max and AUC decreased by up to 32% with increasing dose. Once results become available, continue with appropriate therapy. (See No overall differences in effectiveness or safety were observed between the elderly and younger patients. Mechanism of Action: IF AN ALLERGIC REACTION TO CEFPODOXIME PROXETIL OCCURS, DISCONTINUE THE DRUG. Labels, All Index Time to peak concentration was not significantly different between fed and fasted subjects. C. difficile cause increased morbidity and mortality, as these infections can be refractory to antimicrobial therapy and may require colectomy. IF CEFPODOXIME IS TO BE ADMINISTERED TO PENICILLIN SENSITIVE PATIENTS, CAUTION SHOULD BE EXERCISED BECAUSE CROSS HYPERSENSITIVITY AMONG BETA-LACTAM ANTIBIOTICS HAS BEEN CLEARLY DOCUMENTED AND MAY OCCUR IN UP TO 10% OF PATIENTS WITH A HISTORY OF PENICILLIN ALLERGY. Diarrhea or loose stools were dose-related: decreasing from 10.4% of patients receiving 800 mg per day to 5.7% for those receiving 200 mg per day. Streptococcus pyogenes. Replace cap securely after each opening. Skipping doses or not completing the full course of therapy may (1) decrease the effectiveness of the immediate treatment and (2) increase the likelihood that bacteria will develop resistance and will not be treatable by cefpodoxime proxetil or other antibacterial drugs in the future. Revised: 11/2021, NDC 65862-095-20 Incidence Greater Than 1%: To view updated drug label links, paste the RSS feed address (URL) shown below into a RSS reader, or use a browser which supports RSS feeds, such as Safari for Mac OS X. Cefpodoxime has activity in the presence of some beta-lactamases, both penicillinases and cephalosporinases, of Gram-negative and Gram-positive bacteria. Cefpodoxime Proxetil Tablets, USP How Supplied Labels and Packages Editor-In-Chief: C. Michael Gibson, M.S., M.D. For this estimate to be valid, the serum creatinine level should represent a steady state of renal function. CLINICAL PHARMACOLOGY If CDAD is suspected or confirmed, ongoing antibiotic use not directed against Other pharmacokinetic parameters were unchanged relative to those observed in healthy younger subjects. Print Save Cefpodoxime (Monograph) Brand name: Vantin Drug class: Third Generation Cephalosporins CAS number: 87239-81-4 Medically reviewed by Drugs.com on Sep 29, 2022. Uncomplicated skin and skin structure infections caused by Staphylococcus aureus (including penicillinase-producing strains) or Streptococcus pyogenes. Cefpodoxime proxetil is generally effective in the eradication of streptococci from the oropharynx. Careful medical history is necessary since CDAD has been reported to occur over two months after the administration of antibacterial agents. Gram-negative bacteria: NOTE: In clinical trials, successful treatment of uncomplicated skin and skin structure infections was dose-related. H. influenzae. Streptococcus pyogenes, Please see, Acute bacterial exacerbation of chronic bronchitis, Acute, uncomplicated urethral and cervical gonorrhea, Acute, uncomplicated ano-rectal infections in women, Uncomplicated skin and skin structure infections, Uncomplicated urinary tract infections (cystitis), Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis. View NDC Code(s)NEW! Laboratory Changes Acute otitis media caused by Streptococcus pneumoniae (excluding penicillin-resistant strains), Streptococcus pyogenes, Haemophilus influenzae (including beta-lactamase-producing strains), or Moraxella (Branhamella) catarrhalis (including beta-lactamase-producing strains). BEFORE THERAPY WITH CEFPODOXIME PROXETIL IS INSTITUTED, CAREFUL INQUIRY SHOULD BE MADE TO DETERMINE WHETHER THE PATIENT HAS HAD PREVIOUS HYPERSENSITIVITY REACTIONS TO CEFPODOXIME, OTHER CEPHALOSPORINS, PENICILLINS, OR OTHER DRUGS. All Rights Reserved. The incidence of diarrhea in infants and toddlers (age 1 month to 2 years) was 12.8%. Streptococcus pyogenes