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- Pharmacology For Cefotaxime + Sulbactam Sodium
Cefotaxime + Sulbactam Sodium Pharmacology
Cefotaxime + Sulbactam Sodium
About Cefotaxime + Sulbactam SodiumN/AMechanism of Action of Cefotaxime + Sulbactam SodiumN/APharmacokinets of Cefotaxime + Sulbactam SodiumN/AOnset of Action for Cefotaxime + Sulbactam SodiumN/ADuration of Action for Cefotaxime + Sulbactam SodiumN/AHalf Life of Cefotaxime + Sulbactam SodiumN/ASide Effects of Cefotaxime + Sulbactam SodiumN/AContra-indications of Cefotaxime + Sulbactam SodiumN/ASpecial Precautions while taking Cefotaxime + Sulbactam SodiumN/APregnancy Related InformationUse with cautionOld Age Related InformationN/ABreast Feeding Related InformationUse with cautionChildren Related InformationN/AIndications for Cefotaxime + Sulbactam SodiumIt is a combination of third generation Cephalosporins Cefotaxime and Beta-lactamase inhibitor Sulbactam.
1.Gonorrhoea
2.Urethritis
3.Bronchitis
4.Pneumonia
Interactions for Cefotaxime + Sulbactam SodiumN/ATypical Dosage for Cefotaxime + Sulbactam SodiumAdults: 1 tablet to be taken 2 - 4 times daily.
Each tablet contains 1gm Cefotaxime + 500mg Sulbactum or 2gm Cefotaxime + 1gm Sulbactum .
Children: 1 tablet to be taken 3 times daily.
Each tablet contains 100mg Cefotaxime + 50mg Sulbactum / kg / day to 150mg Cefotaxime + 75mg Sulbactum / kg / day
Maximum adult dose: Cefotaxime 12gm / day + Sulbactum 4gm /day
In Urinogenital tract infections & Respiratory tract infections:
1gm Cefotaxime+ 500mg Sulbactum to 2gm Cefotaxime+1gm Sulbactum 2 - 3 times daily ;In severe cases take 3 - 4 times daily.
Schedule of Cefotaxime + Sulbactam SodiumN/AStorage Requirements for Cefotaxime + Sulbactam SodiumN/AEffects of Missed Dosage of Cefotaxime + Sulbactam SodiumN/AEffects of Overdose of Cefotaxime + Sulbactam SodiumN/ACefotaxime
About CefotaximeThird Generation cephalosporin Parenteral antibiotic.Mechanism of Action of CefotaximeCefotaxime is a 3rd generation cephalosporin which exerts its bactericidal action against both gram positive & aerobic gram negative organisms by inhibiting bacterial cell wall synthesis. Cefotaxime 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 CefotaximePharmacokinets of CefotaximeAbsorption: Orally not well absorbed & should be given parenterally, Distribution: widely distributed, & good CSF penetration, Metabolism: A portion of it is deacetylated in the body in to an active metabolite desacetylcefotaxime, Excretion: Excreted mainly through urine & small amount is seen in breast milk.
Onset of Action for CefotaximeSuddenDuration of Action for Cefotaxime12 hoursHalf Life of CefotaximeN/ASide Effects of Cefotaxime1.Pain after I.M. injection & thrombophlebitis after I.V. injection.
2.Rashes
3.Vaginitis
4.Pruritus
5.Candidiasis
6.Nephrotoxicity
7.Pseudo membranous colitis
8.Nausea
9.Vomiting
10.Elevated liver enzymes
11.Neutropenia
12.Thrombocytopenia
Contra-indications of Cefotaxime1.Hypersensitivity to cephalosporins
2.Along with other nephrotoxic drugs
3.Pseudo membranous colitis
Special Precautions while taking Cefotaxime1.Renal impairment
2.Patient allergic to penicillins
3.Neuromuscular disorders
Pregnancy Related InformationUse with caution.Old Age Related InformationMay be used.Breast Feeding Related InformationUse with caution..Children Related InformationMay be used.
Neonates: may be usedIndications for Cefotaxime1.Meningitis
2.Resistant hospital acquired infections
3.Septicemia
4.Infections in immunocompromised patients
5.Urinary tract &genital tract infections
6.Surgical prophylaxis
7.Skin & soft tissue infections
8.Bone & Joint infections
9.Gonorrhea.
Interactions for CefotaximeSynergy with aminoglycosides.Typical Dosage for CefotaximeAdults: 1g to 2gm I.M. or I.V. two times daily to four times daily.
Children: 50 to 100 mg/kg/day I.M or I.V. two times daily to four times daily.
Neonates: 50mg/kg I.V. two times daily in first week & three times daily in next three weeks
Maximum adult dose: Up to 12gm/day
Maximum child dose: 200mg/kg/day three times daily or four times daily
Gonorrhea: 1gm, once daily, I.M.
Schedule of CefotaximeHStorage Requirements for CefotaximeStore in a refrigerator.Effects of Missed Dosage of CefotaximeTake 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 CefotaximeSymptoms of over dosage include neuromuscular disorders & some times seizure may get precipitated. Treatment includes removal of drug from the body by dialysis & supportive measuresSulbactam Sodium
About Sulbactam SodiumAn irreversible ?-lactamase inhibitor, To increase the antibacterial activity of penicillins and cephalosporins against ?-lactamase?producing organisms.Mechanism of Action of Sulbactam SodiumSulbactam has no significant antimicrobial activity, despite sharing the ?-lactam ring that is characteristic of beta-lactam antibiotics. This similarity in chemical structure helps the Sulbactam to act as a competitive inhibitor of beta-lactamase enzyme secreted by certain bacteria that are resistant to beta-lactam antibiotics. This inhibition restores the antibacterial activity of beta-lactam antibiotics against ?-lactamase-secreting resistant bacteria.It is usually given in combination with Amoxycillin.
It is used to increase the antibacterial spectrum of penicillin and cephalosporin against penicillinase-producing and beta-lactamase-producing organisms such as Staphylococcus aureus, H. flu, Moraxella catarrhalis that are resistant to Ampicillin alone.
Pharmacokinets of Sulbactam SodiumN/AOnset of Action for Sulbactam SodiumN/ADuration of Action for Sulbactam SodiumN/AHalf Life of Sulbactam SodiumN/ASide Effects of Sulbactam Sodium1.Injection site reactions
2.Anaphylaxis
3.Diarrhoea
4.Rash
5.Blood dyscrasias
6.Elevated liver enzymes
Contra-indications of Sulbactam SodiumHypersensitivity to SulbactamSpecial Precautions while taking Sulbactam SodiumPatient hypersensitive to CephalosporinPregnancy Related InformationUse with cautionOld Age Related InformationUse with cautionBreast Feeding Related InformationUse with cautionChildren Related InformationN/AIndications for Sulbactam Sodium1.Skin infections
2.Intra abdominal infectionS
3.Gynecologic infections
Interactions for Sulbactam SodiumN/ATypical Dosage for Sulbactam SodiumAdults:
IM or IV: 1.5 - 3g every 6 hours; dose is depending on creatinine clearance
Schedule of Sulbactam SodiumN/AStorage Requirements for Sulbactam SodiumN/AEffects of Missed Dosage of Sulbactam SodiumN/AEffects of Overdose of Sulbactam SodiumN/AHome Delivery for Cefotaxime + Sulbactam Sodium in Your City
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