Exephin
Generic Name
Cefotaxime 250 mg Injection
Manufacturer
Example Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| exephin 250 mg injection | ৳ 115.00 | N/A |
Description
Overview of the medicine
Exephin 250 mg Injection contains Cefotaxime, a broad-spectrum, third-generation cephalosporin antibiotic used to treat various bacterial infections.
Uses & Indications
Dosage
Adults
General dosage: 1 g every 12 hours. For severe infections, may be increased to 1 g every 8 hours or 2 g every 8 hours, up to a maximum of 12 g/day. For a 250 mg dose, it may be used in specific, less severe cases or as part of a staggered regimen.
Elderly
Dosage adjustments may not be necessary based on age alone, but renal function should be considered.
Renal_impairment
For creatinine clearance <10 mL/min, the dosage should be reduced by half. For patients on dialysis, administer the usual dose after each dialysis session.
How to Take
Administer intramuscularly (IM) or intravenously (IV) after reconstituting the powder with sterile water for injection. For IM, inject deeply into a large muscle mass. For IV, administer slowly over 3-5 minutes or as an infusion over 20-60 minutes.
Mechanism of Action
Cefotaxime acts by inhibiting bacterial cell wall synthesis, leading to bactericidal effects. It binds to penicillin-binding proteins (PBPs) located inside the bacterial cell wall.
Pharmacokinetics
Onset
Rapid, typically within minutes for IV administration.
Excretion
Mainly excreted by the kidneys, approximately 40-60% as unchanged drug and 15-25% as desacetylcefotaxime within 24 hours.
Half life
Approximately 1 to 1.5 hours in adults with normal renal function.
Absorption
Rapidly absorbed after intramuscular (IM) injection, with peak plasma concentrations reached within 30 minutes. Also administered intravenously (IV).
Metabolism
Primarily metabolized in the liver to desacetylcefotaxime, an active metabolite, and other inactive metabolites.
Side Effects
Contraindications
- •Hypersensitivity to cefotaxime, other cephalosporins, or any component of the formulation.
- •History of severe hypersensitivity to any other beta-lactam antibiotic (e.g., penicillins).
Drug Interactions
Probenecid
Decreases renal tubular secretion of cefotaxime, leading to increased and prolonged plasma concentrations of cefotaxime.
Aminoglycosides
Concurrent use may increase the risk of nephrotoxicity, especially in patients with pre-existing renal impairment.
Oral Anticoagulants
May enhance the anticoagulant effect by inhibiting vitamin K synthesis in the gut.
Storage
Store the unconstituted powder at room temperature (below 30°C), protected from light and moisture. After reconstitution, use immediately or store as directed by the manufacturer (usually up to 24 hours at 2-8°C).
Overdose
In case of overdose, symptoms may include exacerbation of side effects such as nausea, vomiting, diarrhea, and potentially neurological effects like convulsions, especially in patients with renal impairment. Treatment is symptomatic and supportive. Hemodialysis and peritoneal dialysis may aid in removal from the body.
Pregnancy & Lactation
Pregnancy Category B. Studies in animals have shown no evidence of fetal harm, but adequate and well-controlled studies in pregnant women are lacking. Use during pregnancy only if clearly needed. Cefotaxime is excreted in breast milk in low concentrations; use with caution in breastfeeding mothers.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Varies by manufacturer, typically 2-3 years for unopened vials when stored correctly.
Availability
Available in pharmacies and hospitals
Approval Status
Approved by regulatory authorities (e.g., DGDA)
Patent Status
Off-patent
WHO Essential Medicine
YesAlternative Medicines in Bangladesh
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Global Brand Names
International brand names for this medicine
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