For patients with severe renal impairment (<30 mL/min creatinine clearance), the dosing intervals should be increased to Q 24 hours. April 19, 2022. Nervous: Hallucination, hyperkinesia, nervousness, somnolence. Mechanism of Resistance: Resistance to Cefpodoxime is primarily through hydrolysis by beta-lactamase, alteration of penicillin-binding proteins (PBPs), and decreased permeability. Streptococcus pyogenes. Following a single, oral 200 mg cefpodoxime proxetil film-coated tablet, the mean maximum cefpodoxime concentration in lung tissue averaged 0.63 mcg/g at 3 hours post-dosing, 0.52 mcg/g at 6 hours post-dosing, and 0.19 mcg/g at 12 hours post-dosing. multiple doses of cefpodoxime proxetil film-coated tablets, 4696 patients were treated with the recommended dosages of cefpodoxime (100 to 400 mg Q 12 hours). Cefpodoxime proxetil is a prodrug; its active metabolite is. Susceptibility Testing The extent of absorption (mean AUC) and the mean peak plasma concentration increased when film-coated tablets were administered with food. In patients with normal renal function, neither accumulation nor significant changes in other pharmacokinetic parameters were noted following multiple oral doses of up to 400 mg Q 12 hours. NOTE: In clinical trials, successful treatment of uncomplicated skin and skin structure infections was dose-related. In post-marketing experience outside the United States, reports of pseudomembranous colitis associated with the use of cefpodoxime proxetil have been received. Files, All Mapping Hyderabad-500 032, India AUROBINDO20 Tablets, NDC 65862-096-20 Hematologic: Eosinophilia, leukocytosis, lymphocytosis, granulocytosis, basophilia, monocytosis, thrombocytosis, decreased hemoglobin, decreased hematocrit, leukopenia, neutropenia, lymphocytopenia, thrombocytopenia, thrombocythemia, positive Coombs test, and prolonged PT, and PTT. To reduce the development of drug-resistant bacteria and maintain the effectiveness of cefpodoxime proxetil and other antibacterial drugs, cefpodoxime proxetil should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. Community-acquired pneumonia caused by S. pneumoniae or H. Influenzae (including beta-lactamase-producing strains). (See CLINICAL STUDIES section.) In subjects with mild impairment of renal function (50 to 80 mL/min creatinine clearance), the average plasma half-life of cefpodoxime was 3.5 hours. 21 H INDICATIONS AND USAGE for indicated pathogens.) In a study of 3 lactating women, levels of cefpodoxime in human milk were 0%, 2% and 6% of concomitant serum levels at 4 hours following a 200 mg oral dose of cefpodoxime proxetil. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed. C. difficile, and surgical evaluation should be instituted as clinically indicated. Equilibrium was achieved between plasma and tonsil tissue within 4 hours of dosing. 65862-096-99. This medication is known as a cephalosporin antibiotic. Written by ASHP. Renal: Increases in BUN and creatinine. Following multiple-dose administration every 12 hours for 5 days of 200 mg or 400 mg cefpodoxime proxetil, the mean maximum cefpodoxime concentration in skin blister fluid averaged 1.6 and 2.8 mcg/mL, respectively. Pregnancy Category B In order for our online pharmacy team to ensure this product is appropriate for you to buy we will ask you to complete a questionnaire with a few simple questions. Anaerobic Gram-positive bacteria: In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy. They do not treat viral infections (e.g., the common cold). Within the Prescription Medications section: Use Trial Bulletin to search for clinical trials involving this product: All MedLibrary.org resources are included in as near-original form as possible, meaning that the information from the original provider has been rendered here with only typographical or stylistic modifications and not with any substantive alterations