Tenafet

Uses

Cefetamet Pivoxil is used for the treatment of infections caused by sensitive microorganisms and in particular-

• Otolaryngeal infections: Otitis media, Sinusitis, Tonsillo-pharyngitis
• Infections of the lower respiratory tract: Tracheo-bronchitis, Bronchitis, Pneumonia
• Infections of the complicated and uncomplicated urinary tract: Acute pyelonephritis, Acute gonorrhea, Urethritis.

Dosage

Tenafet dosage

Adults and children over 12 years: 500 mg twice daily.

Children under 12 years: Usual dosage is 10 mg/kg twice daily.

16-30 kg (approximately 3-9 years): 250 mg twice daily

31-40 kg (approximately 9-12 years): 375 mg twice daily

>40 kg (approximately over 12 years):500 mg twice daily

Uncomplicated gonorrhea, acute urethritis, uncomplicated cystitis: Single dose of 1500-2000 mg.

For better absorption Cefetamet Pivoxil should be taken one hour before or after a meal.

Side Effects

Most common gastrointestinal side effects may include diarrhea, nausea & vomiting. Like with other wider spectrum antibiotics, in the course of treatment with Cefetamet internal colonization from difficult Clostridium can be observed. In some cases, this microorganism or its toxin has been identified

Precaution

Cefetamet should be administered with caution to the patients who have previously manifested allergy phenomena or gastrointestinal problems. An anaphylactic reaction demands an emergency treatment. Like with other antibiotics, Cefetamet can cause the opportunistic development of non-sensitive germs (Candida, Enterococci, and difficult Clostridium); in such cases, a suitable therapy should be given. Discontinuation of the antibiotic helps to restore the normal microflora and the internal functions. In presence of difficult Clostridium cases, the treatment of choice is Vancomycin for oral use and the inhibiting drug of the peristalsis are contraindicated.

Interaction

The antacids and/or the H2-blockers do not alter the pharmacokinetic profile of Cefetamet; therefore, it can be administered in combination with these drugs. Concomitant administration with diuretic (e.g. Furosemide) does not reduce renal function.

Pregnancy & Breastfeeding use

The main preclinical studies carried out with Cefetamet have not evidenced teratogenic effects. There are no available data regarding safe use of Cefetamet during pregnancy & lactation. Therefore, it should be used during pregnancy & lactation only if the potential benefit justifies the potential risk to the fetus.

Contraindication

Cefetamet is contraindicated in patients with hypersensitivity to Cefetamet, any other cephalosporin or penicillins or any other ingredient of this formulation.

Special Warning

Renal insufficiency: In the patients with renal insufficiency, dosage modification is required.

Hepatic insufficiency: In patients with hepatic insufficiency dosage adjustment is not necessary.

Acute Overdose

In healthy volunteers, single doses of 4 gm have been administered without problems, except it causes transitory vertigo or dizziness. In case of prematurely diagnosed overdosage the gastric lavage can be useful. Then symptomatic treatment can be carried out.

Innovators Monograph

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