Selexid Injection
Pivmecillinam
400mg
Leo Pharmaceutical Co.
| Pack size | 5 Vials |
|---|---|
| Dispensing mode | POM |
| Source | DENMARK |
| Agent | PHARMATRADE |
| Retail Price | 64.50 AED |
Available as:
Indications
Selexid Injection is used for:
Acute uncomplicated cystitis, Chronic or recurrent bacteriuria
Adult Dose
Oral
Acute uncomplicated cystitis
Adult: Initially 400 mg followed by 200 mg tid for 8 doses.
Chronic or recurrent bacteriuria
Adult: 400 mg 3-4 times daily.
Child Dose
Oral
Acute uncomplicated cystitis
Child: <40 kg with UTI: 20-40 mg/kg/day in 3-4 divided doses.
Chronic or recurrent bacteriuria
Child: <40 kg with UTI: 20-40 mg/kg/day in 3-4 divided doses.
Renal Dose
Administration
Contra Indications
Hypersensitivity, porphyria.
Precautions
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 haematological status. Spirochete infections particularly syphilis; suprainfection with penicillin-resistant organisms with prolonged use; avoid intrathecal route. May cause oesophageal injury.
Pregnancy-Lactation
Interactions
Probenecid prolongs T1/2 of pivmecillinam. May cause prolonged bleeding when taken with anticoagulants. May decrease the efficacy of oral contraceptives. Increased risk of carnitine deficiency when used with valproate.
Adverse Effects
Side effects of Pivmecillinam :
Hypersensitivity reactions including uticaria; fever; joint pains; rashes; angioedema; serum sickness-like reactions; haemolytic anaemia; interstitial nephritis; neutropaenia; thrombocytopaenia; CNS toxicity including convulsions; diarrhoea; antibiotic-associated colitis. Induction of carnitine deficiency.
Potentially Fatal: Anaphylaxis.
Mechanism of Action
Pivmecillinam has the antimicrobial activity of mecillinam to which it is hydrolysed in vivo. It interferes with the synthesis of bacterial cell wall. It is active against many gm-ve bacteria, esp Enterobacteriaceae including Escherichia coli, Enterobacter, Klebsiella, Salmonella and Shigella spp; indole-positive Proteus and Serratia marcescens are resistant. It is inactivated by beta-lactamases, but is more stable than ampicillin.
Note
Selexid 400mg Injection manufactured by Leo Pharmaceutical Co.. Its generic name is Pivmecillinam. Selexid is availble in United Arab Emirates.
Farmaco UAE drug index information on Selexid Injection is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.