Cefamax 90 mg/5 ml (Powder for Suspension)
Medicine Details
| Category | Details |
|---|---|
| Generic | Ceftibuten dihydrate |
| Company | Incepta pharmaceuticals ltd |
| Also available as |
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. It exerts its bactericidal action by binding to essential target proteins of the bacterial cell wall, leading to inhibition of cell-wall synthesis.
Dosage & Administration
- Otitis Media Adult Dosage: 400 mg orally every 24 hours for 10 days
- Otitis Media Pediatric Dosage: >6 months: 9 mg/kg/day (maximum 400 mg) every 24 hours for 10 days
- Tonsillitis/Pharyngitis Adult Dosage: 400 mg orally every 24 hours for 10 days
- Tonsillitis/Pharyngitis Pediatric Dosage: >6 months: 9 mg/kg/day (maximum 400 mg) every 24 hours for 10 days
- Bronchitis Adult Dosage: 400 mg orally every 24 hours for 10 days
- Bronchitis Pediatric Dosage: >12 years: 400 mg orally every 24 hours for 10 days
- Cystitis Adult Dosage: 400 mg orally every 24 hours for 7 days
- Cystitis Pediatric Dosage: >12 years: 400 mg orally every 24 hours for 7 days
- Pneumonia Adult Dosage: 200 mg orally every 12 hours for 7 to 14 days
- Pneumonia Pediatric Dosage: >12 years: 200 mg orally every 12 hours for 7 to 14 days
- Sinusitis Adult Dosage: 400 mg orally every 24 hours for 10 to 14 days
- Sinusitis Pediatric Dosage: >12 years: 400 mg orally every 24 hours for 10 to 14 days
- Urinary tract Infection Adult Dosage: 400 mg orally every 24 hours for 10 days
- Urinary tract Infection Pediatric Dosage: >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 Cefamax. Ranitidine increases the Cmax & AUC of Cefamax.
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. Use in pregnancy only when the benefit clearly outweighs the risk. Caution should be excercised when Ceftibuten is administered to nursing women.
Precautions & Warnings
Prolonged treatment may result in the possible emergence and overgrowth of resistant organisms. Careful observation of the patient is essential. The dose of Cefamax may require adjustment in patients with varying degrees of renal insufficiency. Caution should be exercised 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 large bottle
- Tighten the cap of 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. After reconstitution, the suspension may be used for 14 days while stored at 2°C to 8°C. Keep out of reach of children.