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Roxicef

Roxicef

cefuroxime

Manufacturer:

Kilitch Drugs

Distributor:

ECE Pharma

Marketer:

Nelpa Lifesciences
Concise Prescribing Info
Contents
Cefuroxime Na
Indications/Uses
Infections in adults & childn, including neonates: Community acquired pneumonia; acute exacerbations of chronic bronchitis; complicated UTI, including pyelonephritis; intra-abdominal infections; prophylaxis against infection in GI (including esophageal), orthopedic, CV & gynaecological surgery (including caesarean section).
Dosage/Direction for Use
Adult & childn ≥40 kg Community acquired pneumonia, acute exacerbations of chronic bronchitis, cellulitis, erysipelas, wound infection, intra-abdominal infection 750 mg IV/IM every 8 hr. Complicated UTI, including pyelonephritis 1.5 g IV/IM every 8 hr. Severe infection 750 mg IV every 6 hr, or 1.5 g IV every 8 hr. Surgical prophylaxis for GI, gynaecological surgery (including caesarean section) & orthopedic operation 1.5 g w/ anaesth induction. May be supplemented w/ two 750 mg IM doses after 8 hr & 16 hr. Surgical prophylaxis for CV & oesophageal operation 1.5 g w/ induction of anaesth followed by 750 mg IM every 8 hr for a further 24 hr. Childn <40 kg, infant & toddler >3 wk Community acquired pneumonia, complicated UTI (including pyelonephritis), cellulitis, erysipelas, wound infection, intra-abdominal infection 30-100 mg/kg/day IV given as 3 or 4 divided doses. Infant (birth to 3 wk) 30-100 mg/kg/day IV given as 2 or 3 divided doses. Patient w/ renal impairment, CrCl 10-20 mL/min/1.73 m2 750 mg bid, CrCl <10 mL/min/1.73 m2 750 mg once daily. Patient on haemodialysis A further 750 mg IV/IM dose should be given at the end of each dialysis. Additionally, cefuroxime Na can be incorporated into peritoneal dialysis fluid (usually 250 mg for every 2 L of dialysis fluid). Patient w/ renal failure on continuous arteriovenous haemodialysis or high-flux haemofiltration 750 mg bid. For low-flux haemofiltration, follow dose recommendation under patient w/ renal impairment.
Contraindications
Hypersensitivity to cephalosporin.
Special Precautions
Patients w/ previous hypersensitivity reactions to cephalosporins, penicillin sensitivity or some forms of allergy, particularly to drugs; transient or persistent renal insufficiency; history of GI disease, particularly colitis. Evaluate renal status during therapy, especially in seriously ill patients receiving max doses. Prolonged use may result in overgrowth of non-susceptible organisms. Reports of mild to moderate hearing loss in ped patients treated for meningitis. May be associated w/ a fall in prothrombin activity. Concomitant use w/ potent diuretics or aminoglycoside antibiotics. Pregnancy & lactation. Ped patients <3 mth.
Adverse Reactions
Neutropenia, eosinophilia, decreased Hb conc; transient rise in liver enzymes; inj site reaction which may include pain & thrombophlebitis.
Drug Interactions
Reduced clearance w/ probenecid. May affect gut flora, leading to lower estrogen reabsorption & reduced efficacy of combined estrogen/progesterone OCs. Risk of nephrotoxicity w/ potent diuretics or aminoglycosides.
MIMS Class
Cephalosporins
ATC Classification
J01DC02 - cefuroxime ; Belongs to the class of second-generation cephalosporins. Used in the systemic treatment of infections.
Presentation/Packing
Form
Roxicef powd for inj 750 mg
Packing/Price
(vial + 10 mL amp diluent) 1's
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