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Tergecef

Cefixime




Brand Name, Dosage Format and Strength
Tergecef   20 mg/mL Granules for Suspension (Oral Drops)

Therapeutic Category
Anti-infectives (Systemic)

Class
Aminoglycoside, Cephalosporin, Chloramphenicol, Lincosamide, Macrolide, Penicillin, Penicillin + Beta lactamase Inhibitor , Penicillinase-resistant isoxazolylpenicillin, Penicillin; Beta-lactam + Beta-lactamase Inhibitor, Quinolone, Sulfonamide + Folate Inhibitor, Tetracycline, Triazole Antibiotic, Immunostimulant, Neuraminidase Inhibitor


UNDESIRABLE EFFECTS

Most adverse effects reported with cefixime were similar to those reported with other oral cephalosporins and were usually mild and transient in nature. 
 

Hypersensitivity Reactions: Anaphylactic/anaphylactoid reactions (including shock and fatalities), skin rashes, urticaria, fever, pruritus, arthralgia, angioedema, facial edema; erythema multiforme, SJS, toxic epidermal necrolysis, serum sickness-like reactions
 
GI: Diarrhea, loose or frequent stools, abdominal pain, anorexia, flatulence, dry mouth, dyspepsia, nausea, and vomiting. Several cases of documented pseudomembranous colitis were identified during the clinical studies on cefixime. The onset of pseudomembranous colitis symptoms may occur during or after therapy.
 
Hepatic: Transient elevation of ALT, AST, alkaline phosphatase, hepatitis, and jaundice
 
Renal: Transient elevations in BUN or creatinine levels, and rarely, acute renal failure
 
CNS:  Headache, dizziness, nervousness, insomnia, somnolence, malaise, fatigue, seizures
 
Hematologic: Transient thrombocytopenia, leukopenia, neutropenia, and eosinophilia; prolongation of prothrombin time was seen rarely.
 
Abnormal Laboratory Test: Hyperbilirubinemia
 
Other Adverse Events: Rarely, genital pruritus, vaginitis, and candidiasis
 
The following adverse reactions and altered laboratory tests have been reported for cephalosporin-class antibiotics:
  • Allergic reactions, superinfection, renal dysfunction, toxic nephropathy, hepatic dysfunction including cholestasis, aplastic anemia, hemolytic anemia, hemorrhage, and colitis.
  • Abnormal Laboratory Tests: Positive Coombs test, elevated LDH, pancytopenia, agranulocytosis

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