CEFTOPIX 100/200 mg (Cefpodoxim 100/200)

Cefpodoxime proxetil 100/200 mg is a bactericidal cephalosporin group has activity against most gram (-) and gram (+).

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CEFTOPIX 100 / 200mg
Cefpodoxime Proxetil 100/200 mg is a bactericidal cephalosporin group has activity against most gram (-) and gram (+). Proxetil cefpodoxime is indicated for treatment of bacterial infections of upper respiratory tract and lower urinary tract infections upper and lower, skin and soft tissue infections, gonorrhea.

The indications include:
- Infections caused by breathing on sensitive strains Cefpodoxime including sinusitis. In the case of tonsillitis and pharyngitis Cefpodoxime Proxetil should be used as a reserve antibiotic for chronic bacterial infections or recurrent infections or for which the pathogenic strains known or suspected resistance to most antibiotics were used.
- Infections caused by respiratory less sensitive strains Cefpodoxim include acute bronchitis and severe or recurrent forms of acute bronchitis and severe or recurrent forms of bronchitis and pneumonia powerful features.
- Urinary tract infections caused by the upper and lower-sensitive strains Cefpodoxim including cystitis and acute pyelonephritis.
- Infections of skin and soft tissue caused by susceptible strains with Cefpodoxim as abscesses, cellulitis, wound infection, boils, folliculitis, paronychia, boils and ulcers toxic.
- Gonorrhea: urethritis due to uncomplicated gonorrhea.
Element:
Each tablet contains 100mg Cefpodoxime proxetil CEFTOPIX equivalent 100mg cefpodoxime.
Each tablet contains 200mg CEFTOPIX Cefpodoxim 200mg cefpodoxime proxetil equivalent USP.
Excipients: Avicel RC 591 USP, sodium lauryl sulphate BP, hydroxyl propyl cellulose LH-11 USP, Colloidal silicon dioxide USP, magnesium stearate, Opadry 03B50857, blue print house.
Pharmacodynamics:
Cefpodoxime proxetil is a beta-lactam antibiotic, cephalosporin 3rd generation orally. It is a precursor of Cefpodoxim.
When administered orally cefpodoxim proxetil is absorbed by the stomach - intestine where it is rapidly hydrolysed to cefpodoxim, a bactericidal antibiotic, and then systemic absorption.
Bacteriology:
The mechanism of action of inhibition cefpodoxim based synthetic bacterial cell wall. It is stable to most beta-lactamase.
Cefpodoxim shown antibacterial activity in vitro against most gram (-) and gram (+)
Antibacterial spectrum:
It is highly active against strains of gram (+):
Streptococcus pneumoniae
Group A streptococci (S. Pyogennes), B (S. agalactiae), C, F and G.
Other streptococci (S. mitis, S. salivarius and S. Sanguis)
Corynebacterium diphtheria
It is highly active against gram (-):
Haemophilus influenzae (these strains and not beta-lactamase)
Haemophilus para-influenza (the vaccine and not more extensive beta-lactamase)
Branhamella catarrhalis (these strains and not beta-lactamase)
Neisseria meningitidis
Neisseria gonorrhoeae
Escherichia coli
Klebsiella spp. (K. pneumoniae)
Proteus mirrabilis
It is active against average:
Meticillin sensitive staphylococci, weather or no weather strains penicillinase (S. epidermidis and S. aurues)
In addition, as other cephalosporin antibiotics, the following strains resistant to Cefpodoxim:
Enterococci
Staphylococcus saprophyticus
Pseudomonas aeruginosa and Pseudomonas spp.
Clostridum dificile
Bacteroides fragilis and related categories.
Pharmacokinetics:
Cefpodoxim proxetil is absorbed in the intestine and is hydrolyzed into Cefpodoxim active metabolite. When Cefpodoxim proxetil used orally for hunger in tablets corresponding to Cefpodoxim 100mg, 51.5% of the drug is absorbed and absorption is elevated in the presence of food. The volume of distribution is 32,3l and peak concentration reached 2-3 hours after ingestion. Peak plasma concentrations of 1.2 mg / l and 2.5 mg / l respectively 100 mg and 200 mg with. 100mg and 200mg doses per day over 14.5 days, the pharmacokinetic parameters of Cefpodoxim remains unchanged.
The ratio of plasma protein binding is 40% cefpodoxim primarily to albumin. This binding is not saturated.
The concentration exceeds the minimum inhibitory concentration of cefpodoxim against most strains of the bacteria can be achieved in the lung tissue, pleura, pleural fluid, tonsils, interstitial tissue fluid and prostate.
