Sefacin 125 mg/5 ml (Powder for Suspension)

100 ml bottle: ৳ 85.00

Medicine Details

Indications

  • Treatment of infections caused by sensitive Gram-positive and Gram-negative bacteria
  • Upper respiratory tract infections
  • Lower respiratory tract infections
  • Urinary tract infections
  • Skin and soft tissue infections

Pharmacology

  • Semisynthetic broad spectrum bactericidal antibiotic
  • Active against both gram-positive and gram-negative microorganisms
  • Main site of action is the cell wall of bacteria
  • Inhibits cross-linking process in cell wall

Dosage & Administration

  • For oral administration - Adults:
    • Urinary tract infections
    • Respiratory tract infections
    • Skin and soft tissue infections
  • For oral administration - Children:
    • Total daily dose of 25 to 50mg/kg
    • Otitis media
    • Maximum daily dosage: 4 gm
  • For injectable administration - Adult:
    • Usual dose is 2-4 gm daily
    • Single preoperative dose of 1-2 gm for prophylaxis
  • For injectable administration - Children:
    • Dose is 50-100 mg/kg daily
    • Up to 300 mg/kg daily in severe infection

Interaction

  • Concomitant use with nephrotoxic drugs may increase risk of kidney damage
  • Diuretics and probenecid enhance possibility of renal toxicity

Contraindications

  • Hypersensitivity to cephalosporins

Side Effects

  • Limited essentially to gastro-intestinal disturbances
  • Hypersensitivity phenomena
  • Glossitis
  • Heartburn
  • Skin reactions
  • Fever
  • Anaphylaxis
  • Liver enzyme disturbances
  • Reversible interstitial nephritis

Pregnancy & Lactation

  • Safety in pregnancy not established
  • Excreted in breast milk
  • Caution in lactating mothers

Precautions & Warnings

  • Prolonged use may result in development of superinfection
  • Administer with care to patients hypersensitive to penicillins
  • May cause false positive urine glucose result
  • Dosage adjustment necessary in renal impairment
  • Contains lactose, caution in patients with rare hereditary problems

Use in Special Populations

  • Recommended doses for patients with renal impairment and on haemodialysis
  • Higher doses may be required for chronic or severe infections

Overdose Effects

  • Non-specific symptoms such as nausea, vomiting, and diarrhoea
  • Supportive treatment
  • Gastric lavage if necessary

Therapeutic Class

First generation Cephalosporins

Storage Conditions

  • Suspension should be freshly prepared
  • Reconstituted Suspension should be used within 7-14 days
  • Injection solutions should be used within 2 hours at room temperature
  • Retains potency for 12 hours at 5°C
  • Variation in color does not affect potency
  • Do not use later than the date of expiry
  • Keep out of reach of children
  • To be dispensed only on prescription of a registered physician

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