Description of the active substance:
This information is a reference and it is not enough that the drug was prescribed by a doctor. .
PHARMACHOLOGIC EFFECT
Cephalosporin antibiotic III generation of a broad spectrum of action. Has a bactericidal effect by inhibiting the synthesis of the bacterial cell wall. Cefoperazone acetylates membrane-bound transpeptidases, disrupting, cross-linking peptidoglycans, necessary to ensure the strength and rigidity of the cell wall.
It is active against aerobic, anaerobic, gram-positive and gram-negative bacteria, as well as against Pseudomonas aeruginosa.
Resistant to the action of most ОІ-lactamases.
PHARMACOKINETICS
The binding with plasma proteins is 82-93%. Distributed in tissues and body fluids, reaching C max in the bile in 1-2 hours. Poorly penetrates the BBB, penetrates the placental barrier, excreted in breast milk. It is excreted with bile. Up to 30% of the dose is excreted in the urine unchanged for 12-24 hours.
INDICATIONS
Infectious-inflammatory diseases caused by microorganisms sensitive to cefoperazone, incl. diseases of the upper and lower respiratory tract, genitourinary system infections, peritonitis, cholecystitis and other abdominal infections, sepsis, meningitis, skin and soft tissue infections, pelvic infection.
Prevention of infectious complications after abdominal, gynecological, cardiovascular and orthopedic operations.
DOSING MODE
Enter in / in or / m.
A single dose for intravenous administration for adults is 1-4 g / day, the interval between the introduction of 12 hours. Depending on the etiology of the disease, perhaps an IM injection of 500 mg once.
Children - 50-200 mg / kg / day, the frequency of administration - 2 times / day.
The maximum daily intake for adults is 12 g.
SIDE EFFECT
On the part of the digestive system: nausea, vomiting, diarrhea, transient increase in hepatic transaminase activity, cholestatic jaundice, hepatitis, pseudomembranous colitis.
Allergic reactions: skin rash, itching, eosinophilia; rarely - angioedema.
From the hemopoietic system: with prolonged use in high doses, changes in the pattern of peripheral blood (leukopenia, neutropenia, thrombocytopenia, hemolytic anemia) are possible.
From the coagulation system: hypoprothrombinemia.
From the side of the urinary system: interstitial nephritis.
Effects caused by chemotherapeutic action: Candidiasis.
Local reactions: phlebitis (with iv introduction), soreness at the injection site (with an / m introduction).
CONTRAINDICATIONS
Severe renal failure, pregnancy, lactation, hypersensitivity to cephalosporins and other beta-lactam antibiotics.
PREGNANCY AND LACTATION
Contraindicated in pregnancy and lactation (breastfeeding).
APPLICATION FOR FUNCTIONS OF THE LIVER
Contraindicated in severe renal failure.
APPLICATION FOR VIOLATIONS OF THE FUNCTION OF KIDNEYS
With caution apply cefoperazone for violations of the liver (with a simultaneous violation of the liver and kidneys needed dose correction).
SPECIAL INSTRUCTIONS
Caution is applied to cefoperazone for violations of liver function (with a simultaneous violation of liver and kidney function, dose adjustment is necessary), as well as in patients with a history of bleeding.
In patients with hypersensitivity to penicillins, allergic reactions to cephalosporin antibiotics are possible.
During the application of cefoperazone, a false positive urine reaction to glucose is possible.
During the treatment with cefoperazone, alcohol should be avoided, since it is possible to develop effects similar to the action of disulfiram (abdominal cramps, nausea, vomiting, headache, hypotension, dyspnea, tachycardia).
DRUG INTERACTION
Cefoperazone, suppressing the intestinal flora, interferes with the synthesis of vitamin K. Therefore, with the simultaneous appointment with drugs that reduce platelet aggregation (NSAIDs, salicylates, sulfinpyrazone), the risk of bleeding increases. For the same reason, with simultaneous use with anticoagulants, there is an increase in anticoagulant activity.
