Sefur
Generic Name
Cefuroxime (as Sodium)
Manufacturer
Leading Pharmaceutical Company
Country
Bangladesh
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Price Details
Current market pricing information
Variant | Unit Price | Strip Price |
---|---|---|
sefur 15 gm injection | ৳ 220.00 | N/A |
Description
Overview of the medicine
Cefuroxime is a second-generation cephalosporin antibiotic used to treat a wide range of bacterial infections including respiratory tract, urinary tract, skin and soft tissue, bone and joint infections, septicemia, and meningitis.
Uses & Indications
Dosage
Adults
Most infections: 750 mg IV/IM every 8 hours. Severe infections: 1.5 gm IV every 8 hours or 1.5 gm IV every 6 hours (up to 3-6 gm/day). Surgical prophylaxis: 1.5 gm IV 30-60 minutes before surgery, followed by 750 mg IV/IM every 8 hours for up to 24-48 hours.
Elderly
No specific dose adjustment for elderly with normal renal function. Adjust based on renal impairment if present.
Renal_impairment
Reduce dose based on creatinine clearance (CrCl). For CrCl 10-20 mL/min, 750 mg every 12 hours. For CrCl <10 mL/min, 750 mg every 24 hours. Hemodialysis patients: 750 mg once daily at the end of dialysis.
How to Take
For intravenous (IV) administration, reconstitute the 1.5 gm vial with 15 mL of sterile water for injection, then dilute in 50-100 mL of compatible IV fluid and infuse slowly over 20-60 minutes. For intramuscular (IM) administration, reconstitute with 6 mL of sterile water for injection and inject deeply into a large muscle.
Mechanism of Action
Cefuroxime exerts its bactericidal effect by inhibiting bacterial cell wall synthesis. It binds to penicillin-binding proteins (PBPs) located inside the bacterial cell wall, preventing the final transpeptidation step of peptidoglycan synthesis.
Pharmacokinetics
Onset
Rapid (within minutes) after IV administration.
Excretion
Primarily via the kidneys by glomerular filtration and tubular secretion. Approximately 50% to 100% is excreted unchanged in urine within 24 hours.
Half life
Approximately 1 to 1.5 hours in adults with normal renal function.
Absorption
Rapid and complete after intramuscular (IM) or intravenous (IV) administration.
Metabolism
Not significantly metabolized; mainly excreted unchanged.
Side Effects
Contraindications
- Known hypersensitivity to cefuroxime or any other cephalosporin antibiotics.
- History of severe hypersensitivity reaction (e.g., anaphylaxis) to any other type of beta-lactam antibacterial agent (e.g., penicillins, carbapenems).
Drug Interactions
Probenecid
Increases cefuroxime plasma concentrations and prolongs its half-life by reducing renal tubular secretion.
Aminoglycosides
Increased risk of nephrotoxicity.
Oral anticoagulants
May potentiate anticoagulant effect, requiring monitoring of INR.
Potent diuretics (e.g., Furosemide)
Increased risk of nephrotoxicity when co-administered with aminoglycosides.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children. Reconstituted solution should be used immediately or stored as per manufacturer's guidelines (e.g., refrigerated for up to 24 hours).
Overdose
Symptoms of overdose may include convulsions, encephalopathy, and neuromuscular excitability. Management is supportive, including monitoring vital signs and renal function. Hemodialysis can remove cefuroxime from the body.
Pregnancy & Lactation
Pregnancy Category B. Cefuroxime crosses the placenta but generally considered safe. Use during pregnancy only if clearly needed. Excreted in small amounts in breast milk; use with caution in breastfeeding mothers.
Side Effects
Contraindications
- Known hypersensitivity to cefuroxime or any other cephalosporin antibiotics.
- History of severe hypersensitivity reaction (e.g., anaphylaxis) to any other type of beta-lactam antibacterial agent (e.g., penicillins, carbapenems).
Drug Interactions
Probenecid
Increases cefuroxime plasma concentrations and prolongs its half-life by reducing renal tubular secretion.
Aminoglycosides
Increased risk of nephrotoxicity.
Oral anticoagulants
May potentiate anticoagulant effect, requiring monitoring of INR.
Potent diuretics (e.g., Furosemide)
Increased risk of nephrotoxicity when co-administered with aminoglycosides.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children. Reconstituted solution should be used immediately or stored as per manufacturer's guidelines (e.g., refrigerated for up to 24 hours).
Overdose
Symptoms of overdose may include convulsions, encephalopathy, and neuromuscular excitability. Management is supportive, including monitoring vital signs and renal function. Hemodialysis can remove cefuroxime from the body.
Pregnancy & Lactation
Pregnancy Category B. Cefuroxime crosses the placenta but generally considered safe. Use during pregnancy only if clearly needed. Excreted in small amounts in breast milk; use with caution in breastfeeding mothers.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 24-36 months from the date of manufacture. Refer to specific product packaging for exact shelf life.
Availability
Available in hospitals and pharmacies
Approval Status
Approved by major regulatory bodies (e.g., FDA, DGDA)
Patent Status
Off-patent
WHO Essential Medicine
YesClinical Trials
Cefuroxime has undergone extensive clinical trials since its development to establish its efficacy and safety profile against various bacterial infections across different patient populations.
Lab Monitoring
- Renal function tests (blood urea nitrogen, creatinine) for prolonged therapy or in patients with pre-existing renal impairment.
- Liver function tests (ALT, AST, ALP, bilirubin) if abnormalities are suspected.
- Complete blood count (CBC) during prolonged treatment.
Doctor Notes
- Carefully assess patient history for hypersensitivity to cephalosporins, penicillins, or other beta-lactam antibiotics.
- Adjust dose in patients with renal impairment based on creatinine clearance.
- Monitor for signs of superinfection and C. difficile infection, especially with prolonged use.
- Intramuscular administration should be avoided in patients with bleeding disorders or receiving anticoagulant therapy.
Patient Guidelines
- Complete the full course of antibiotics as prescribed, even if symptoms improve.
- Report any severe or persistent side effects to your doctor immediately.
- Do not share this medicine with others, even if they have similar symptoms.
Missed Dose Advice
If a dose is missed, administer it as soon as remembered, unless it is almost time for the next scheduled dose. Do not double the dose to catch up. Follow the regular dosing schedule.
Driving Precautions
Cefuroxime injection usually has no or negligible influence on the ability to drive and use machines. However, if dizziness occurs, caution should be exercised.
Lifestyle Advice
- Maintain adequate hydration during antibiotic treatment.
- Avoid alcohol consumption during treatment as it may exacerbate some side effects (though not a direct interaction).
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