Cefuroxime Axetil

Availability

70mL Bottle

Therapeutic Class

ANTI-INFECTIVES

Mode of Action

Antibacterial Pharmacology: Pharmacokinetics: Cefuroxime axetil is absorbed from the GIT and is rapidly hydrolyzed in the intestinal mucosa and blood to cefuroxime. Absorption is enhanced in the presence of food. Peak plasma concentrations are reported about 2-3 hrs after an oral dose. It is widely distributed in the body including pleural fluid, sputum, synovial fluid and aqueous humor, but only achieves therapeutic concentrations in the CSF when the meninges are inflamed. It crosses the placenta and has been detected in breast milk. It is excreted unchanged by glomerular filtration and renal tubular secretion and high concentrations are achieved in the urine.

Indication

Oral susp: Treatment of susceptible infections including bone & joint; bronchitis (& other lower resp tract infections), gonorrhea, meningitis, otitis media, peritonitis, pharyngitis, sinusitis, skin infections (including soft tissue infections) & UTI. Surgical infection prophylaxis.

Dosage

Oral susp Adult Uncomplicated resp tract infection 2.5 mL bid. Resp tract infection 5-10 mL bid. Childn >2 yr Otitis media 5 mL or 15 mg/kg bid. Max: 10 mL daily. >3 mth 2.5 mL or 10 mg/kg bid. Max: 5 mL daily.

Contradiction

Hypersensitivity to Cephalosporin

Special Precaution

History of allergy. Oral susp: Patients w/ renal impairment. Monitor renal hematological status especially during prolonged & high-dose therapy.

Drug Interaction

Reduced renal clearance w/ probenecid.