DE-POXIM 50  SUSPENSION

INTRODUCTION

• DE-POXIM 50 MG DRY SYRUP contains Cefpodoxime which belongs to the group of medicines called Antibiotics. It is used to treat certain infections caused by bacteria such as acute otitis media (inflammation of middle ear leading to pain and fever), tonsilitis (sore throat, difficulty swallowing and tender lymph nodes), chronic bronchitis (inflammation of the airways present in the lungs leading to cough with mucus), community acquired pneumonia (inflammation of lungs leading to congestion), gonorrhoea (sexually transmitted infection in rectum, cervix or vagina).
• It is also used to treat uncomplicated skin and structure infections (rashes, swelling, redness, pain, pus and itching), acute maxillary sinusitis (inflammation around the nasal cavity leading to headache and runny nose) and cystitis (strong, persistent urge to urinate with burning sensation and blood in the urine).
• DE-POXIM 50 MG DRY SYRUP should be avoided if you are allergic to cefpodoxime or to the cephalosporin group of antibiotics (such as cefuroxime, cefixime) or if you had experienced immediate or severe hypersensitivity reaction (anaphylaxis) to penicillin or other beta-lactam antibiotics (such as aztreonam).
• Before taking DE-POXIM 50 MG DRY SYRUP, inform your doctor if you have or ever had colitis, liver problems and impaired kidney function. Doctor may monitor your blood count and liver enzymes level in blood tests while taking DE-POXIM 50 MG DRY SYRUP.
• DE-POXIM 50 MG DRY SYRUP is generally not recommended for use in pregnant and breast-feeding women unless clearly advised by the doctor. DE-POXIM 50 MG DRY SYRUP is not recommended for use in infants less than 2 months of age and it should be used with caution in elderly patients, especially in patients with impaired kidney function.
• The most common side effects of taking DE-POXIM 50 MG DRY SYRUP are diarrhoea, nausea, abdominal pain and headache. Consult your doctor if any of the side effects worsen.

USES OF DE-POXIM 50 MG DRY SYRUP

It is used in adults and adolescents to treat the following bacterial infections:

• Acute otitis media
• Pharyngitis and/or tonsillitis
• Community-acquired pneumonia
• Acute bacterial exacerbations of chronic bronchitis
• Acute, uncomplicated urethral and cervical gonorrhoea
• Acute, rectal gonococcal infections in women
• Uncomplicated skin and skin structure infections
• Acute maxillary sinusitis
• Uncomplicated urinary tract infections (cystitis)

HOW MONOCEF O 50MG DRY SYRUP WORKS

DE-POXIM 50 MG DRY SYRUP  prevents infection by stopping or preventing the bacteria from multiplying by inhibiting their cell wall formation, which is essential for the bacteria to survive as it provides protection from the environment. This kind of action that kills bacteria is useful in treating various bacterial infections.

DIRECTIONS FOR USE

Take DE-POXIM 50 MG DRY SYRUP as advised by your physician. Tap the bottle to loosen the powder. Add two-thirds of the sterile water (provided with the pack) and shake the bottle vigorously. Add more water up to the mark on the bottle and shake well before using. Allow the suspension to stand for 5 minutes.

Depending upon your age, body weight and disease condition, your doctor will decide the correct dose and duration for you.

SIDE EFFECTS OF MONOCEF O 50MG DRY SYRUP

• COMMON
• Diarrhoea 
• Nausea, vomiting
• Headache
• Stomach pain
• Skin rash including diaper rashes and fungal skin rashes
• UNCOMMON
• Fungal, bacterial and parasitic infections
• Abdominal distention, malaise, fatigue, weakness, fever, chest pain, back pain, chills, generalized pain
• Abscess, allergic reaction, and facial edema
• Localized edema, and pain
• Congestive heart failure, palpitations, changes in blood pressure
• Hematoma (collection of blood outside the blood vessels)
• Migraine
• Vomiting, gastritis, dry mouth, flatulence, decreased appetite, constipation
• Ulcers in mouth, tongue disorders, tooth disorders, increased thirst and toothache
• Anaemia, dehydration and weight gain
• Dizziness, insomnia, somnolence, anxiety, shakiness, nervousness, impaired concentration, confusion, nightmares, headache, syncope
• Vertigo (spinning sensation)
• Cough, wheezing, breathing difficulty
• Skin rash with itching, hair loss, and sunburn
• Taste alterations, eye irritation, taste loss and ear pain
• Urinary tract infections
• RARE
• Changes in blood counts such as neutropenia, agranulocytosis, thrombocytopenia, lymphocytosis, leukopenia, and leucocytosis.  
• Severe diarrhoea due to pseudomembranous colitis
• Signs of allergic reaction (skin rash, joint pain, swallowing or breathing problems, swelling of your lips, face, throat or tongue)
• Signs of Stevens-Johnson syndrome (blistering or bleeding of the skin around the lips, eyes, mouth, nose, genitals and fever)
• Signs of toxic epidermal necrolysis (severe blistering rash where peeling of skin layer exposes the skin along with feeling of being unwell, fever, chills and muscle pain)
• Signs of erythema multiforme (skin rash or skin lesions with a pink/red ring and a pale centre which may be itchy, scaly, or filled with fluid, especially on the palms or soles of your feet)
• Itching, redness, burning sensation in the vagina along with white vaginal discharge
• Signs of severe anemia type (infections occur more easily than usual, yellowing of the skin, eyes or mouth and feeling tired)
• Seizures mainly in patients with impaired kidney function
• Eyelid dermatitis (swelling and redness of eyelid followed by itchy and scaly skin)
• Signs of purpuric nephritis (bruises on legs along with kidney impairment)
• Early pregnancy loss, liver damage
• Pulmonary infiltrate with eosinophilia (presence of eosinophils inside the lungs)

HOW TO MANAGE SIDE EFFECTS

• Nausea or vomiting:
• Stick to simple meals while taking this medicine. Avoid eating oily rich, fried or spicy foods. Do not lie down or sleep immediately after eating. Consult your doctor if the symptom does not improve.
• Headache:
• Drink ample amount of water and avoid skipping meals. Get adequate rest. Try to be relaxed and stress free. Apply pain relieving balm on your forehead if necessary. Consult your doctor if the symptom does not improve.
• Diarrhea:
• Drink lot of fluids, such as water to keep yourself hydrated. Avoid eating high-fat or spicy foods. Try to avoid taking any medicine on your own to treat diarrhea and consult your doctor if the symptom gets worse.    
• Stomach pain:
• Try to rest and relax. Eat and drink slowly or try to have smaller meals more frequently. Keep a heat pad on your stomach. If the symptom does not improve, consult your doctor.

Over dosage:

• If you or anyone else accidentally takes too much of DE-POXIM 50 MG DRY SYRUP, consult your doctor immediately or visit the nearby hospital. Overdosage symptoms of DE-POXIM 50 MG DRY SYRUP, are nausea, diarrhoea, vomiting, epigastric distress and encephalopathy may occur in patients with renal insufficiency.