Cefpodxim is excreted primarily in the urine with high concentrations (concentrations in the range of 0-4, 4-8, 8-12 hours after single doses exceed MIC90 of most strains of the bacteria that cause urinary tract disease ). The good diffusion of Cefpodoxim also found in the kidney tissue with greater concentrations MIC90 of most strains of pathogenic bacteria in the urinary tract of about 3-12 hours after a single dose of 200 mg. Cefpodoxim concentration in marrow and renal cortex were similar.
Studies of healthy normal people
Point:
Cefpodoxim be used as a drink for the treatment of mild to moderate disease:
- Lower respiratory tract infections
- Upper respiratory tract infections
- Mid-ear inflammation
- Urinary tract infections uncomplicated, mild and moderate
- Treatment of gonorrhea levels in endothelial uncomplicated cervical, anal or rectal gonorrhea in women and the urethra in women and men.
- Skin and soft tissue infections mild and moderate
Contraindications: not recommended for patients who are allergic to cefpodoxim or other cephalosporins or any component of the vaccine. Do not use in patients with porphyria.
Dosage and administration:
The drug is administered orally. Use as directed by your physician.
Adults with normal renal function:
- Infections caused by breathing on sensitive strains cefpodoxim including sinusitis. In the case of tonsillitis and pharyngitis cefpodoxim proxetil should be used as a reserve antibiotic for chronic bacterial infections or recurrence, or for infections that pathogenic strains known or suspected resistance to share Large antibiotics use. Sinusitis: 200 mg 2 times / day. The other upper respiratory infections: 100 mg 2 times / day.
Lower respiratory infections caused by susceptible strains with cefpodoxim include acute bronchitis and severe or recurrent forms of chronic bronchitis and pneumonia: 100-200 x 2 times / day, depending on severity of infection.
UTI:
- Lower urinary tract infections uncomplicated: 2 times the recommended 100 mg / day
- Urinary tract infections in the uncomplicated: 2 times the recommended 20 mg / day
- Gonococcal urethritis uncomplicated: to use a single dose of 200 mg.
- Skin and soft tissue infections: 200 mg should be used 2 times / day.
Tablets should be taken with meals for optimal absorption.
Elderly: No need for dose adjustments in the elderly with normal renal function.
Children: Already have cefpodoxim products for infants (over 15 days old) and young children.
Patients with hepatic impairment: Dosage adjustment is not required in patients with hepatic impairment.
Patients with renal impairment: The dose of cefpodoxim proxetil not need adjusting if creatinine clearance greater than 40ml/min.
Use during pregnancy and lactation:
These studies were performed on some animals did not show any consequences of genetic mutations and fetal toxicity. However, the safety of cefpodoxim proxetil for pregnant women has not been established. Like all other remedies, should be used with caution in the early stages of pregnancy. Cefpodoxim proxetil excreted into breast milk, or breast-feeding or discontinue treatment.
Effects on ability to drive and operate machinery: Should pay attention to the risk of dizziness, vertigo.
Drug Interactions: No interactions with clinical significance were reported during clinical studies.
Overdose: In case of overdose should be treated Cefpodoxim proxetil symptoms and general health support. The special case of overdose in patients with renal impairment, encephalopathy may occur. Encephalopathy can often recover when Cefpodoxim plasma concentrations decreased.
Undesirable effects:
Unwanted effects can include gastrointestinal disorders such as diarrhea, nausea, vomiting and abdominal pain. Occasionally occur headache, dizziness, tinnitus, paresthesia, asthenia and malaise. Rarely allergic reactions. Inform your doctor of experiencing adverse events during treatment.
STORAGE: Store at temperatures below 30°C. Avoid light.
Expiry date: 24 months from date of manufacture.
Presentation: Box of 2 blisters of 10 capsules
Standards: Standards of USP
Carefully read the manual before use. Do not use expired medicine use.
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Distributor: LYNH FARMA Co., Ltd.
49A30 Phan Dang Luu Street, Ward 7, Phu Nhuan District, HCMC.
Tel: +84 8 3510 87 57 Fax: +84 8 3510 87 56

Element:
Each tablet contains 100mg Cefpodoxime proxetil CEFTOPIX equivalent 100mg cefpodoxime.
Each tablet contains 200mg CEFTOPIX Cefpodoxim 200mg cefpodoxime proxetil equivalent USP.
Excipients: Avicel RC 591 USP, sodium lauryl sulphate BP, hydroxyl propyl cellulose LH-11 USP, Colloidal silicon dioxide USP, magnesium stearate, Opadry 03B50857, blue print house.
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