Rovantin 40 mg/5 ml (Powder for Suspension)

50 ml bottle: ৳ 98.66

Medicine Details

Indications

  • Acute otitis media caused by Streptococcus pneumoniae, Streptococcus pyogenes, Haemophilus influenza, Moraxella catarrhalis
  • Pharyngitis/tonsillitis caused by Streptococcus pyogenes
  • Acute maxillary sinusitis caused by Haemophilus influenzae, Streptococcus pneumoniae, Moraxella catarrhalis
  • Community acquired pneumonia caused by S. pneumoniae or H. influenza
  • Acute bacterial exacerbation of chronic bronchitis caused by S. pneumoniae, H. influenzae, or M. catarrhalis

Pharmacology

  • Active metabolite is Cefpodoxime
  • 29-33% excreted unchanged in urine
  • Highly stable in presence of beta-lactamase enzyme
  • Activity against gram-negative and gram-positive bacteria

Dosage & Administration

  • Adults and Adolescents Dosage
  • Infants and Pediatric Patients Dosage
  • Dosing intervals for patients with severe renal impairment
  • Dose adjustment not necessary in patients with liver cirrhosis

Interaction

  • Antacids decrease peak plasma level by 24-42%
  • H2 blockers reduce extent of absorption by 27-32%
  • Probenecid inhibits renal excretion and increases AUC by approximately 31%
  • Close monitoring of renal function advised when administered with nephrotoxic compounds

Contraindications

  • Contraindicated in patients with known allergy to Cefpodoxime or cephalosporin group of antibiotics

Side Effects

  • Diarrhea
  • Nausea
  • Skin & vaginal fungal infection
  • Abdominal pain
  • Headache
  • Chest pain
  • Myalgia
  • Dyspepsia
  • Dizziness
  • Vertigo
  • Cough
  • Incidence of fungal skin rash higher in children

Pregnancy & Lactation

  • Neither teratogenic nor embryocidal in animal trial
  • No adequate and well-controlled study in pregnant women
  • Excreted in human milk
  • Decision should be made whether to discontinue breast-feeding or drug

Precautions & Warnings

  • Reduce total daily dose in patients with reduction in urinary output due to renal insufficiency
  • Administer with caution to patients receiving potent diuretics
  • Prolonged use may result in overgrowth of non-susceptible organisms
  • Repeated evaluation of the patient’s condition is essential

Therapeutic Class

  • Third generation Cephalosporins

Reconstitution

  • Instructions for reconstituting 50 ml suspension
  • Shake well before each use
  • Store in a cool and dry place, preferably in the refrigerator
  • Unused portion should be discarded after 14 days

Storage Conditions

  • Keep in a dry place away from light and heat
  • Keep out of the reach of children

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