Description
Cefixim®is a broad spectrum, third generation oral Cephalosporin antibiotic for oral use. It is a bactericidal and is stable to hydrolysis by beta-lactamases. The drug kills bacteria by interfering with the synthesis of bacterial cell wall. It is highly effective against most Enterobacteriaceae, Haemophilus influenzae, Neisseria gonorrhoeae, -haemolytic Streptococcus and Streptococcus pneumoniae.
About 65% of the drug in thecirculation is bound to plasma protein. Cefixim® is mainly excreted unchanged in bile and urine.

Composition
Cefixim®Capsule : Each capsule contains Cefixime trihydrate USP, equivalent to Cefixime USP 200 mg.
Cefixim®Dry Suspension : Each 5 ml suspension (reconstituted from Dry Syrup) contains Cefixime trihydrate USP, equivalent to Cefixime USP 100 mg.

Indication
Cefixim®is indicated in the treatment of following acute infections caused by susceptible microorganisms:
Upper respiratory tract infection (URTI) : Otitis media and others where causative organisms are known or suspected to be resistant to other commonly used antibiotics or where treatment failure may carry significant risk.
Lower respiratory tract infection (LRTI) : Bronchitis.
Gastrointestinal tract infection (GITI) : Typhoid fever.
Urinary tract infection (UTI): Cystitis, cystourethritis, pyelonephritis.
Dosage and administration : With Cefixim®the usual course of treatment is 7 days. This may be continued up to 14 days.
Adults & Children over 10 years old: The recommended adult dosage is 1-2 capsule (200-400 mg) daily according to the severity of infection, given in either as a single dose or in two divided doses.
Elderly: Elderly patients may be given the same dose as recommended for the adults. Renal functions should be assessed and dosage should be adjusted in severe renal impairment.
Children : The recommended dosage for children is 8 mg/kg/day administered as single dose or in two divided dose.

As a general guide the following daily doses are suggested:
Cefixim®
Children (6-12 months) : Suspension 3.75 ml (75 mg) daily.
Children (1-4 years) : Suspension 5 ml (100 mg) daily.
Children (5-10 years) : Suspension 10 ml (200 mg) daily.
Children weighing more than 50 kg or older than 10 years : Adult dose of Cefixim®(200-400 mg daily) is recommended.

Pecaution
In presence of impaired renal function Cefixim®should be administered with caution. In patient creatinine clearance less than 20 ml/min, it is recommended that a dose of 200 mg once daily should not be exceeded.
Use in Pregnancy and Lactation:
Cefixim®should not be used in pregnancy or nursing mother unless considered essential by the physician.

Side effect
Cefixim®is generally well tolerated. The majority of adverse reactions observed are mild and self-limiting in nature. GIT disturbances : Diarrhoea and changes in stool colour, nausea, abdominal pain, dyspepsia, vomiting and flatulence. CNS disturbances: Headache and dizziness. Hypersensitivity reactions: Rash, pruritus, urticaria, drug fever and arthralgia have been observed.

Contraindication
Cefixim®is contraindicated in patients with known hypersensitivity to Cephalosporin group of drugs.

How supplied
Cefixim® Capsule : Box contains 1 x 5’s capsules in blister pack.
Cefixim® Dry Suspension : Bottle contains dry powder for 50 ml suspension.