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Use during pregnancy or breastfeeding does not appear to be harmful to the fetus. [4] [6] [7] It can be used in children and those over 65 years of age. [4] Those with kidney problems may require a decrease in dose. [4] Cefalexin was developed in 1967. [8] [9] [10] It was first marketed in 1969 under the brand name Keflex.
Cefazolin, also known as cefazoline and cephazolin, is a first-generation cephalosporin antibiotic used for the treatment of a number of bacterial infections. [2] Specifically it is used to treat cellulitis, urinary tract infections, pneumonia, endocarditis, joint infection, and biliary tract infections. [2]
Its use later on during pregnancy also increases the risk of preterm labour (odds ratio: 1.51) and low birth weight (odds ratio: 1.67). [17] [18] Animal studies have yielded similarly discouraging results. [3] It appears to be safe for use during breastfeeding as long as the baby is healthy. [19]
There is no known safe dose of cannabis while pregnant and use of cannabis may lead to birth defects, pre-term birth, or low birth weight. [80] Tetrahydrocannabinol (THC) , an active ingredient in cannabis, can both cross the placenta and accumulates in high concentrations in breast milk. [ 81 ]
Nevertheless, during pregnancy, colonization can be temporary, intermittent, or continual. [12] Because of this the GBS colonization status of women can change during pregnancy, only cultures carried out ≤5 weeks before delivery and predict quite accurately the GBS carrier status at delivery. [62]
[108] [107] Cephalexin or nitrofurantoin are typically used because they are generally considered safe in pregnancy. [107] A kidney infection during pregnancy may result in preterm birth or pre-eclampsia (a state of high blood pressure and kidney dysfunction during pregnancy that can lead to seizures ). [ 42 ]
Cautions include known sensitivity to beta-lactam antibacterials, such as penicillins (Cefaclor should be avoided if there is a history of immediate hypersensitivity reaction); renal impairment (no dose adjustment required, although manufacturer advises caution); pregnancy and breast-feeding (but appropriate to use); false positive urinary ...
Keflex: Cephalosporins (Second generation) Cefaclor: Distaclor, Ceclor, Raniclor: Less Gram-positive cover, improved Gram-negative cover. Gastrointestinal upset and diarrhea; Nausea (if alcohol taken concurrently) - if contains methylthiotetrazole side group; Hypoprothrombinemia - if contains methylthiotetrazole side group; Allergic reactions