osudhkosh

Bacilex200mg

Rx
Dosage form:
Tablet
Pack size:
Tablet
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৳ 18/unit

Pack: ৳ 18

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18
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11.66

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At a glance

Pivmecillinam is an antibiotic used for treatment of infections caused by mecillinam-sensitive organisms, including acute cystitis, complicated urinary tract infections, salmonellosis, shigellosis, enteropathic E. coli diarrhea, gram-negative septicemia, and biliary infections.

Indications
  • Acute cystitis
  • Complicated urinary tract infections
  • Salmonellosis (including enteric fever)
  • Shigellosis
  • Enteropathic E. coli diarrhea
  • Gram-negative septicemia
  • Biliary infections
Dosage

Adult Dose (Oral):

  • Usual dose: 1-2 tablets 3 times daily according to severity
  • Acute uncomplicated cystitis: Initially 400 mg, then 200 mg every 8 hours for 3 days
  • Chronic or recurrent bacteriuria: 400 mg every 6-8 hours
  • Salmonellosis (including enteric fever): 1.2-2.4 g daily for 14 days; carriage elimination: 2-4 weeks
  • Complicated UTI: 1-2 weeks
  • Prophylaxis of recurrent UTI: 1 tablet every evening

Pediatric Dose (Oral):

  • <20 kg: 20-60 mg/kg in 3-4 divided doses
  • >20 kg: Adult dose
  • Shigellosis: 20 mg/kg 4 times daily for 5 days
  • UTI: 20-40 mg/kg/day in 3-4 divided doses
  • Salmonellosis: 30-60 mg/kg/day in 3-4 divided doses
Side effects

Common Side Effects:

  • Nausea
  • Vomiting
  • Diarrhea
  • Indigestion
  • Skin rashes
  • Hypersensitivity reactions (urticaria, fever, joint pains, angioedema, serum sickness-like reactions)
  • Hemolytic anemia
  • Interstitial nephritis
  • Neutropenia, thrombocytopenia
  • CNS toxicity (including convulsions)
  • Antibiotic-associated colitis
  • Induction of carnitine deficiency
  • Potentially fatal: Anaphylaxis
Precautions & warnings
  • Very high doses in poor renal function (risk of neurotoxicity) or heart failure
  • Avoid contact (skin sensitization may occur)
  • Monitor serum K concentration, renal and hematological status
  • Spirochete infections (especially syphilis); suprainfection with penicillin-resistant organisms with prolonged use
  • Avoid intrathecal route
  • May cause esophageal injury
Pivmecillinam — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.