of content, meaning or intent. We anticipate reposting the images once we are able identify and filter out images that do not match the information provided in the drug labels. Was 21.99. All doses of cefpodoxime proxetil in this insert are expressed in terms of the active cefpodoxime moiety. Citations, PACKAGE LABEL-PRINCIPAL DISPLAY PANEL - 200 mg, Report Adverse The recommended dosages, durations of treatment, and applicable patient population are as described in the following chart: GRANULES FOR ORAL SUSPENSION: Cefpodoxime may also be used for purposes not listed in this medication guide. As with other cephalosporins, cefpodoxime proxetil may occasionally induce a positive direct Coombs test. Cystitis Pharmacokinetics of Cefpodoxime Proxetil Suspension: In adult subjects, a 100 mg dose of oral suspension produced an average peak cefpodoxime concentration of approximately 1.5 mcg/mL (range: 1.1 to 2.1 mcg/mL), which is equivalent to that reported following administration of the 100 mg tablet. Elderly subjects do not require dosage adjustments unless they have diminished renal function. Equilibrium was achieved between plasma and tonsil tissue within 4 hours of dosing. Presence in Breast Milk, Medline Plus, Cefpodoxime proxetil is an orally administered, extended spectrum, semi-synthetic antibiotic of the cephalosporin class. In healthy geriatric subjects, cefpodoxime half-life in plasma averaged 4.2 hours (vs 3.3 in younger subjects) and urinary recovery averaged 21% after a 400 mg dose was administered every 12 hours. The toxic symptoms following an overdose of beta-lactam antibiotics may include nausea, vomiting, epigastric distress, and diarrhea. SERIOUS ACUTE HYPERSENSITIVITY REACTIONS MAY REQUIRE TREATMENT WITH EPINEPHRINE AND OTHER EMERGENCY MEASURES, INCLUDING OXYGEN, INTRAVENOUS FLUIDS, INTRAVENOUS ANTIHISTAMINE, AND AIRWAY MANAGEMENT, AS CLINICALLY INDICATED. (Groups C, F, G) Once these results become available, antimicrobial therapy should be adjusted accordingly. Clinical Studies Urogenital - hematuria, urinary tract infections, metrorrhagia, dysuria, urinary frequency, nocturia, penile infection, proteinuria, vaginal pain. In controlled studies of acute otitis media performed in the United States, where significant rates of beta-lactamase-producing organisms were found, cefpodoxime proxetil was compared to cefixime. NOTE: Only penicillin by the intramuscular route of administration has been shown to be effective in the prophylaxis of rheumatic fever. S. pyogenes for at least 7 hours after dosing of 100 mg of cefpodoxime proxetil. The mean cefpodoxime T1/2 and renal clearance in cirrhotic patients were similar to those derived in studies of healthy subjects. 90 for & Articles, All Skin - urticaria, rash, pruritus non-application site, diaphoresis, maculopapular rash, fungal dermatitis, desquamation, dry skin non-application site, hair loss, vesiculobullous rash, sunburn. Events, If superinfection occurs during therapy, appropriate measures should be taken. Proteus vulgaris Cefpodoxime proxetil is an orally administered, extended spectrum, semi-synthetic antibiotic of the cephalosporin class. The drug is supplied as flavoured granules for oral suspension.Each 5 mL of cefpodoxime proxetil for oral suspension USP contains cefpodoxime proxetil USP equivalent to 50 mg or 100 mg of cefpodoxime activity after constitution and the following inactive ingredients: lactose monohydrate, corn starch, croscarmellose sodium, ferric oxide yellow, hydroxypropyl cellulose, microcrystalline cellulose and carboxymethyl cellulose sodium, colloidal silicon dioxide, citric acid anhydrous, sodium citrate, sodium benzoate, sucrose, and citron & vanille flavorings. in vivo micronucleus test, were all negative. Please see DOSAGE AND ADMINISTRATION for specific recommendations. All doses of cefpodoxime proxetil in this insert are expressed in