sk-cef
Generic Name
Ceftriaxone
Manufacturer
SKF Pharmaceuticals
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| sk cef 1 gm injection | ৳ 85.00 | N/A |
Description
Overview of the medicine
Ceftriaxone is a broad-spectrum, third-generation cephalosporin antibiotic used to treat a wide variety of bacterial infections, including severe and life-threatening ones. It is administered via injection.
Uses & Indications
Dosage
Adults
Typical adult dosage is 1-2 gm administered once daily (every 24 hours) either intravenously (IV) or intramuscularly (IM), depending on the infection's severity and type. Doses up to 4 gm/day may be used in severe cases.
Elderly
No specific dosage adjustment is usually required in elderly patients with normal renal and hepatic function. However, dose adjustments may be needed based on individual renal/hepatic status.
Renal_impairment
In patients with significant renal impairment, no dosage adjustment is generally needed for daily doses up to 2 gm. For severe impairment or dialysis, consult specific guidelines; careful monitoring is advised.
How to Take
sk-cef 1 gm injection is administered intravenously (IV) or intramuscularly (IM). For IV administration, the powder is reconstituted and then further diluted for slow infusion over 30 minutes. For IM administration, it is reconstituted with appropriate diluent (e.g., Lidocaine for pain reduction) and injected deeply into a large muscle mass. Should be administered by a healthcare professional.
Mechanism of Action
Ceftriaxone inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs) located in the bacterial cell wall. This binding prevents the cross-linking of peptidoglycan units, leading to structural damage, osmotic instability, and ultimately lysis and death of the bacterial cell.
Pharmacokinetics
Onset
Therapeutic levels are typically achieved within 1-2 hours after administration.
Excretion
Approximately 50-60% of the dose is excreted unchanged in urine via glomerular filtration and tubular secretion, and 40-50% is excreted via bile into feces.
Half life
Approximately 6-9 hours in healthy adults; can be prolonged in neonates, elderly, and those with severe renal or hepatic impairment.
Absorption
Rapid and complete absorption after intramuscular (IM) injection; intravenous (IV) administration provides 100% bioavailability. Peak plasma concentrations are reached within 2-3 hours after IM injection.
Metabolism
Ceftriaxone is minimally metabolized; about two-thirds is eliminated unchanged. A small portion is metabolized in the gut by intestinal flora.
Side Effects
Contraindications
- •Hypersensitivity to ceftriaxone, other cephalosporins, or any component of the formulation.
- •History of severe hypersensitivity reaction to any penicillin (e.g., anaphylaxis).
- •Neonates (especially premature) with hyperbilirubinemia, as ceftriaxone can displace bilirubin from albumin binding sites.
- •Concomitant use with calcium-containing IV solutions in neonates (≤28 days of age).
Drug Interactions
Aminoglycosides
Synergistic effect against some bacteria, but may increase nephrotoxicity (though less common with ceftriaxone).
Calcium-containing solutions
Contraindicated in neonates; in other age groups, administer sequentially with adequate flush between administrations.
Loop Diuretics (e.g., Furosemide)
May rarely increase nephrotoxicity.
Oral Anticoagulants (e.g., Warfarin)
May increase the anticoagulant effect and risk of bleeding. Close monitoring of INR is advised.
Storage
Store dry powder vials below 30°C (preferably 15-30°C). Protect from light and moisture. Do not freeze. Keep out of reach of children. Reconstituted solutions should be stored as per manufacturer's guidelines, typically at room temperature for a short period or refrigerated for slightly longer, and protected from light.
Overdose
In case of overdose, ceftriaxone concentrations can be reduced by hemodialysis or peritoneal dialysis. However, these methods are generally not very effective. Treatment should be symptomatic and supportive, focusing on maintaining vital functions and managing any adverse reactions.
Pregnancy & Lactation
Pregnancy Category B. Animal reproduction studies have not demonstrated a risk to the fetus, but there are no adequate and well-controlled studies in pregnant women. Use during pregnancy only if clearly needed. Ceftriaxone is excreted in low concentrations in breast milk; caution should be exercised when administered to a nursing woman.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 2-3 years from the date of manufacture when stored properly. Refer to the specific expiry date printed on the packaging. Reconstituted solution should be used immediately or within a specific timeframe (e.g., 6 hours at room temperature, 24 hours refrigerated) depending on the diluent.
Availability
Pharmacies, hospitals, clinics
Approval Status
Approved by major regulatory bodies (e.g., FDA, DGDA)
Patent Status
Expired for generic versions
WHO Essential Medicine
YesAlternative Medicines in Bangladesh
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Global Brand Names
International brand names for this medicine
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