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

250 mg vial: ৳ 75.00

Medicine Details

Category Details
Generic Cefotaxime
Company Square pharmaceuticals plc

Indications

  • Treatment of various infections including respiratory tract infections, urinary tract infections, soft-tissue infections, bone and joint infections, obstetric and gynaecological infections, and other bacterial infections
  • Prophylactic use to reduce post-operative infections in certain surgical procedures

Pharmacology

  • Binds to penicillin binding proteins to inhibit cell wall synthesis in bacteria, leading to cell death
  • Broad spectrum bactericidal 3rd generation cephalosporin antibiotic

Dosage & Administration

  • Recommended dosage for adults in mild to moderate infections is 1 gm every 12 hours
  • Dosage may be varied based on severity of infection and patient condition
  • Different dosage ranges for children and neonates
  • Specific dosage for gonorrhoea treatment

Interaction

  • Increased nephrotoxicity reported with concomitant use of cephalosporins and aminoglycoside antibiotics

Contraindications

  • Hypersensitivity to cefotaxime or cephalosporin antibiotics

Side Effects

  • Mild and transient adverse reactions include candidiasis, rashes, fever, liver enzyme level changes, and diarrhea
  • Rare occurrences of pseudomembranous colitis, renal function changes, encephalopathy, and hypersensitivity reactions

Pregnancy & Lactation

  • Safety in human pregnancy not established, cautious use during pregnancy especially in the first trimester
  • Excreted in breast milk

Precautions & Warnings

  • Caution in patients with gastrointestinal disease
  • Dosage adjustment necessary in patients with renal insufficiency
  • No evidence to change dosage in patients with renal dysfunction

Use in Special Populations

  • Reduced dosage required in severe renal failure
  • Individual dosing adjustment based on infection course and patient condition

Therapeutic Class

  • Third generation cephalosporins

Storage Conditions

  • Store below 25°C, protected from light and moisture
  • Reconstituted solution stable for up to 24 hours if stored between 2°C to 8°C

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