Cefixime + Ofloxacin Pharmacology

Cefixime + Ofloxacin

About Cefixime + Ofloxacin
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Mechanism of Action of Cefixime + Ofloxacin
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Pharmacokinets of Cefixime + Ofloxacin
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Onset of Action for Cefixime + Ofloxacin
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Duration of Action for Cefixime + Ofloxacin
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Half Life of Cefixime + Ofloxacin
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Side Effects of Cefixime + Ofloxacin
N/A
Contra-indications of Cefixime + Ofloxacin
N/A
Special Precautions while taking Cefixime + Ofloxacin
N/A
Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Use with caution
Indications for Cefixime + Ofloxacin
1.Tonsillitis
2.Pharingitis
3.Bronchitis
4.UTI
5.Gonorrhea
6.Infections caused by susceptible bacterias
Interactions for Cefixime + Ofloxacin
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Typical Dosage for Cefixime + Ofloxacin
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Schedule of Cefixime + Ofloxacin
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Storage Requirements for Cefixime + Ofloxacin
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Effects of Missed Dosage of Cefixime + Ofloxacin
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Effects of Overdose of Cefixime + Ofloxacin
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Cefixime

About Cefixime
Third Generation Cephalosporin Oral antibiotic
Mechanism of Action of Cefixime
Cefixime is an orally active 3rd generation cephalosporin which exerts its bactericidal action against both gram positive & gram negative organisms by inhibiting bacterial cell wall synthesis. Cefixime inhibits transpeptidase & thus prevents cross linking of bacterial cell wall. Transpeptidase & associated proteins constitute various types of specific binding proteins which have affinity for cephalosporins like Cefixime. It is highly active against enterobacteriaceae, Haemophilus influenzae, Streptococcus pyogens & Streptococcus pneumonia &many beta lactamase producing bacteria.
Pharmacokinets of Cefixime
Absorption: Absorbed orally up to 50 % & food delays absorption Distribution: widely distributed, Metabolism: A portion of drug is metabolized in the body. Excretion: Excreted mainly through urine
Onset of Action for Cefixime
Within one hour
Duration of Action for Cefixime
18 hours
Half Life of Cefixime
3 hour
Side Effects of Cefixime
1. Diarrhea & stool changes
2. Rashes & allergic manifestation
3. Vaginitis
4. Nephrotoxicity
5. Pseudo membranous colitis
6. Nausea
7. Vomiting
8. Elevated liver enzymes
9. Leucopenia
10.Thrombocytopenia
11. Headache
12. Dizziness
13.Pruritus
14.Candidiasis
Contra-indications of Cefixime
1.Hypersensitivity to cephalosporins
2.Along with carbamazepine
3.Pseudo membranous colitis
Special Precautions while taking Cefixime
1.Renal impairment
2.Patient allergic to penicillins
3.Use cautiously along with salicylates & Probenecid
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Above 6 months: may be used
Neonates: contraindicated
Indications for Cefixime
1.Tonsillitis
2.Pharyngitis
3.Otitismedia
4.Bronchitis
5.Urinary tract infections
6.Gonorrhea
7.Infections caused by susceptible organisms.
Interactions for Cefixime
Probenecid: Increases and prolongs the effect.
Oral anticoagulants: Effects of anticoagulants potentiated.
Typical Dosage for Cefixime
Adults: 200 to 400mg once daily or two divided doses
Children: 8mg/kg/day once daily or two divided doses.
Schedule of Cefixime
H
Storage Requirements for Cefixime
N/A
Effects of Missed Dosage of Cefixime
Take the missed dose as soon as noticed and if it is the time to take the next dose then skip the missed dose.
Effects of Overdose of Cefixime
Adopting supportive measures. Treatment includes removal of drug from the body by gastric lavage &dialysis

