Simexim

Simexim

cefotaxime

Manufacturer:

Simex
Concise Prescribing Info
Contents
Cefotaxime
Indications/Uses
Serious infection due to sensitive microorganisms: lower resp tract (including pneumonia), GUT, skin & soft tissue, gynecological (including pelvic inflammatory disease, endometritis, pelvic cellulitis), intra-abdominal (including peritonitis), bone &/or joint, CNS (including meningitis & ventriculitis) infections & gonorrhea.
Dosage/Direction for Use
Adult & childn >12 yr 1 g 12 hrly, may be increased to 2 g twice daily in serious infection. Infant & childn 1 mth-12 yr (>50 kg) Adult dose (max: 12 g daily), <50 kg 50-180 mg/kg daily IM/IV in 4-6 divided doses. Neonate 1-4 wk 50 mg/kg IV 8 hrly, 0-1 wk 50 mg/kg IV 12 hrly. Uncomplicated infections 1 g 12 hrly IM/IV. Max: 2 g daily. Moderate to serious infections 1-2 g 8 hrly IM/IV. Max: 3-6 g daily. Infections requiring higher dose 2 g 6-8 hrly IV. Max: 6-8 g daily. Life-threatening infections 2 g 4 hrly IV. Max: Up to 12 g daily. Uncomplicated gonorrhoea 1 g IM. Peri & post-op 1-2 g 30-60 min prior to surgery.
Contraindications
Hypersensitivity.
Special Precautions
May cause colitis in patients w/ history of GI diseases. May cause cross sensitivity in patients w/ hypersensitivity to penicillin. Pregnancy especially on 3rd trimester. Lactation.
Adverse Reactions
Local reactions at inj site, skin rash, pruritus, fever, urticaria, erythema multiforme, TEN, serious acute allergic reactions, colitis, diarrhea, nausea, vomiting, abdominal pain, neutropenia, leucopenia, eosinophilia, thrombocytopenia, granulocytopenia, moniliasis, vaginitis, headache, temporary increased serum creatinine & urea level, increased serum liver enzyme & bilirubin.
Drug Interactions
Aminoglycosides, probenecid, false +ve on Coomb's test result. May cause temporary reduction of plasma estrogen & progestogen level.
MIMS Class
Cephalosporins
ATC Classification
J01DD01 - cefotaxime ; Belongs to the class of third-generation cephalosporins. Used in the systemic treatment of infections.
Presentation/Packing
Form
Simexim powd for inj 1 g
Packing/Price
1's (Rp155,000/vial)
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