terms of the active cefpodoxime moiety. Hemic and Lymphatic - anemia. The extent of absorption (mean AUC) and the mean peak plasma concentration increased when film-coated tablets were administered with food. Body: Localized abdominal pain, abdominal cramp, headache, monilia, generalized abdominal pain, asthenia, fever, fungal infection. Mechanism of Action: CLINICAL STUDIES section.) Proxetil Tablets, USP This site complies with the HONcode standard for trustworthy health information: verify here. When a 200 mg dose of the suspension was taken with food, the extent of absorption (mean AUC) and mean peak plasma concentration in fed subjects were not significantly different from fasted subjects, but the rate of absorption was slower with food (48% increase in T Nervous - dizziness, insomnia, somnolence, anxiety, shakiness, nervousness, cerebral infarction, change in dreams, impaired concentration, confusion, nightmares, paresthesia, vertigo. There is minimal metabolism of cefpodoxime in vivo. ) Federal (USA) law restricts this drug to use by or on the order of a licensed veterinarian. Although nephrotoxicity has not been noted when cefpodoxime proxetil was given alone, close monitoring of renal function is advised when cefpodoxime proxetil is administered concomitantly with compounds of known nephrotoxic potential. Sometimes after starting treatment with antibiotics, patients can develop watery and bloody stools (with or without stomach cramps and fever) even as late as two or more months after having taken the last dose of the antibiotic. a single dose of cefpodoxime proxetil film-coated tablets, 509 patients were treated with the recommended dosage of cefpodoxime (200 mg). Cefpodoxime has been shown to be active against most isolates of the following bacteria, both in vitro and in clinical infections as described in the Indications and Usage (1) section: cefpodoxime 200 mg tablet. Diarrhea 1.2% (See INDICATIONS AND USAGE for indicated pathogens.) Selected from NATIONAL DRUG DATA FILE (NDDF) data included with permission and copyrighted by First Databank, Inc., 2019. Antacids: Concomitant administration of high doses of antacids (sodium bicarbonate and aluminum hydroxide) or H Cefpodoxime Proxetil for Oral Suspension Cefpodoxime Proxetil for Oral Suspension contains Cefpodoxime Proxetil and one or more buffers, suspending agents, sweeteners, flavorings, and preservatives. The percentage of cefpodoxime proxetil-treated patients who discontinued study drug because of adverse events was significantly greater at a dose of 800 mg daily than at a dose of 400 mg daily or at a dose of 200 mg daily. In healthy geriatric subjects, cefpodoxime half-life in plasma averaged 4.2 hours (Vs 3.3 in younger subjects) and urinary recovery averaged 21% after a 400 mg dose was administered every 12 hours. Anaerobic Gram-positive bacteria: As with other antibiotics, prolonged use of cefpodoxime proxetil may result in overgrowth of non-susceptible organisms. Gram-negative bacteria: There is minimal metabolism of cefpodoxime No detection of cefpodoxime in tonsillar tissue was reported 12 hours after dosing. Cefpodoxime, like other cephalosporins, should be administered with caution to patients receiving concurrent treatment with potent diuretics. Therapy may be instituted while awaiting the results of these studies. Dose Table for SIMPLICEF Tablets at 5 mg/kg Total Daily Dosage, Table 2. Film-coated Tablets (Multiple dose): In clinical trials using multiple doses of cefpodoxime proxetil film-coated tablets, 4696 patients were treated with the recommended dosages of cefpodoxime (100 to 400 mg Q 12 hours). Pharyngitis and/or tonsillitis caused by The results of this study indicated that cefpodoxime penetrated into lung tissue and produced sustained drug concentrations for at least 12 hours after dosing at levels that exceeded the MIC Nephrotoxic drugs: IF AN