Cefpodoxime Proxetil is a broad-spectrum cephalosporin antibiotic used to treat various bacterial infections. Here’s a comprehensive overview:

Description:

Cefpodoxime Proxetil is a prodrug that gets converted into its active form, cefpodoxime, in the body. It inhibits bacterial cell wall synthesis, leading to bacterial cell death.

Brand Names:

  1. Vantin
  2. Cefpodoxime
  3. Podoxime
  4. Ospen (brand name in some regions)
  5. Cefodox

Forms & Strengths:

  • Tablets: 100 mg, 200 mg
  • Suspension: 50 mg/5 mL, 100 mg/5 mL

Uses:

  • Acute bacterial sinusitis
  • Acute bacterial exacerbations of chronic bronchitis
  • Community-acquired pneumonia
  • Uncomplicated urinary tract infections
  • Pharyngitis/tonsillitis caused by Streptococcus pyogenes

Side Effects:

  • Gastrointestinal issues (e.g., nausea, diarrhea)
  • Allergic reactions (e.g., rash, itching)
  • Headache
  • Dizziness
  • Possible fungal infections

Dose:

  • Adults: Typically 200 mg twice daily for most infections. Dosage may vary based on the type and severity of the infection.
  • Children: Dose depends on weight and type of infection; commonly 10 mg/kg twice daily.

Contraindications:

  • Hypersensitivity to cephalosporins or penicillins
  • Caution in patients with a history of severe gastrointestinal disease, such as colitis

Drug Interactions:

  • Antacids and H2-receptor antagonists may reduce absorption
  • May increase the risk of nephrotoxicity with other nephrotoxic drugs
  • Possible interaction with blood thinners (e.g., warfarin) which may affect bleeding risk

Warnings:

  • Use cautiously in patients with a history of gastrointestinal disease, particularly colitis
  • May cause an overgrowth of non-susceptible organisms
  • Renal impairment may require dose adjustment

Doctor Advised:

Always follow your doctor’s instructions regarding dosage and duration of therapy. Inform your healthcare provider of all other medications and medical conditions to avoid potential interactions and complications.

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