G-Fix
Generic Name
Cefixime
Manufacturer
Square Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
Variant | Unit Price | Strip Price |
---|---|---|
g fix 200 mg capsule | ৳ 45.00 | ৳ 180.00 |
Description
Overview of the medicine
G-Fix 200 mg Capsule contains Cefixime, a third-generation cephalosporin antibiotic, used to treat various bacterial infections including those of the urinary tract, respiratory tract, and skin.
Uses & Indications
Dosage
Adults
200-400 mg once or twice daily depending on the severity of the infection. For uncomplicated gonorrhea, a single dose of 400 mg is recommended.
Elderly
No specific dosage adjustment is required for elderly patients with normal renal function. Dosage should be adjusted in case of renal impairment.
Renal_impairment
For creatinine clearance 21-60 mL/min, 75% of the standard dose; for creatinine clearance <20 mL/min, 50% of the standard dose.
How to Take
G-Fix capsule should be taken orally with or without food. It is recommended to complete the full course of treatment as prescribed by the physician.
Mechanism of Action
Cefixime works by inhibiting bacterial cell wall synthesis, leading to bacterial cell death.
Pharmacokinetics
Onset
Peak plasma concentrations are generally achieved within 2-6 hours after oral administration.
Excretion
Primarily excreted via renal mechanisms (glomerular filtration and tubular secretion) and some biliary excretion.
Half life
Plasma half-life is typically 3-4 hours, prolonged in renal impairment.
Absorption
Approximately 40-50% orally absorbed, absorption is slightly delayed by food but overall extent is not significantly affected.
Metabolism
Cefixime is largely excreted unchanged in the urine; no significant hepatic metabolism identified.
Side Effects
Contraindications
- Known hypersensitivity to Cefixime, other cephalosporins, or any component of the formulation.
- History of severe hypersensitivity reaction to penicillin.
Drug Interactions
Warfarin
May increase prothrombin time, monitor INR.
Probenecid
May increase Cefixime concentrations.
Carbamazepine
Elevated carbamazepine levels have been reported with concurrent Cefixime use.
Oral Contraceptives
May decrease the efficacy of oral contraceptives; use alternative contraception.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
In case of overdose, gastric lavage may be indicated. Cefixime is not removed in significant quantities by hemodialysis or peritoneal dialysis. Management is primarily supportive.
Pregnancy & Lactation
Pregnancy Category B. Cefixime should be used during pregnancy only if clearly needed. Excreted in breast milk; use with caution in nursing mothers.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 24 to 36 months from the date of manufacture, refer to the product packaging for exact details.
Availability
Pharmacies, Hospitals
Approval Status
Approved by major regulatory bodies
Patent Status
Generic available, original patent expired
WHO Essential Medicine
YesClinical Trials
Cefixime has undergone extensive clinical trials demonstrating its efficacy and safety in various bacterial infections.
Lab Monitoring
- Renal function tests (creatinine, BUN) should be monitored in patients with pre-existing renal impairment or during prolonged high-dose therapy.
- Complete blood count (CBC) in prolonged therapy.
Doctor Notes
- Emphasize patient compliance for the full course of therapy to minimize resistance development.
- Be aware of potential for Clostridium difficile-associated diarrhea (CDAD) following antibiotic use.
Patient Guidelines
- Complete the entire course of medication, even if symptoms improve, to prevent resistance.
- Do not share this medication with others.
- Inform your doctor about any allergic reactions or severe side effects immediately.
Missed Dose Advice
If a dose is missed, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose.
Driving Precautions
Cefixime may cause dizziness in some patients. Patients should be cautioned about operating hazardous machinery or driving until it is reasonably certain that Cefixime therapy does not adversely affect their ability to engage in such activities.
Lifestyle Advice
- Maintain adequate hydration by drinking plenty of fluids.
- Avoid alcohol if it causes stomach upset.
Alternative Medicines in Bangladesh
Similar medicines available in the market
Global Brand Names
International brand names for this medicine
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