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- Pharmacology For Cefpodoxime + Cloxacillin + Lactobacillus
Cefpodoxime + Cloxacillin + Lactobacillus Pharmacology
Cefpodoxime + Cloxacillin + Lactobacillus
About Cefpodoxime + Cloxacillin + LactobacillusN/AMechanism of Action of Cefpodoxime + Cloxacillin + LactobacillusN/APharmacokinets of Cefpodoxime + Cloxacillin + LactobacillusN/AOnset of Action for Cefpodoxime + Cloxacillin + LactobacillusN/ADuration of Action for Cefpodoxime + Cloxacillin + LactobacillusN/AHalf Life of Cefpodoxime + Cloxacillin + LactobacillusN/ASide Effects of Cefpodoxime + Cloxacillin + LactobacillusN/AContra-indications of Cefpodoxime + Cloxacillin + LactobacillusN/ASpecial Precautions while taking Cefpodoxime + Cloxacillin + LactobacillusN/APregnancy Related InformationUse with cautionOld Age Related InformationUse with cautionBreast Feeding Related InformationUse with cautionChildren Related InformationUse with cautionIndications for Cefpodoxime + Cloxacillin + Lactobacillus1.URTI including pharyngitis and tonsilitis.
2.Acute exacerbation of chronic bronchitis
3.Acute community acquired pneumonia
4.Acute uncomplicated gonorrhea
5.Uncomplicated urinary tract infection
6.Skin infections.
7.Penicillin resistant staphylococci
Interactions for Cefpodoxime + Cloxacillin + LactobacillusN/ATypical Dosage for Cefpodoxime + Cloxacillin + LactobacillusN/ASchedule of Cefpodoxime + Cloxacillin + LactobacillusN/AStorage Requirements for Cefpodoxime + Cloxacillin + LactobacillusN/AEffects of Missed Dosage of Cefpodoxime + Cloxacillin + LactobacillusN/AEffects of Overdose of Cefpodoxime + Cloxacillin + LactobacillusN/ACefpodoxime
About CefpodoximeThird Generation Cephalosporin antibiotic, Oral antibiotic.Mechanism of Action of CefpodoximeCefpodoxime is a 3rd generation cephalosporin which exerts its bactericidal action mainly against gram positive organisms by inhibiting bacterial cell wall synthesis. Cefpodoxime 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 Cefpodoxime.
It is active against enterobacteriaceae, streptococci ,staphylococci aureus, & H. influenzae.
Pharmacokinets of CefpodoximeAbsorption: Orally well absorbed &food increases absorption rate. Distribution: widely distributed, Metabolism: Its ester prodrug Cefpodoxime proxetil is deesterified in to its active metabolite Cefpodoxime in the body, Excretion: Excreted mainly through urineOnset of Action for CefpodoximeN/ADuration of Action for CefpodoximeN/AHalf Life of CefpodoximeN/ASide Effects of Cefpodoxime1.Rashes & allergic manifestation
2.Vaginitis
3.Pruritus
4.Candidiasis
5.Headache
6.Pseudo membranous colitis
7.Nausea
8.Vomiting
9.Diarrhea
10.Leucopenia
11.Thrombocytopenia
Contra-indications of Cefpodoxime1.Hypersensitivity to cephalosporinsSpecial Precautions while taking Cefpodoxime1.Renal impairment
2.Those allergic to penicillins
3.Neuromuscular disorders
4.Use cautiously along with other nephrotoxic drugs
Pregnancy Related InformationUse with cautionOld Age Related InformationMay be usedBreast Feeding Related InformationContraindicatedChildren Related Information(Above 6 months): may be used
Neonates: contraindicatedIndications for Cefpodoxime1.Pneumonia, bronchitis &other respiratory tract infections
2.Sinusitis
3.Urinary tract &genital tract infections
4.Gonorrhea & rectal gonococcal infections
5.Skin infections
6.Otitismedia
7.Tonsillitis, Pharyngitis
Interactions for CefpodoximeAntacids and H2 blockers : Plasma concentration of cefpodoxime proxetil may be decreased by 30%.
Probenecid : Plasma levels of cefpodoxime increased when used concomitantly.
Typical Dosage for CefpodoximeAdults: 0. 2gm twice daily.
