Cefotime 250 mg/5 ml (IM/IV Injection)

250 mg vial: ৳ 50.00

Medicine Details

Indications

  • Septicaemia treatment
  • Respiratory tract infection treatment
  • Urinary tract infection treatment
  • Soft-tissue infection treatment
  • Bone and joint infection treatment
  • Obstetric and gynaecological infection treatment
  • Gonorrhoea treatment
  • Bacterial meningitis treatment
  • Infection prophylaxis for surgical procedures

Pharmacology

  • Binds to penicillin binding proteins
  • Inhibits peptidoglycan synthesis
  • Broad-spectrum bactericidal
  • Effective against gram-negative organisms
  • Activity against gram-positive bacteria

Dosage & Administration

  • Recommended adult dosage: 1 gm every 12 hourly
  • Variation of dosage based on severity of infection
  • Increased dosage for infections caused by Pseudomonas spp.
  • Usual children dosage range: 100-150 mg/kg/day
  • Increased children dosage for severe infections
  • Recommended neonates dosage: 50 mg/kg/day
  • Increased neonates dosage for severe infections
  • 500 mg dosage for gonorrhoea treatment

Interaction

  • Increased nephrotoxicity with aminoglycoside antibiotics

Contraindications

  • Hypersensitivity to cefotaxime or cephalosporin antibiotics

Side Effects

  • Relatively infrequent and mild adverse reactions
  • Adverse effects include candidiasis, rashes, fever
  • Transient rises in liver transaminase and/or alkaline phosphatase
  • Diarrhoea
  • Rare occurrence of pseudomembranous colitis
  • Changes in renal function observed with high doses
  • Hypersensitivity reactions reported

Pregnancy & Lactation

  • Safety not established in human pregnancy
  • Caution advised for administration during first trimester
  • Excretion in milk

Precautions & Warnings

  • Caution in individuals with gastrointestinal disease
  • Dosage reduction in renal insufficiency
  • No clinical evidence supporting dosage change in severe renal dysfunction

Use in Special Populations

  • Dosage reduction in severe renal failure
  • Further dosage adjustment based on infection course and patient's condition

Therapeutic Class

  • Third generation Cephalosporins

Storage Conditions

  • Store below 25°C
  • Protected from light and moisture
  • Use reconstituted solution immediately
  • Reconstituted solution stable for up to 24 hours if stored between 2°C to 8°C

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