Sefin 125 mg/1.25 ml (Pediatric Drops)

15 ml bottle: ৳ 50.35

Medicine Details

Indications

  • Treatment of infections caused by sensitive Gram-positive and Gram-negative bacteria
  • Upper respiratory tract infections (sinusitis, pharyngitis, tonsillitis, laryngo-tracheo bronchitis, otitis media)
  • Lower respiratory tract infections (bronchitis, lobar pneumonia, bronchopneumonia)
  • Urinary tract infections (cystitis, urethritis, pyelonephritis)
  • Skin and soft tissue infections (abscess, cellulitis, furunculosis, impetigo)

Pharmacology

  • Semisynthetic broad-spectrum bactericidal antibiotic
  • Active against both gram-positive and gram-negative microorganisms
  • Inhibition of cross-linking process in cell walls of bacteria

Dosage & Administration

  • Oral administration for adults
  • Oral administration for children
  • Injectable administration for adults
  • Injectable administration for children
  • Elderly dosage considerations
  • Dosage adjustments in renal impairment

Interaction

  • Concomitant use of nephrotoxic drugs
  • Enhanced risk of renal toxicity with diuretics and probenecid

Contraindications

  • Hypersensitivity to cephalosporins

Side Effects

  • Gastro-intestinal disturbances
  • Hypersensitivity phenomena
  • Skin reactions
  • Glossitis
  • Dizziness
  • Nausea
  • Vomiting
  • Diarrhoea
  • Abdominal pain
  • Vaginitis
  • Candida overgrowth
  • Thrombocytopenia
  • Agranulocytosis
  • Fever
  • Anaphylaxis
  • Confusion
  • Liver enzyme disturbances
  • Transient hepatitis
  • Reversible interstitial nephritis
  • Elevation of blood urea nitrogen

Pregnancy & Lactation

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

Precautions & Warnings

  • Prolonged use may result in superinfection
  • Administration with care to patients hypersensitive to penicillins
  • Potential positive result in Coombs’ testing
  • Potential false positive urine glucose result
  • Dosage adjustment in renal impairment
  • Contains lactose
  • Caution in patients with rare hereditary problems

Use in Special Populations

  • Recommended doses for renal impairment
  • Additional information for all patients
  • Higher doses may be required for chronic or severe infections
  • Monitoring required for urinary tract infections
  • Transfer from intramuscular/intravenous to oral treatment

Overdose Effects

  • Non-specific symptoms (nausea, vomiting, diarrhea, gastric upsets)
  • Supportive treatment
  • Gastric lavage if large amount ingested

Therapeutic Class

  • First generation Cephalosporins

Storage Conditions

  • Preparation and usage guidelines for suspension
  • Storage duration for reconstituted solutions
  • Potency retention at different temperatures
  • Dispensing only on prescription

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