Suprax

— THERAPEUTIC CATEGORIES —
  • Bacterial infections

Suprax Generic Name & Formulations

General Description

Cefixime 400mg; caps.

Pharmacological Class

Cephalosporin.

How Supplied

Caps—50; Chew tabs—10, 50; Susp 100mg/5mL—50mL, 75mL, 100mL; 200mg/5mL—25mL, 37.5mL, 50mL, 75mL, 100mL; 500mg/5mL—10mL, 20mL

Generic Availability

NO

Mechanism of Action

Bactericidal action of cefixime results from inhibition of cell-wall synthesis.

Suprax Indications

Indications

Susceptible infections, including pharyngitis, tonsillitis, acute exacerbation of chronic bronchitis; uncomplicated UTIs and cervical or urethral gonorrhea.

Suprax Dosage and Administration

Adult

400mg once daily or 200mg every 12 hrs. Gonorrhea: 400mg once. Infections due to Streptococcus pyogenes: treat for at least 10 days. Renal impairment: adjust dose; see full labeling.

Children

<6 months: not established. Chew tabs: chew or crush before swallowing. <50kg and 6 months–12yrs: 8mg/kg once daily or 4mg/kg every 12 hrs. >50kg or >12yrs: use adult dose. Otitis media: treat with chew tabs or susp; do not substitute with tabs. Infections due to Streptococcus pyogenes: treat for at least 10 days.

Administration

Capsules may be administered without regard to food. Chewable tablets must be chewed or crushed before swallowing. Capsules should not be substituted for the chewable tablets or suspension in the treatment of otitis media. For oral suspension: follow reconstitution instructions; shake well before using. Discard unused portion after 14 days.

Nursing Considerations

Capsules may be administered without regard to food. Chewable tablets must be chewed or crushed before swallowing. Capsules should not be substituted for the chewable tablets or suspension in the treatment of otitis media. For oral suspension: follow reconstitution instructions; shake well before using. Discard unused portion after 14 days.

Suprax Contraindications

Not Applicable

Suprax Boxed Warnings

Not Applicable

Suprax Warnings/Precautions

Warnings/Precautions

Penicillin or other allergy. Evaluate if diarrhea occurs. Renal impairment. History of GI disease. Poor nutritional state. Chew tabs: phenylketonuria. Pregnancy. Nursing mothers.

Suprax Pharmacokinetics

Elimination

Renal.

Suprax Interactions

Interactions

May potentiate carbamazepine, anticoagulants (eg, warfarin); monitor. May cause false (+) Clinitest, direct Coomb's, nitroprusside test for ketones. Potentiated by probenecid.

Suprax Adverse Reactions

Adverse Reactions

Diarrhea, nausea, loose stools, abdominal pain, dyspepsia, vomiting, hypersensitivity reactions, headache, dizziness, seizures, transient renal and hepatic effects; C. difficile-associated diarrhea.

Suprax Clinical Trials

See Literature

Suprax Note

Not Applicable

Suprax Patient Counseling

See Literature

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