Wintax (500mg) 1 Vial Injection

Cefotaxime is a third-generation cephalosporin antibiotic that exerts its bactericidal effect by inhibiting cell wall synthesis in susceptible bacteria. Its primary mechanism of action involves binding to and inhibiting essential enzymes called penicillin-binding proteins (PBPs), which are responsible for cross-linking peptidoglycan strands in the bacterial cell wall. By disrupting the synthesis of the cell wall, cefotaxime weakens the structural integrity of the bacterial cell, leading to cell lysis and death. Cefotaxime has a broad spectrum of activity against a wide range of Gram-positive and Gram-negative bacteria, including Escherichia coli, Klebsiella pneumoniae, and Haemophilus influenzae.

Cefotaxime 500mg

Cephalosporin antibiotic

Injection

The following are the uses of Cefotaxime 500mg injection:

• Used for treating severe bacterial infections like meningitis, pneumonia, and skin or abdominal infections.
• Used for controlling infections post-surgery.
• Used for managing bacterial infections in various body parts, including the blood, bones, and joints.
• Used for combating bacterial infections in the urinary tract.
• Used for treating bacterial infections in the reproductive organs.
• Used for managing certain types of community-acquired pneumonia.
• Used for preventing infections during high-risk procedures.

Follow these dosage instructions:

• Adult Dosage

Uncomplicated infections

In the case of an overdose of Cefotaxime 500mg injection, the patient may experience symptoms such as nausea, vomiting, and diarrhea. The severity of these symptoms can vary depending on the amount ingested. It is important to seek medical advice promptly, as healthcare professionals may recommend appropriate measures such as monitoring vital signs, providing supportive care, and ensuring adequate hydration to manage the overdose effectively and minimize potential complications.

In the case of a missed dose of Cefotaxime 500mg injection, it is important to administer the medication as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. However, if you miss a dose and it is still several hours before your next dose is due, administer the missed dose immediately. It is crucial not to double the dose to make up for a missed one, as this may increase the risk of side effects. Consult your healthcare provider if you frequently miss doses or have concerns about your medication schedule.

To administer Cefotaxime 500mg injection, clean the injection site with an alcohol swab, insert the needle at a 90-degree angle, and inject the entire contents of the vial intramuscularly or intravenously as directed by your healthcare provider, ensuring the full dose is delivered.

Here are the conditions or situations when Cefotaxime 500mg injection should not be used:

• Should not be administered to patients with a confirmed hypersensitivity or severe allergy to Cefotaxime or other cephalosporin antibiotics.
• Not recommended for patients with a history of severe allergic reactions to penicillins, as there may be cross-reactivity.
• Contraindicated in patients with a history of cholestatic jaundice or liver problems associated with Cefotaxime use.
• Should not be used in patients with confirmed or suspected bacterial infections caused by resistant organisms.
• Not suitable for patients with severe renal impairment or kidney failure, as dosage adjustments may not be sufficient to ensure safety.
• Should be avoided in patients with a history of severe gastrointestinal diseases, especially colitis, as it may exacerbate these conditions.
• Not recommended for neonates or premature infants due to the risk of bilirubin encephalopathy.

The side effects of Cefotaxime 500mg injection may include:

• Nausea and vomiting
• Diarrhea
• Skin rashes or itching
• Allergic reactions (hives, swelling, difficulty breathing)
• Pain and inflammation at the injection site
• Changes in blood cell counts
• Elevated liver enzymes
• Clostridium difficile-associated diarrhea (CDAD)

Following are the precautions and warnings for Cefotaxime 500mg injection:

• This medication should not be administered to individuals with a history of severe allergic reactions to Cefotaxime or other cephalosporin antibiotics.
• It should be used with caution in patients with kidney or liver disease, as dosage adjustments may be necessary.
• Cefotaxime may cause diarrhea, and if it becomes severe or persistent, it could be a sign of a new infection. Discontinue use and seek medical attention immediately.
• Prolonged use of Cefotaxime may lead to the overgrowth of resistant microorganisms, especially Clostridium difficile, which can cause severe diarrhea.
• Ensure proper hydration during the course of treatment to reduce the risk of kidney damage.
• Patients with a history of gastrointestinal disease may experience an increased risk of inflammation or infection.
• Cefotaxime should be used with caution in newborns and premature infants due to their immature renal function.
• Diabetic patients should be aware that Cefotaxime may cause false positive results in urine glucose tests.

Following are the drug interactions for Cefotaxime 500mg injection:

• Probenecid slows down the removal of Cefotaxime from the body, leading to increased levels and potential toxicity.
• Concurrent use with other nephrotoxic drugs (e.g., aminoglycosides, colistin) may increase the risk of kidney damage.
• Cefotaxime may reduce the effectiveness of oral contraceptives, leading to potential contraceptive failure.
• There is a risk of seizures when used with medications that lower the seizure threshold, such as certain antipsychotics and tricyclic antidepressants.
• Alcohol consumption may increase the risk of neurological side effects, including seizures and central nervous system depression.
• Cefotaxime can decrease the absorption of oral vitamin K, potentially reducing its effectiveness in treating vitamin K deficiency.
• When combined with other antibiotics, there is a potential for reduced efficacy or increased side effects due to overlapping mechanisms of action.

Following are the food interactions for Cefotaxime 500mg injection:

• Avoid consuming alcohol during the treatment period as it may increase the risk of side effects and affect the effectiveness of Cefotaxime.
• Grapefruit and grapefruit juice should be consumed with caution as they can interfere with the absorption and metabolism of Cefotaxime, potentially leading to increased drug levels in the body.
• Avoid high-fat meals as they may delay the absorption of Cefotaxime, resulting in reduced effectiveness.
• Maintain a balanced diet to support overall health and ensure the medication's optimal efficacy.
• Stay hydrated by drinking adequate fluids, especially water, to aid in the body's natural detoxification processes.
• Avoid excessive caffeine intake as it may interact with Cefotaxime, potentially causing increased heart rate or nervousness.
• Consult your healthcare provider for specific dietary recommendations based on your medical condition and treatment plan.
• There are no specific food restrictions with Cefotaxime, but maintaining a healthy and varied diet is generally advised.

Cefotaxime 500mg injection should be stored in a controlled environment, specifically at room temperature between 20-25°C (68-77°F), ensuring a cool and dry location. Protect the injection from direct sunlight and moisture, and store it in its original packaging, tightly sealed, to maintain its integrity. It is crucial to dispose of unused or expired Cefotaxime properly; do not flush or pour it down the drain. Contact your pharmacist or healthcare provider for appropriate disposal instructions to prevent environmental contamination. Keep the medication away from children to prevent accidental exposure, ensuring their safety.

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Following are the quick tips for Cefotaxime 500mg Injection:

• Cefotaxime injection should be administered by a healthcare professional in a medical setting.
• Ensure the injection is prepared and stored as per the instructions provided.
• Before administration, check the solution for any discoloration or particles.
• Clean the injection site with an alcohol swab to ensure proper hygiene.
• Inject the medication slowly as directed by your doctor.
• After the injection, apply pressure to the injection site if there is any bleeding.
• Dispose of used needles and syringes safely in designated sharps containers.