Cefotime 500 mg/10 ml (IM/IV Injection)

500 mg vial: ৳ 76.00

Medicine Details

Indications

  • Treatment of septicaemia
  • Treatment of respiratory tract infections
  • Treatment of urinary tract infections
  • Treatment of soft-tissue infections
  • Treatment of bone and joint infections
  • Prophylactic treatment

Pharmacology

  • Binds to penicillin binding proteins
  • Inhibits transpeptidation
  • Broad spectrum bactericidal
  • Active against gram-negative organisms
  • Active against gram-positive bacteria

Dosage & Administration

  • Recommended adult dosage: 1 gm every 12 hours
  • Variation of dosage based on severity of infection
  • Increased dosage for severe infections
  • Usual children dosage range: 100-150 mg/kg/day
  • Increased children dosage for severe infections
  • Neonatal dosage: 50 mg/kg/day
  • Increased neonatal dosage for severe infections
  • Dosage for gonorrhoea: 500 mg as a single dose

Interaction

  • Increased nephrotoxicity with aminoglycoside antibiotics

Contraindications

  • Hypersensitivity to cefotaxime or cephalosporin antibiotics

Side Effects

  • Candidiasis
  • Skin rashes
  • Fever
  • Transient rise in liver transaminase
  • Transient rise in alkaline phosphatase
  • Diarrhoea
  • Pseudomembranous colitis
  • Changes in renal function
  • Encephalopathy
  • Hypersensitivity reactions

Pregnancy & Lactation

  • Safety in human pregnancy not established
  • Excretion in milk

Precautions & Warnings

  • Prescribed with caution in gastrointestinal disease
  • Caution in colitis history
  • Dosage reduction in renal insufficiency
  • No clinical evidence supporting dosage change in profound renal dysfunction

Use in Special Populations

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