Zedoxim 40 mg/5 ml (Powder for Suspension)

50 ml bottle: ৳ 95.00

Medicine Details

Indications

  • Treatment of acute otitis media caused by specific microorganisms
  • Treatment of pharyngitis/tonsillitis caused by specific microorganisms
  • Treatment of acute maxillary sinusitis caused by specific microorganisms
  • Treatment of community acquired pneumonia caused by specific microorganisms
  • Treatment of acute bacterial exacerbation of chronic bronchitis caused by specific microorganisms
  • Treatment of skin and skin structure infections caused by specific microorganisms
  • Treatment of uncomplicated urinary tract infections caused by specific microorganisms
  • Treatment of uncomplicated gonorrhea caused by specific microorganisms
  • Treatment of rectal gonococcal infections in women caused by specific microorganisms

Pharmacology

  • Oral 3rd generation cephalosporin
  • Good stability to beta lactamases
  • Activity against gram-negative and gram-positive bacteria
  • Prodrug with active metabolite Cefpodoxime
  • Approximately 29-33% excretion unchanged in urine in 12 hours
  • Effective against wide range of gram-positive & gram-negative bacteria

Dosage and administration

  • Specific dosages for different infections in adults, adolescents, infants, and pediatric patients
  • Dosing interval adjustment for patients with severe renal impairment
  • No dose adjustment necessary for patients with liver cirrhosis

Interaction

  • Interaction with antacids leading to reduced peak plasma levels and absorption
  • Renal excretion inhibition by probenecid leading to increased AUC
  • Close monitoring of renal function advised when administered with nephrotoxic drugs

Contraindications

  • Not to be used by patients with known allergy to Cefpodoxime or cephalosporin antibiotics

Side effects

  • Side effects including diarrhea, nausea, fungal infections, abdominal pain, headache, chest pain, myalgia, dizziness, cough, etc.
  • Higher incidence of fungal skin rash in children

Pregnancy and lactation

  • No adequate and well-controlled study in pregnant women
  • Use during pregnancy only if clearly needed
  • Excreted in human milk, decision should be made whether to discontinue breast-feeding or the drug

Precautions and warnings

  • Reduction of total daily dose in patients with reduced urinary output or renal insufficiency
  • Use with caution in patients receiving concurrent treatment with potent diuretics
  • Risk of overgrowth of non-susceptible organisms with prolonged use

Therapeutic class

  • Belongs to third generation Cephalosporins

Reconstitution

  • Instructions for reconstituting the suspension
  • Shake well before each use
  • Storage instructions for the reconstituted suspension

Storage conditions

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

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