Winner 1 gm/vial (IM Injection)

1 gm vial: ৳ 180.68

Medicine Details

Indications

  • Lower respiratory tract infections
  • Acute Bacterial Otitis Media
  • Skin and skin structure infections
  • Urinary tract infections
  • Gonorrhea
  • Bacterial Septicemia
  • Bone and joint infections
  • Meningitis
  • Prevention of postoperative infections
  • Perioperative prophylaxis of infections associated with surgery

Pharmacology

  • Broad-spectrum parenteral cephalosporin antibiotic
  • Bactericidal activity against Gram-positive and Gram-negative organisms
  • Interferes with bacterial cell wall synthesis
  • Long plasma elimination half-life of 6 to 9 hours
  • High stability in the presence of beta lactamases
  • Not metabolized in the body
  • Excreted in urine and bile
  • Highly protein bound (95%)

Dosage

  • Usual dose of 1 to 2 gm by intravenous or intramuscular administration once a day
  • Different doses for various infections and age groups

Administration

  • Preparation of solutions for intramuscular/intravenous injections
  • Intramuscular injection requires Lidocaine HCI 1% injection
  • Intravenous injection requires Water for Injection USP
  • Injection administered over 2-4 minutes or by tubing infusion over 30 minutes
  • Patient tolerance test recommended before starting treatment

Interaction

  • No reported drug interactions

Contraindications

  • Not to be given to patients with hypersensitivity to cephalosporin antibiotics

Side Effects

  • Generally well tolerated
  • Common side effects include gastro-intestinal effects, cutaneous reactions, hematologic reactions, hepatic reactions, CNS reactions
  • Local phlebitis rare following intravenous administration

Pregnancy & Lactation

  • Safety in human pregnancy not established
  • Caution advised during lactation due to excretion in human milk

Precautions & Warnings

  • Anaphylactic shock possible
  • Gallbladder sludge detected in rare cases
  • Blood picture should be checked during prolonged treatment

Use in Special Populations

  • Not recommended for neonates if premature or newborn (up to 28 days of age)

Overdose Effects

  • No specific antidote
  • Symptomatic treatment advised

Therapeutic Class

  • Third generation Cephalosporins

Storage Conditions

  • Store in a cool, dry place below 30°C
  • Away from light and moisture
  • Keep out of reach of children

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