Maximum adult dose: Up to 0.8gm/day
Children: 5mg/kg/day
Maximum child dose: 200mg/day
Pneumonia:
Adults: 0. 2gm twice daily for two weeks
Bronchitis:
Adults: 0. 2gm twice daily for 10 days
Gonorrhea:
0.2 gm single dose followed by 0.1gm doxycycline orally twice daily for a week
Pharyngitis & Tonsillitis
Adults: 0.1gm orally twice daily for 10 days
Children: 5mg/kg/day orally twice daily for 5 to 10 days
Urinary tract infections:0.1gm twice daily for a week
Otitismedia (2 to12 years old): 5mg/kg/day
Skin infections: 400mg twice daily for two weeks
Schedule of CefpodoximeHStorage Requirements for CefpodoximeN/AEffects of Missed Dosage of CefpodoximeN/AEffects of Overdose of CefpodoximeN/ACloxacillin
About CloxacillinIt is a Penicillinase resistant Penicillin, Penicillin derived antibiotic.Mechanism of Action of CloxacillinCloxacillin is a bactericidal drug. It binds to the Penicillin binding protein in the cell wall of bacteria and inhibits the enzyme transpeptidase which is responsible for the transpeptidation reaction in peptidoglycan synthesis. It also activates the endogenous enzyme which degrades the peptidoglycan.These results in inhibition of protein synthesis and there by cell wall synthesis. In addition to this it is not degraded by penicillinase enzyme and therefore it can be useful against penicillinase producing bacteria also.Pharmacokinets of CloxacillinAbsorption .It is readily absorbed after oral administration. Distribution: It is very widely distributed in the body .Metabolism: It does not undergo metabolism. Excretion: It is excreted mainly through urine and small amount excreted through breast milk.Onset of Action for Cloxacillin30-60 minutesDuration of Action for CloxacillinAbout 6 hoursHalf Life of Cloxacillin30 minutesSide Effects of Cloxacillin1.Anaphylaxis
2.Rash
3.Urticaria
4.Thrombocytopenia
5.Seizure
Contra-indications of CloxacillinHypersensitive to Cloxacillin or other Penicillins.Special Precautions while taking Cloxacillin1.Heart failure
2.Uremia
3.Hypokalemia
4 Bleeding tendencies
5.Meningitis
6.Renal impairment
Pregnancy Related InformationUse with cautionOld Age Related InformationUse with cautionBreast Feeding Related InformationUse with cautionChildren Related InformationN/AIndications for Cloxacillin1.Urinary tract infections
2.Respiratory tract infections
3.Septicaemia
4.Osteomyelitis
5.Endocarditis
6.Pneumonia
7.Sinusitis
8.Bronchiectasis
Interactions for CloxacillinOral contraceptives: Efficacy reduced, may cause breakthrough bleeding or pregnancy.
Atenolol: Bio-availability of atenolol reduced.
Allopurinol: Increases risk of cloxacillin induced skin rash.
Probenecid: Increases blood levels.
Erythromycin & Tetracyclines: Reduce efficacy.
Clavulanic Acid: Synergy.
Food: Interferes with absorptionTypical Dosage for CloxacillinADULT
1 - 2 g daily in four divided dose depending on the severity of infection
CHILDREN
50 - 100 mg/kg/day in four divided dose depending on the severity of infection
Schedule of CloxacillinHStorage Requirements for CloxacillinThe vial should be stored in room temperature away from heat and moisture. Keep out of the reach of childrenEffects of Missed Dosage of CloxacillinTake the dose as soon as noticed and if it is the time to the next dose then skip the missed doseEffects of Overdose of CloxacillinGive supportive measures and symptomatic treatment. Absorption of drug can be reduced by gastric lavage or induction of emesisLactobacillus
About LactobacillusLactic acid bacteria, Probiotic,Antidiarrhoeal.Mechanism of Action of LactobacillusLactobacillus is a probiotic and it is called as friendly bacteria. It is used along with antibiotic in order to restore the body`s natural microbial flora with in the digestive tract. Lactobacillus helps in the breakdown of food and leads to the production of lactic acid, hydrogen peroxide and other byproducts. This will alter the intestinal pH and that make the environment hostile for pathogens.Pharmacokinets of LactobacillusAbsorption: It is orally well absorbed after oral administration.
Onset of Action for LactobacillusN/ADuration of Action for LactobacillusN/AHalf Life of LactobacillusN/ASide Effects of Lactobacillus1.Abdominal discomfort
2.Vaginal irritation (when used vaginally)
Contra-indications of Lactobacillus1.Recent bowel surgery
2.Intestinal damage
3.Weakened immune system
Special Precautions while taking LactobacillusPatient on Inulin treatmentPregnancy Related InformationUse with cautionOld Age Related InformationUse with cautionBreast Feeding Related InformationUse with cautionChildren Related InformationUse with caution
NEONATES: Use with cautionIndications for Lactobacillus1.Aphthous stomatitis
2.Hypochlorhydria
3.Hepatic encephalopathy
4.Adjuvant to antibiotic therapy
5.Diarrhoea.Interactions for LactobacillusN/ATypical Dosage for LactobacillusAdult: 60 - 150 million spores 3 times daily depending on the severity of infections.
Vaginal bacterial infections: 1- 2 billion bacteria 2 - 3 times daily
Suppositories:
Vaginal infections, cystitis: 1 - 2 suppositories are inserted in to vagina at night for 2 weeks. Each suppository contains 1 - 2 billion lactobacilli
Schedule of LactobacillusN/AStorage Requirements for LactobacillusRefrigerate below 5 degree C.Effects of Missed Dosage of LactobacillusN/AEffects of Overdose of LactobacillusGive supportive measures and symptomatic treatmentHome Delivery for Cefpodoxime + Cloxacillin + Lactobacillus in Your City
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