Cefaclor


Concise Prescribing Info
Indications/Uses
Susceptible infections.
Dosage/Direction for Use
Adult : PO 250-500 mg 8 hrly. Max: 4 g/day.
Dosage Details
Oral
Otitis media, Respiratory tract infections, Skin infections, Soft tissue infections, Urinary tract infections
Adult: 250-500 mg 8 hrly. Max: 4 g daily.
Child: >1 mth 20-40 mg/kg daily in 2 or 3 divided doses. Max: 0.75-1.5 g daily.
Administration
May be taken with or without food.
Reconstitution
Add the amount of water specified on the container in 2 portions to provide a susp containing 125, 187, 250 or 375 mg per 5 mL. Shake the bottle after each addition.
Contraindications
Hypersensitivity to cefaclor or to other cephalosporins.
Special Precautions
Hypersensitivity to penicillins. History of GI disease. Renal impairment. Pregnancy and lactation.
Adverse Reactions
GI effects (e.g. diarrhoea, nausea, vomiting), headache, rash. Rarely, serum sickness-like reactions consisting of erythema multiforme or maculopapular pruritic rash or urticaria accompanied by arthritis, arthralgia, irritability and fever.
Potentially Fatal: Severe hypersensitivity reactions (e.g. Stevens-Johnson syndrome, toxic epidermal necrolysis and anaphylaxis), pseudomembranous colitis.
MonitoringParameters
Monitor renal function. Observe for signs of anaphylaxis during 1st dose.
Overdosage
Symptoms: Nausea, vomiting, epigastric distress, diarrhoea. Management: Supportive treatment.
Drug Interactions
May enhance the nephrotoxic effect of aminoglycosides. May diminish the therapeutic effect of BCG, typhoid vaccine and Na picosulfate. Concomitant use w/ warfarin may increase prothrombin time. Probenecid inhibits renal excretion of cefaclor.
Food Interaction
Food may delay the rate but does not affect the extent of absorption.
Lab Interference
False-positive reaction in urinary glucose test using Benedict's or Fehling's soln or copper sulfate test tablets. Positive direct Coombs' test.
Action
Description: Cefaclor inhibits bacterial cell wall synthesis by binding to 1 or more of the penicillin-binding proteins (PBPs) which in turn inhibit the final transpeptidation step of peptidoglycan synthesis in bacterial cell walls, thus inhibiting cell wall biosynthesis and arresting cell wall assembly resulting in bacterial cell death.
Pharmacokinetics:
Absorption: Well absorbed from the GI tract. Food may delay the rate but does not affect the extent of absorption. Time to peak plasma concentration: 0.5-1 hr.
Distribution: Widely distributed. Crosses the placenta and enters breast milk. Plasma protein binding: Approx 25%.
Excretion: Via urine (up to 85%, as unchanged drug). Plasma half-life: 0.5-1 hr.
Chemical Structure

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Storage
Store between 20-25°C. Protect from moisture. Reconstituted powd for susp: Store between 2-8°C.
MIMS Class
ATC Classification
J01DC04 - cefaclor ; Belongs to the class of second-generation cephalosporins. Used in the systemic treatment of infections.
Disclaimer: This information is independently developed by MIMS based on Cefaclor from various references and is provided for your reference only. Therapeutic uses, prescribing information and product availability may vary between countries. Please refer to MIMS Product Monographs for specific and locally approved prescribing information. Although great effort has been made to ensure content accuracy, MIMS shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2020 MIMS. All rights reserved. Powered by MIMS.com
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