Ofloxacin

About Ofloxacin
A second generation fluoroquinolone(quinolones), Antibiotic.
Mechanism of Action of Ofloxacin
Ofloxacin is a bactericidal drug. It act by inhibiting the enzyme DNA gyrase (Topoisomerase 2) and Topoisomerase 4.DNA gyrase helps in the formation of a highly condensed three dimensional structure of the DNA by its nicking and closing activity and also by introducing negative supercoil in to the DNA double helix. Ofloxacin inhibits DNA gyrase which results in abnormal linkage between opened DNA and gyrase and negative supercoiling is also impaired. This will inhibits transcription of DNA in to RNA and subsequent protein synthesis.
Pharmacokinets of Ofloxacin
Absorption: Ofloxacin is rapidly and completely absorbed after oral administration.
Distribution: It is widely distributed in the body.
Metabolism: It undergoes insignificant metabolism.
Excretion: Drug is excreted mainly through urine.
Onset of Action for Ofloxacin
With in 0.5 hour
Duration of Action for Ofloxacin
12 - 16 hours
Half Life of Ofloxacin
5 - 8 hours
Side Effects of Ofloxacin
1. Nausea
2. Vomiting
3. Diarrhoea
4. Abdominal discomfort
5. Constipation
6. Dry mouth
7. Dizziness
8. Headache
9. Rash
10. Pruritis
11. Pseudomembranous colitis
12. Visual disturbances
13. Insomnia
Contra-indications of Ofloxacin
1. Hypersensitivity to Ofloxacin and other Fluoroquinolones
Special Precautions while taking Ofloxacin
1. Hepatic impairment
2. Renal impairment
3. Cerebral arteriosclerosis
4. Epilepsy
5. CNS disease
6. Avoid exposure to sunlight
7. Caution while driving the vehicle or operating machine or involved in any hazardous activities.

Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Contraindicated
NEONATES : Contraindicated

Indications for Ofloxacin
1. Bronchitis
2. Pneumonia
3. Urinary tract infection
4. Bone and joint infections
5. Intra-abdominal infections
6. Gonorrhoea
7. ENT infections
8. Skin and soft tissue infections
9. Typhoid fever
10. Prostatis
11. Otitis
12. Gynaecological infections
13. Conjunctivitis
14. Keratitis
15. Urethritis
16. Cervicitis
Interactions for Ofloxacin
Oral Anticoagulants: The effects of oral anticoagulants, may be increased.
Theophylline: Increased plasma levels of theophylline resulting in toxicity.
NSAID`s: CNS excitation may occur.
Typical Dosage for Ofloxacin
Adults: 200 - 400 mg / day depending on the severity and type of infection
Bronchitis, Pneumonia, Skin and soft tissue infections: 800 mg / day in 2 divided doses for 10 days
Gonorrhoea: 400 mg as a single dose.
Prostatis, Cervicitis & Urethritis: 600 mg / day in 2 divided doses for 1 week.
UTI: 200 - 800 mg / day in single or divided doses
Typhoid fever: 400 - 800 mg / day in 2 divided doses

Schedule of Ofloxacin
H
Storage Requirements for Ofloxacin
Store at 15 - 30 degree C in a tightly closed container.
Effects of Missed Dosage of Ofloxacin
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose.
Effects of Overdose of Ofloxacin
Give supportive measures and symptomatic treatment. Gastric lavage has to be done.

Home Delivery for Cefixime + Ofloxacin in Your City

Medicine India is just a publishing medium for medicine related information and does not provide services or sales of medicines including cefixime + ofloxacin.

However, we do publish a comprehensive directory of Pharmacies, Chemists and Druggists in cities all over India. You can use this directory to find the medicine stores in your city (or area) that provide home delivery services for cefixime + ofloxacin and other medicines and health products. Home delivery services for cefixime + ofloxacin may be free or they may cost you depending on the pharmacy and the minimum order requirements. It would be best to get this clarified while placing the order.

Please be aware that you should take cefixime + ofloxacin only if a doctor has recommended or prescribed it. Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for cefixime + ofloxacin before they complete the sale. You can get this information while placing the order for cefixime + ofloxacin with the pharmacy.

Cefixime + Ofloxacin is a generic medicine name and there are several brands available for it. Some of the brands for cefixime + ofloxacin might be better known than cefixime + ofloxacin itself. If the pharmacy that's willing to deliver medicines to your home doesn't have cefixime + ofloxacin in stock, you can ask for one of the branded alternatives for cefixime + ofloxacin.