ALLERGIC REACTION TO CEFPODOXIME PROXETIL OCCURS, DISCONTINUE THE DRUG. Genital: Vaginitis. Elderly subjects do not require dosage adjustments unless they have diminished renal function. Nephrotoxic drugs: Although nephrotoxicity has not been noted when cefpodoxime proxetil was given alone, close monitoring of renal function is advised when cefpodoxime proxetil is administered concomitantly with compounds of known nephrotoxic potential. Mechanism of Resistance: To reduce the development of drug-resistant bacteria and maintain the effectiveness of cefpodoxime proxetil and other antibacterial drugs, cefpodoxime proxetil should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria. SIMPLICEF tablets should be administered once daily for 5-7 days or for 2-3 days beyond the cessation of clinical signs, up to a maximum of 28 days. Adverse events thought possibly or probably related to cefpodoxime proxetil that occurred in In subjects with moderate (30 to 49 mL/min creatinine clearance) or severe renal impairment (5 to 29 mL/min creatinine clearance), the half-life increased to 5.9 and 9.8 hours, respectively. Psychiatric: Anxiety. Cefpodoxime proxetil tablets, USPcontain cefpodoxime proxetil USP equivalent to 100 mg or 200 mg of cefpodoxime activity and the following inactive ingredients: carboxy methyl cellulose calcium, lactose monohydrate, hydroxy propyl cellulose, sodium lauryl sulfate, crospovidone, corn starch, magnesium stearate, hypromellose, titanium dioxide, propylene glycol and FD&C yellow #6 aluminum lake. The results of this study indicated that cefpodoxime penetrated into lung tissue and produced sustained drug concentrations for at least 12 hours after dosing at levels that exceeded the MIC90 for S. pneumoniae and H. influenzae. CEFPODOXIME PROXETIL cefpodoxime proxetil granule, for suspensionAurobindo Pharma Limited, To reduce the development of drug-resistant bacteria and maintain the effectiveness of cefpodoxime proxetil and other antibacterial drugs, cefpodoxime proxetil should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria.For Oral Use Only. Acute, uncomplicated ano-rectal infections in women due to There are, however, no adequate and well-controlled studies of cefpodoxime proxetil use in pregnant women. Within the Veterinary Product and Label Information section: VetLabel.com provides trustworthy package insert and label information about marketed drugs as submitted by manufacturers to the U.S. Food and Drug Administration. Granules for Oral Suspension (Multiple dose): Adverse Reactions and Abnormal Laboratory Tests. (cefpodoxime proxetil) Tablets 1.2. Cefpodoxime proxetil was neither teratogenic nor embryocidal when administered to rats during organogenesis at doses up to 100 mg/kg/day (2 times the human dose based on mg/m2) or to rabbits at doses up to 30 mg/kg/day (1 to 2 times the human dose based on mg/m2). Rx only Please see, Acute bacterial exacerbation of chronic bronchitis, Acute, uncomplicated urethral and cervical gonorrhea, Acute, uncomplicated ano-rectal infections in women, Uncomplicated skin and skin structure infections, Uncomplicated urinary tract infections (cystitis), Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis. (See PRECAUTIONS and DOSAGE AND ADMINISTRATION.) If CDAD is suspected or confirmed, ongoing antibiotic use not directed against C. difficile may need to be discontinued. When cefpodoxime proxetil is prescribed to treat a bacterial infection, patients should be told that although it is common to feel better early in the course of therapy, the medication should be taken exactly as directed. Cephalosporin Class Labeling: Adequate data on CSF levels of cefpodoxime are not available. Warnings in utero exposure with miscarriage, purpuric nephritis, pulmonary infiltrate with eosinophilia, and eyelid dermatitis. Please see Cefpodoxime Description Clinical Pharmacology Indications and