg orally every 24 hours for 7 days
  • Pneumonia:
    • 200 mg orally every 12 hours for 7 to 14 days
    • >12 years: 200 mg orally every 12 hours for 7 to 14 days
  • Sinusitis:
    • 400 mg orally every 24 hours for 10 to 14 days
    • >12 years: 400 mg orally every 24 hours for 10 to 14 days
  • Urinary tract Infection:
    • 400 mg orally every 24 hours for 10 days
    • >6 months: 9 mg/kg/day (maximum 400 mg) every 24 hours for 10 days

Interaction

  • Theophylline & Antacid do not alter the pharmacokinetic profile of Oditen.
  • Ranitidine increases the Cmax & AUC of Oditen.

Contraindications

Ceftibuten is contraindicated in patients with known allergy to the cephalosporin group of antibiotics.

Side Effects

  • Nausea
  • Headache
  • Diarrhea
  • Dyspepsia
  • Dizziness
  • Abdominal Pain
  • Vomiting

Pregnancy & Lactation

  • Pregnancy Category: B
  • Recommendation: Ceftibuten should be used in pregnancy only when the benefit clearly outweighs the risk. Caution should be exercised when Ceftibuten is administered to nursing women.

Precautions & Warnings

  • Prolonged treatment may result in the emergence and overgrowth of resistant organisms.
  • Careful observation of the patient is essential.
  • The dose may require adjustment in patients with varying degrees of renal insufficiency.
  • Cautious use in individuals with a history of gastrointestinal disease, particularly colitis.

Use in Special Populations

  • Renal Impairment:
    • CrCl 5 to 29 ml/min: 2.25 mg/kg or 100 mg orally once a day
    • CrCl 30 to 49 ml/min: 4.5 mg/kg or 200 mg orally once a day
  • Hepatic Impairment: Dose adjustment is not necessary.

Therapeutic Class

Third generation Cephalosporins

Reconstitution

  • The small bottle contains purified water and large bottle contains granules
  • Pour the purified water completely into the large bottle
  • Tighten the cap of the large bottle and shake the bottle for at least one minute
  • Use a measuring cup or dropper for reconstituted suspension
  • Prepared suspension to be consumed within 14 days of preparation if kept in a refrigerator
  • Shake the bottle well each time before use.

Storage Conditions

Store below 25°C, protected from light and moisture. For Suspension: After reconstitution, the suspension may be used for 14 days while stored at 2°C to 8°C. Keep out of reach of children.

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