Rovantin 100mg Tablet 1 Strip

✔️ Pharmacology

Rovantin contains Cefpodoxime, a third-generation oral cephalosporin with strong resistance to beta-lactamases and effective action against both Gram-positive and Gram-negative bacteria. As a prodrug, it is metabolized into its active form, Cefpodoxime, which works against a broad range of bacteria.

• Excretion: About 29-33% of the drug is excreted unchanged via urine within 12 hours.
• Stability: Highly stable in the presence of β-lactamase enzymes, making it more effective against Gram-positive bacteria than other third-generation cephalosporins.
• Susceptible Organisms: Includes S. aureus, S. saprophyticus, S. pneumoniae, S. pyogenes, E. coli, K. pneumoniae, H. influenzae, M. catarrhalis, N. gonorrhoeae, P. mirabilis, and others.

✔️ Side Effects

Rovantin is well-tolerated but may cause mild side effects, including:

• Common: Diarrhea, nausea, abdominal pain, headache, dizziness, and fungal infections (skin & vaginal).
• Less Common: Chest pain, muscle pain, indigestion, vertigo, and cough.
• Children: Higher likelihood of skin fungal rashes compared to adults.

✔️ For Adults & Adolescents (13+ years):

• Pharyngitis/Tonsillitis: 100 mg every 12 hours for 5–10 days.
• Acute Sinusitis: 200 mg every 12 hours for 10 days.
• Community-Acquired Pneumonia: 200 mg every 12 hours for 14 days.
• Chronic Bronchitis Exacerbation: 200 mg every 12 hours for 10 days.
• Skin Infections: 400 mg every 12 hours for 7–14 days.
• Uncomplicated UTI: 100 mg every 12 hours for 7 days.
• Uncomplicated Gonorrhea & Rectal Gonococcal Infections: Single 200 mg dose.

✔️ For Children (2 months–12 years):

• Acute Otitis Media: 5 mg/kg every 12 hours for 5 days.
• Pharyngitis/Tonsillitis: 5 mg/kg every 12 hours for 5–10 days.
• Acute Sinusitis: 5 mg/kg every 12 hours for 10 days.

✔️ For Patients with Kidney Issues:

• Severe Renal Impairment (Creatinine Clearance <30 ml/min): Dosage interval should be extended to once every 24 hours.

✔️ For Patients with Liver Cirrhosis:

No dosage adjustment is necessary as the pharmacokinetics remain similar to healthy individuals.

✔️ Pregnancy & Lactation

• Pregnancy: Animal studies show no harmful effects, but no well-controlled human studies exist. Use only if necessary.
• Breastfeeding: Since Cefpodoxime is excreted in breast milk, a decision should be made to either discontinue the drug or breastfeed.

✔️ Drug Interactions

• Antacids & H₂ Blockers: Reduce absorption and peak plasma levels by 24–42%, lowering effectiveness.
• Probenecid: Increases Cefpodoxime concentration by reducing renal excretion (31% increase in AUC).
• Nephrotoxic Medications: When taken with other nephrotoxic drugs, kidney function should be closely monitored.

✔️ Contraindications

Patients allergic to Cefpodoxime or cephalosporin antibiotics should avoid using this medication.

✔️ Precautions & Warnings

• Dosage should be adjusted in patients with reduced kidney function.
• Caution is advised when used with potent diuretics, as they may enhance the risk of renal impairment.
• May cause overgrowth of non-susceptible organisms. Regular monitoring is recommended.

✔️ Storage Instructions

• Store in a cool, dry place away from direct light and heat.
• Keep out of children’s reach.