Why is this medication prescribed?

Cefixime is prescribed for treating bacterial infections, particularly those of the respiratory tract (such as bronchitis, pneumonia), urinary tract, ears, and throat. Cefixime belongs to a class of medications called cephalosporin antibiotics and works by stopping the growth of bacteria.

How should this medicine be used?

Here’s how Cefixime should typically be used:

• Dosage: The dosage of Cefixime can vary depending on the type and severity of the infection. It is usually taken once a day or divided into two doses per day.
• Administration: It can be taken orally with or without food. If you experience stomach upset, taking it with food might help alleviate this.
• Duration: The duration of treatment will be determined by your doctor based on the type of infection. It’s important to complete the full course of antibiotics as prescribed, even if you start feeling better before finishing.
• Follow Doctor’s Instructions: Always follow your doctor’s instructions and the directions on the prescription label carefully. Do not adjust your dosage or stop taking the medication without consulting your doctor first.
• Missed Dose: If you miss a dose, take it as soon as you remember. However, if it’s almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.
• Precautions: Inform your doctor about any allergies you have or any other medications you are taking, as well as any medical conditions you have, especially kidney disease or gastrointestinal problems.

Always consult your healthcare provider for specific instructions tailored to your condition and situation.

Other uses for this medicine

• Uncomplicated Gonorrhea: Cefixime has been used to treat uncomplicated gonorrhea caused by Neisseria gonorrhoeae, though treatment guidelines may vary depending on local antibiotic resistance patterns.
• Uncomplicated Typhoid Fever: In some regions, Cefixime may be used for the treatment of uncomplicated typhoid fever caused by Salmonella typhi.
• Chronic Bronchitis: Cefixime can be considered in certain cases of chronic bronchitis, particularly when caused by susceptible bacteria.

What special precautions should I follow?

When taking Cefixime, certain precautions should be observed to ensure safe and effective use:

• Allergies: Inform your doctor if you have any allergies to cephalosporin antibiotics or penicillins, as there may be a cross-sensitivity.
• Kidney Function: If you have impaired kidney function, your doctor may need to adjust your dosage of Cefixime accordingly. Regular monitoring of kidney function may be necessary.
• Pregnancy and Breastfeeding: Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Cefixime should only be used during pregnancy or breastfeeding if clearly needed and prescribed by a healthcare provider.
• Diarrhea: Antibiotics like Cefixime can sometimes cause diarrhea, which may be a sign of a new infection. If you experience severe or persistent diarrhea during or after treatment with Cefixime, contact your doctor.
• Interactions: Cefixime can interact with other medications, including blood thinners like warfarin. Inform your doctor about all medications, vitamins, and supplements you are taking to avoid potential interactions.
• Completing the Course: It’s important to complete the full course of Cefixime as prescribed, even if you start feeling better. Stopping the medication too soon may not completely clear the infection and could contribute to antibiotic resistance.

Always follow your doctor’s instructions and ask any questions you have about Cefixime or its use. They can provide specific guidance based on your individual health status and the condition being treated.

What special dietary instructions should I follow?

There are generally no specific dietary restrictions when taking Cefixime. However, it is generally recommended to take Cefixime with food or milk to help reduce stomach upset. If you experience gastrointestinal discomfort, taking it with food can help alleviate these symptoms.

What should I do if I forget a dose?

If you forget to take a dose of Cefixime at the scheduled time, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.

What side effects can this medication cause?

Cefixime, like any medication, can cause side effects. Not everyone will experience these side effects, and their severity can vary. Common side effects of Cefixime include:

• Gastrointestinal Effects: These are the most common side effects and may include diarrhea, nausea, vomiting, abdominal pain, and flatulence.
• Allergic Reactions: Some individuals may experience allergic reactions such as rash, itching, swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing. These require immediate medical attention.
• Clostridium difficile-associated diarrhea: This is a severe form of diarrhea that can occur due to antibiotic use, including Cefixime. It may range from mild diarrhea to life-threatening inflammation of the colon.
• Liver Problems: In rare cases, Cefixime can cause liver-related issues, including hepatitis (inflammation of the liver) or jaundice (yellowing of the skin or eyes).
• Blood Disorders: Rarely, Cefixime can affect blood cell counts, leading to conditions such as leukopenia (low white blood cell count), thrombocytopenia (low platelet count), or hemolytic anemia (destruction of red blood cells).
• Central Nervous System Effects: Some people may experience headaches, dizziness, or nervousness.
• Kidney Problems: Cefixime can occasionally cause kidney-related side effects, including changes in urine output or frequency.
• Other: Other less common side effects may include vaginal itching or discharge (in women), joint pain, or fever.

If you experience any severe or persistent side effects while taking Cefixime, it’s essential to contact your healthcare provider immediately. They can evaluate your symptoms and determine if any adjustments to your treatment plan are necessary.

It’s important to note that this list is not exhaustive, and other side effects may occur. Always follow your doctor’s instructions carefully and report any unusual symptoms you experience during treatment with Cefixime.

What should I know about storage and disposal of this medication?

Storage and Disposal of Cefixime:

• Storage: Store Cefixime at room temperature, away from moisture and heat. Keep it in its original container, tightly closed, and out of reach of children and pets.
• Disposal: Dispose of any unused or expired Cefixime properly according to local regulations or guidelines. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Consult your pharmacist or local waste disposal company for proper disposal methods.

In case of emergency/overdose

• Emergency: If you suspect an overdose of Cefixime or experience severe symptoms such as trouble breathing or passing out, call emergency services (911 in the US) immediately. Seek emergency medical attention.
• Overdose Symptoms: Symptoms of an overdose may include severe stomach pain, nausea, vomiting, diarrhea, and blood in the urine.

What other information should I know?

• Effectiveness: Take Cefixime exactly as prescribed by your doctor. Complete the full course of medication even if you start to feel better. Stopping the medication too early can allow bacteria to continue to grow, which may result in a relapse of the infection.
• Drug Interactions: Inform your doctor about all medications you are currently taking, including prescription, over-the-counter medications, vitamins, and herbal supplements. Some medications may interact with Cefixime, affecting how it works or increasing the risk of side effects.
• Follow-Up: Attend follow-up appointments as recommended by your doctor. They may want to monitor your response to treatment and check for any potential side effects or complications.
• Allergic Reactions: If you develop signs of an allergic reaction (e.g., rash, itching, swelling, severe dizziness, trouble breathing), seek immediate medical attention.
• Missed Dose: If you miss a dose of Cefixime, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.
• Alcohol: Avoid consuming alcohol while taking Cefixime, as it may increase the risk of certain side effects or reduce the effectiveness of the medication.
• Pregnancy/Breastfeeding: Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Your doctor will determine if Cefixime is safe for you to use during these times.

Always follow your healthcare provider’s instructions and guidelines regarding the use, storage, and disposal of Cefixime. If you have any questions or concerns, do not hesitate to discuss them with your doctor or pharmacist for clarification and guidance specific to your situation.