Cefpodoxime + Cloxacillin + Lactobacillus Pharmacology

Cefpodoxime + Cloxacillin + Lactobacillus

About Cefpodoxime + Cloxacillin + Lactobacillus
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Mechanism of Action of Cefpodoxime + Cloxacillin + Lactobacillus
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Pharmacokinets of Cefpodoxime + Cloxacillin + Lactobacillus
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Onset of Action for Cefpodoxime + Cloxacillin + Lactobacillus
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Duration of Action for Cefpodoxime + Cloxacillin + Lactobacillus
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Half Life of Cefpodoxime + Cloxacillin + Lactobacillus
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Side Effects of Cefpodoxime + Cloxacillin + Lactobacillus
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Contra-indications of Cefpodoxime + Cloxacillin + Lactobacillus
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Special Precautions while taking Cefpodoxime + Cloxacillin + Lactobacillus
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Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
Use with caution
Indications for Cefpodoxime + Cloxacillin + Lactobacillus
1.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 + Lactobacillus
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Typical Dosage for Cefpodoxime + Cloxacillin + Lactobacillus
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Schedule of Cefpodoxime + Cloxacillin + Lactobacillus
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Storage Requirements for Cefpodoxime + Cloxacillin + Lactobacillus
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Effects of Missed Dosage of Cefpodoxime + Cloxacillin + Lactobacillus
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Effects of Overdose of Cefpodoxime + Cloxacillin + Lactobacillus
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Cefpodoxime

About Cefpodoxime
Third Generation Cephalosporin antibiotic, Oral antibiotic.
Mechanism of Action of Cefpodoxime
Cefpodoxime 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 Cefpodoxime
Absorption: 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 urine
Onset of Action for Cefpodoxime
N/A
Duration of Action for Cefpodoxime
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Half Life of Cefpodoxime
N/A
Side Effects of Cefpodoxime
1.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 Cefpodoxime
1.Hypersensitivity to cephalosporins
Special Precautions while taking Cefpodoxime
1.Renal impairment
2.Those allergic to penicillins
3.Neuromuscular disorders
4.Use cautiously along with other nephrotoxic drugs

Pregnancy Related Information
Use with caution
Old Age Related Information
May be used
Breast Feeding Related Information
Contraindicated
Children Related Information
(Above 6 months): may be used
Neonates: contraindicated
Indications for Cefpodoxime
1.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 Cefpodoxime
Antacids 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 Cefpodoxime
Adults: 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 Cefpodoxime
H
Storage Requirements for Cefpodoxime
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Effects of Missed Dosage of Cefpodoxime
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Effects of Overdose of Cefpodoxime
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Cloxacillin

About Cloxacillin
It is a Penicillinase resistant Penicillin, Penicillin derived antibiotic.
Mechanism of Action of Cloxacillin
Cloxacillin 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 Cloxacillin
Absorption .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 Cloxacillin
30-60 minutes
Duration of Action for Cloxacillin
About 6 hours
Half Life of Cloxacillin
30 minutes
Side Effects of Cloxacillin
1.Anaphylaxis
2.Rash
3.Urticaria
4.Thrombocytopenia
5.Seizure
Contra-indications of Cloxacillin
Hypersensitive to Cloxacillin or other Penicillins.
Special Precautions while taking Cloxacillin
1.Heart failure
2.Uremia
3.Hypokalemia
4 Bleeding tendencies
5.Meningitis
6.Renal impairment
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
N/A
Indications for Cloxacillin
1.Urinary tract infections
2.Respiratory tract infections
3.Septicaemia
4.Osteomyelitis
5.Endocarditis
6.Pneumonia
7.Sinusitis
8.Bronchiectasis
Interactions for Cloxacillin
Oral 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 absorption
Typical Dosage for Cloxacillin
ADULT
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 Cloxacillin
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Storage Requirements for Cloxacillin
The vial should be stored in room temperature away from heat and moisture. Keep out of the reach of children
Effects of Missed Dosage of Cloxacillin
Take the dose as soon as noticed and if it is the time to the next dose then skip the missed dose
Effects of Overdose of Cloxacillin
Give supportive measures and symptomatic treatment. Absorption of drug can be reduced by gastric lavage or induction of emesis

Lactobacillus

About Lactobacillus
Lactic acid bacteria, Probiotic,Antidiarrhoeal.
Mechanism of Action of Lactobacillus
Lactobacillus 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 Lactobacillus
Absorption: It is orally well absorbed after oral administration.
Onset of Action for Lactobacillus
N/A
Duration of Action for Lactobacillus
N/A
Half Life of Lactobacillus
N/A
Side Effects of Lactobacillus
1.Abdominal discomfort
2.Vaginal irritation (when used vaginally)
Contra-indications of Lactobacillus
1.Recent bowel surgery
2.Intestinal damage
3.Weakened immune system
Special Precautions while taking Lactobacillus
Patient on Inulin treatment
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
Use with caution
NEONATES: Use with caution
Indications for Lactobacillus
1.Aphthous stomatitis
2.Hypochlorhydria
3.Hepatic encephalopathy
4.Adjuvant to antibiotic therapy
5.Diarrhoea.
Interactions for Lactobacillus
N/A
Typical Dosage for Lactobacillus
Adult: 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 Lactobacillus
N/A
Storage Requirements for Lactobacillus
Refrigerate below 5 degree C.
Effects of Missed Dosage of Lactobacillus
N/A
Effects of Overdose of Lactobacillus
Give supportive measures and symptomatic treatment

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