Bactazim
Generic Name
Cefixime
Manufacturer
Beacon Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
Variant | Unit Price | Strip Price |
---|---|---|
bactazim 100 mg suspension | ৳ 195.00 | N/A |
Description
Overview of the medicine
Cefixime is a third-generation cephalosporin antibiotic used to treat a wide variety of bacterial infections. This suspension formulation is typically used for pediatric patients.
Uses & Indications
Dosage
Adults
Not typically used for adults in this suspension form. Adult dosage for cefixime usually 200-400 mg daily.
Elderly
No specific dose adjustment for elderly with normal renal function; monitor renal function.
Renal_impairment
Dosage adjustment required for creatinine clearance <60 mL/min. For CrCl 21-60 mL/min, 75% of standard dose. For CrCl <20 mL/min, 50% of standard dose.
How to Take
Administer orally, with or without food. Shake well before use. Measure dose accurately using a measuring spoon or oral syringe.
Mechanism of Action
Cefixime works by inhibiting bacterial cell wall synthesis, leading to bacterial cell lysis and death. It binds to penicillin-binding proteins (PBPs) located inside the bacterial cell wall.
Pharmacokinetics
Onset
Peak plasma concentrations are achieved 2-6 hours after administration.
Excretion
Primarily excreted via renal elimination (glomerular filtration and tubular secretion).
Half life
Average plasma half-life is 3-4 hours.
Absorption
Approximately 30-50% orally absorbed. Absorption is not significantly affected by food.
Metabolism
Not extensively metabolized in the body. Approximately 50% is excreted unchanged.
Side Effects
Contraindications
- Hypersensitivity to cefixime or other cephalosporins
- History of severe hypersensitivity reaction to penicillin (e.g., anaphylaxis)
Drug Interactions
Warfarin
May increase prothrombin time (PT) and INR. Monitor coagulation parameters.
Carbamazepine
Increased plasma levels of carbamazepine have been reported when co-administered with cefixime.
Oral Contraceptives
May decrease efficacy of oral contraceptives (theoretical risk, use additional contraception).
Storage
Store dry powder below 30°C, protected from light and moisture. After reconstitution, store as directed (usually room temperature or refrigerator) and discard after specified period.
Overdose
Gastric lavage may be indicated. Hemodialysis or peritoneal dialysis does not remove cefixime in significant quantities. Symptomatic and supportive treatment.
Pregnancy & Lactation
Pregnancy Category B: Studies in animals have shown no evidence of harm to the fetus. Use only if clearly needed. Lactation: Cefixime is excreted in small amounts in breast milk. Use with caution during breastfeeding.
Side Effects
Contraindications
- Hypersensitivity to cefixime or other cephalosporins
- History of severe hypersensitivity reaction to penicillin (e.g., anaphylaxis)
Drug Interactions
Warfarin
May increase prothrombin time (PT) and INR. Monitor coagulation parameters.
Carbamazepine
Increased plasma levels of carbamazepine have been reported when co-administered with cefixime.
Oral Contraceptives
May decrease efficacy of oral contraceptives (theoretical risk, use additional contraception).
Storage
Store dry powder below 30°C, protected from light and moisture. After reconstitution, store as directed (usually room temperature or refrigerator) and discard after specified period.
Overdose
Gastric lavage may be indicated. Hemodialysis or peritoneal dialysis does not remove cefixime in significant quantities. Symptomatic and supportive treatment.
Pregnancy & Lactation
Pregnancy Category B: Studies in animals have shown no evidence of harm to the fetus. Use only if clearly needed. Lactation: Cefixime is excreted in small amounts in breast milk. Use with caution during breastfeeding.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 24-36 months for dry powder. Reconstituted suspension usually 7-14 days at room temperature.
Availability
Pharmacies, Hospitals
Approval Status
Approved by DGDA
Patent Status
Expired for generic
WHO Essential Medicine
YesClinical Trials
Extensive clinical trials have established the efficacy and safety of cefixime in various bacterial infections.
Lab Monitoring
- Renal function (especially in elderly or impaired patients)
- Coagulation parameters (if co-administered with anticoagulants)
Doctor Notes
- Counsel parents/caregivers on proper reconstitution and administration technique.
- Emphasize completion of the entire prescribed course to prevent resistance.
- Monitor for signs of allergic reactions, especially in penicillin-allergic patients.
Patient Guidelines
- Complete the full course of medication, even if symptoms improve.
- Shake the suspension well before each use.
- Use the provided measuring device for accurate dosing.
- Report any severe or persistent side effects to your doctor.
Missed Dose Advice
If a dose is missed, take it as soon as remembered. If it is almost time for the next dose, skip the missed dose and resume the regular dosing schedule. Do not double the dose.
Driving Precautions
Generally not expected to affect the ability to drive or operate machinery. However, if dizziness occurs, caution is advised.
Lifestyle Advice
- Maintain good hydration.
- Avoid alcohol during treatment as it may worsen gastrointestinal side effects (though direct interaction is not significant).
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