Sefin 500 mg/vial (IM/IV Injection)

500 mg vial: ৳ 50.35

Medicine Details

Indications

  • Upper respiratory tract infections
  • Lower respiratory tract infections
  • Urinary tract infections
  • Skin and soft tissue infections

Pharmacology

  • Bactericidal antibiotic
  • Active against gram-positive and gram-negative microorganisms
  • Inhibits cross-linking process in bacteria cell wall

Dosage & Administration

  • For oral administration - Adults:
    • 500mg four times daily
    • 1g twice daily
  • For oral administration - Children:
    • Total daily dose of 25 to 50mg/kg
    • Maximum daily dosage: 4 gm
  • For injectable administration - Adult:
    • 2-4 gm daily in four equally divided doses up to 8 gm daily
    • Prophylaxis dose: 1-2 gm intramuscularly or intravenously
  • For injectable administration - Children:
    • 50-100 mg/kg daily in four equally divided doses
    • Up to 300 mg/kg daily in severe infection

Interaction

  • Risk of kidney damage with nephrotoxic drugs
  • Enhanced renal toxicity with diuretics and probenecid

Contraindications

  • Hypersensitivity to cephalosporins

Side Effects

  • Gastro-intestinal disturbances
  • Hypersensitivity reactions
  • Glossitis
  • Dizziness
  • Nervousness
  • Reversible interstitial nephritis

Pregnancy & Lactation

  • Excretion in breast milk
  • Caution in lactating mothers
  • Caution in pregnancy due to limited safety data

Precautions & Warnings

  • Risk of superinfection with prolonged use
  • Care with penicillin-sensitive patients
  • Coombs’ testing caution
  • Possible false positive urine glucose result
  • Dosage adjustment for renal impairment
  • Contains lactose

Use in Special Populations

  • Recommended doses for renal impairment
  • Higher doses for chronic or severe infections
  • Regular bacteriological and clinical monitoring for urinary tract infections

Overdose Effects

  • Non-specific symptoms
  • Supportive treatment
  • Gastric lavage for large ingestions

Therapeutic Class

First generation Cephalosporins

Storage Conditions

  • Freshly prepared suspension
  • Reconstituted suspension within 7-14 days
  • Injection solutions within 2 hours at room temperature or 12 hours at 5°C
  • Retain potency for 12 hours
  • Dispensed on prescription

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