Cefotaxime + Sulbactam Sodium Pharmacology

Cefotaxime + Sulbactam Sodium

About Cefotaxime + Sulbactam Sodium
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Mechanism of Action of Cefotaxime + Sulbactam Sodium
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Pharmacokinets of Cefotaxime + Sulbactam Sodium
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Onset of Action for Cefotaxime + Sulbactam Sodium
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Duration of Action for Cefotaxime + Sulbactam Sodium
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Half Life of Cefotaxime + Sulbactam Sodium
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Side Effects of Cefotaxime + Sulbactam Sodium
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Contra-indications of Cefotaxime + Sulbactam Sodium
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Special Precautions while taking Cefotaxime + Sulbactam Sodium
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Pregnancy Related Information
Use with caution
Old Age Related Information
N/A
Breast Feeding Related Information
Use with caution
Children Related Information
N/A
Indications for Cefotaxime + Sulbactam Sodium
It 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 Sodium
N/A
Typical Dosage for Cefotaxime + Sulbactam Sodium
Adults: 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 Sodium
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Storage Requirements for Cefotaxime + Sulbactam Sodium
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Effects of Missed Dosage of Cefotaxime + Sulbactam Sodium
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Effects of Overdose of Cefotaxime + Sulbactam Sodium
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Cefotaxime

About Cefotaxime
Third Generation cephalosporin Parenteral antibiotic.
Mechanism of Action of Cefotaxime
Cefotaxime 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 Cefotaxime
Pharmacokinets of Cefotaxime
Absorption: 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 Cefotaxime
Sudden
Duration of Action for Cefotaxime
12 hours
Half Life of Cefotaxime
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Side Effects of Cefotaxime
1.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 Cefotaxime
1.Hypersensitivity to cephalosporins
2.Along with other nephrotoxic drugs
3.Pseudo membranous colitis
Special Precautions while taking Cefotaxime
1.Renal impairment
2.Patient allergic to penicillins
3.Neuromuscular disorders
Pregnancy Related Information
Use with caution.
Old Age Related Information
May be used.
Breast Feeding Related Information
Use with caution..
Children Related Information
May be used.
Neonates: may be used
Indications for Cefotaxime
1.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 Cefotaxime
Synergy with aminoglycosides.
Typical Dosage for Cefotaxime
Adults: 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 Cefotaxime
H
Storage Requirements for Cefotaxime
Store in a refrigerator.
Effects of Missed Dosage of Cefotaxime
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 Cefotaxime
Symptoms of over dosage include neuromuscular disorders & some times seizure may get precipitated. Treatment includes removal of drug from the body by dialysis & supportive measures

Sulbactam Sodium

About Sulbactam Sodium
An irreversible ?-lactamase inhibitor, To increase the antibacterial activity of penicillins and cephalosporins against ?-lactamase?producing organisms.
Mechanism of Action of Sulbactam Sodium
Sulbactam 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 Sodium
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Onset of Action for Sulbactam Sodium
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Duration of Action for Sulbactam Sodium
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Half Life of Sulbactam Sodium
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Side Effects of Sulbactam Sodium
1.Injection site reactions
2.Anaphylaxis
3.Diarrhoea
4.Rash
5.Blood dyscrasias
6.Elevated liver enzymes
Contra-indications of Sulbactam Sodium
Hypersensitivity to Sulbactam
Special Precautions while taking Sulbactam Sodium
Patient hypersensitive to Cephalosporin
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
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Indications for Sulbactam Sodium
1.Skin infections
2.Intra abdominal infectionS
3.Gynecologic infections
Interactions for Sulbactam Sodium
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Typical Dosage for Sulbactam Sodium
Adults:
IM or IV: 1.5 - 3g every 6 hours; dose is depending on creatinine clearance
Schedule of Sulbactam Sodium
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Storage Requirements for Sulbactam Sodium
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Effects of Missed Dosage of Sulbactam Sodium
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Effects of Overdose of Sulbactam Sodium
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