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Both the oral and intravenous preparations of flucloxacillin are inexpensive and are available as the sodium salt flucloxacillin sodium, in capsules (250 or 500 mg), oral suspensions (125 mg/5 ml or 250 mg/5 ml), and injections (powder for reconstitution, 250, 500, 1000 and 2000 mg per vial). [5] [33]
3 times a day t.i.d., t.d. ter in die: 3 times a day AMA style avoids use of this abbreviation (spell out "3 times a day") tinct. tinctura: tincture t.i.w. 3 times a week mistaken for "twice a week" top. topical TPN total parenteral nutrition tr, tinc., tinct. tinctura: tincture trit. triturate: grind to a powder troch. trochiscus: lozenge tsp
Dicloxacillin is similar in pharmacokinetics, antibacterial activity, and indications to flucloxacillin, and the two agents are considered interchangeable. [6] It is believed to have lower incidence of severe hepatic adverse effects than flucloxacillin, but a higher incidence of renal adverse effects.
The usual dose by mouth is one capsule of 250 mg 4 times a day in adults and half the adult dose as a syrup for children under the age of 10 years but over 2. [4] For children below the age of 2 years, the oral dose is a quarter of the adult oral dose. [3] Ampicillin/flucloxacillin is taken orally about half an hour before food. [5]
Cloxacillin was patented in 1960 and approved for medical use in 1965. [3] It is on the World Health Organization's List of Essential Medicines . [ 4 ] It is not commercially available in the United States.
[18] [19] Nutritional deficiencies can develop in pets as a side effect. [20] Destruction of the normal protective flora of beneficial bacteria can occur in dogs and horses. [21] [22] Dogs may have side effects that include: joint pain, loss of appetite, vomiting, flatulence (intestinal gas), fungal infections and digestive problems. [23]
Like all isoxazolyl penicillins, flucloxacillin is semisynthetic; it is "built around" 6-APA (the penicillin core), which is synthesized by P. chrysogenum. You may want to read this very interesting article (which someone should really work into beta-lactam antibiotic) and this 1970 paper, one of the first to report on flucloxacillin.
Cefixime is marketed under many brand names worldwide; examples include Fixacef, Pancef, Caricef, Taxim o, Texit, Ofex, Ceftid, Cef-3, Denvar, 3-C, Cefim, Magnett, Oroken, Ofiken, Fix-A, and Zifi. [ 1 ] [ 22 ] In India it is marketed as Zifi 200 and is commonly counterfeited .