Therapeutic Class: Second-generation cephalosporin antibiotic (with beta-lactamase inhibitor)
Tablet: May be taken with or without food.
Cefuroxime acts by binding to penicillin-binding proteins (PBPs), which inhibit the final transpeptidation step in bacterial cell wall synthesis. This halts peptidoglycan formation, leading to bacterial cell death.
Clavulanic acid inhibits beta-lactamase enzymes that normally inactivate cefuroxime by hydrolyzing its β-lactam ring. The combination extends the antibacterial spectrum of cefuroxime, making it effective against many beta-lactamase–producing bacteria resistant to cephalosporins or penicillins.
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This combination is used to treat infections caused by susceptible organisms, including:
Common (≥10%)
Occasional (1–10%)
Rare (<1%)
Potentially Serious
Pharyngitis/Tonsillitis: 250 mg twice daily for 5–10 days
Acute Maxillary Sinusitis: 250 mg twice daily for 10 days
Chronic Bronchitis (acute bacterial exacerbation): 250–500 mg twice daily for 10 days
Secondary Infections of Acute Bronchitis: 250–500 mg twice daily for 5–10 days
Community-Acquired Pneumonia: 250–500 mg twice daily for 5–10 days
Skin & Skin Structure Infections: 250–500 mg twice daily for 10 days
MDR Typhoid Fever: 500 mg twice daily for 10–14 days
Urinary Tract Infections: 250 mg twice daily for 7–10 days
Uncomplicated Gonorrhea: 1000 mg single dose
Lyme Disease: 500 mg twice daily for 20 days
May increase the nephrotoxic potential of aminoglycosides or strong diuretics (e.g., furosemide).
May enhance the effects of oral anticoagulants.
Probenecid delays excretion and elevates serum cefuroxime levels.
May reduce the efficacy of oral contraceptives.
Known hypersensitivity to cephalosporins or any component of the formulation.
Use with caution in patients with severe renal impairment, history of penicillin allergy, during pregnancy, or lactation.
The drug is excreted in breast milk; therefore, it should be used cautiously in nursing mothers.
Store in a cool, dry place below 30°C, protected from light and moisture.
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