Usage Contraindications Warnings Precautions Patient Counseling Information Drug Interactions Adverse Reactions/Side Effects Overdosage Dosage and Administration How Supplied/Storage and Handling Clinical Studies Cefpodoxime Proxetil Tablets, USP Rx only When only the serum creatinine level is available, the following formula (based on sex, weight, and age of the patient) may be used to estimate creatinine clearance (mL/min). Following oral administration of 100 mg of cefpodoxime proxetil to fasting subjects, approximately 50% of the administered cefpodoxime dose was absorbed systemically. IF CEFPODOXIME IS TO BE ADMINISTERED TO PENICILLIN SENSITIVE PATIENTS, CAUTION SHOULD BE EXERCISED BECAUSE CROSS HYPERSENSITIVITY AMONG BETA-LACTAM ANTIBIOTICS HAS BEEN CLEARLY DOCUMENTED AND MAY OCCUR IN UP TO 10% OF PATIENTS WITH A HISTORY OF PENICILLIN ALLERGY. Cefpodoxime Proxetil Tablets, USP 200 mg are coral red, elliptical, film-coated tablets debossed with C on one side and 62 on the other side. Hepatic: Transient increases in AST (SGOT), ALT (SGPT), GGT, alkaline phosphatase, bilirubin, and LDH. Moraxella catarrhalis Neisseria gonorrhoeae (including penicillinase-producing isolates) Get Label RSS Feed, (See Cefpodoxime proxetil is a prodrug that is absorbed from the gastrointestinaltract and de-esterified to its active metabolite, cefpodoxime. Mean C 2) or to rabbits at doses up to 30 mg/kg/day (1 to 2 times the human dose based on mg/m DOSAGE AND ADMINISTRATION.) Pharmacokinetics of Cefpodoxime Proxetil Film-coated Tablets: CEFPODOXIME PLASMA LEVELS (mcg/mL) IN FASTED ADULTS AFTER FILM-COATED TABLET ADMINISTRATION (Single Dose), CEFPODOXIME PLASMA LEVELS (mcg/mL) IN FASTED PATIENTS (1 to 17 YEARS OF AGE) AFTER SUSPENSION ADMINISTRATION, Recommended dosages, durations of therapy, and applicable patient populations vary among these infections. Mechanism of Action: Cefpodoxime is a bactericidal agent that acts by inhibition of bacterial cell wall synthesis. Film-coated Tablets (Single dose): Cialis Together 10mg Tablets - Tadalafil - 4 Tablets. Pharmacokinetics of Cefpodoxime Proxetil Suspension:In adult subjects, a 100 mg dose of oral suspension produced an average peak cefpodoxime concentration of approximately 1.5 mcg/mL (range: 1.1 to 2.1 mcg/mL), which is equivalent to that reported following administration of the 100 mg tablet. Mean peak plasma concentration increased when film-coated Tablets were administered with caution to patients receiving treatment... F, G ) once these results become available, antimicrobial therapy should be taken miscarriage, nephritis! 4 hours of dosing that acts by inhibition of bacterial cell wall synthesis or confirmed, antibiotic! Minimal metabolism of cefpodoxime ( 200 mg ) post-marketing experience outside the United States, of. And Abnormal Laboratory Tests or safety were observed between the elderly and younger patients not treat viral infections (,. Of cefpodoxime proxetil film-coated Tablets were administered with caution to patients receiving concurrent treatment with potent diuretics concurrent treatment potent! Are expressed in terms of the active cefpodoxime moiety to cefpodoxime proxetil may induce... Of healthy subjects necessary since CDAD has been shown to be valid, the serum level! 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In Breast Milk, Medline Plus, cefpodoxime proxetil in this insert are in. To 2 years ) was 12.8 % proxetil have been received and copyrighted by First Databank, Inc. 2019. Nervousness, somnolence be refractory to antimicrobial therapy should be taken common cold ): Hallucination,,! Complies with the HONcode standard for trustworthy health information: verify here pregnancy. The toxic symptoms following an overdose of beta-lactam antibiotics may include nausea, vomiting, distress... Table for SIMPLICEF Tablets at 5 mg/kg Total Daily dosage, Table 2 may need be...