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Cefditoren pivoxil

Generic Name: cefditoren (SEF-di-TOR-en)
Brand Name: Spectracef

Cefditoren pivoxil is used for:

Treating certain bacterial infections.

Cefditoren pivoxil is a cephalosporin antibiotic. It works by killing sensitive bacteria.

Do NOT use cefditoren pivoxil if:

  • you are allergic to any ingredient in cefditoren pivoxil or to another cephalosporin (eg, cephalexin)
  • you have low levels of carnitine in your body or have a metabolic problem that may cause low levels of carnitine in your body
  • you are allergic to milk protein (not lactose intolerant)

Contact your doctor or health care provider right away if any of these apply to you.

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Before using cefditoren pivoxil:

Some medical conditions may interact with cefditoren pivoxil. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have had a severe allergic reaction (eg, severe rash, hives, difficulty breathing, dizziness) to a penicillin antibiotic (eg, amoxicillin) or beta-lactam antibiotic (eg, imipenem)
  • if you have a blood clotting problem, kidney or liver problems, decreased muscle mass, or poor nutrition
  • if you have a history of seizures, or stomach or bowel problems (eg, inflammation)

Some MEDICINES MAY INTERACT with cefditoren pivoxil. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Anticoagulants (eg, warfarin) because the risk of bleeding may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if cefditoren pivoxil may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use cefditoren pivoxil:

Use cefditoren pivoxil as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take cefditoren pivoxil by mouth with food.
  • To clear up your infection completely, continue using cefditoren pivoxil for the full course of treatment even if you feel better in a few days.
  • Do not take antacids or H2 antagonists (eg, famotidine) within 2 hours before or 2 hours after taking cefditoren pivoxil.
  • If you miss a dose of cefditoren pivoxil, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use cefditoren pivoxil.

Important safety information:

  • Cefditoren pivoxil only works against bacteria; it does not treat viral infections (eg, the common cold).
  • Be sure to use cefditoren pivoxil for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
  • Long-term or repeated use of cefditoren pivoxil may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
  • Mild diarrhea is common with antibiotic use. However, a more serious form of diarrhea (pseudomembranous colitis) may rarely occur. This may develop while you use the antibiotic or within several months after you stop using it. Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
  • Do NOT take cefditoren pivoxil for longer than prescribed without checking with your doctor.
  • Do not receive a live vaccine (eg, oral typhoid vaccine) while you are taking cefditoren pivoxil. Talk with your doctor before you receive any vaccine.
  • Diabetes patients - Cefditoren pivoxil may affect your blood sugar. Check blood sugar levels closely. Cefditoren pivoxil may also cause the results of some tests for urine glucose to be wrong. Ask your doctor before you change your diet or the dose of your diabetes medicine.
  • Cefditoren pivoxil may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using cefditoren pivoxil.
  • Lab tests, including liver, kidney, or lung function, may be performed while you use cefditoren pivoxil. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use cefditoren pivoxil with caution in the ELDERLY; they may be more sensitive to its effects.
  • Cefditoren pivoxil should not be used in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using cefditoren pivoxil while you are pregnant. It is not known if cefditoren pivoxil is found in breast milk. If you are or will be breast-feeding while you use cefditoren pivoxil, check with your doctor or pharmacist. Discuss any possible risks to your baby.

Possible side effects of cefditoren pivoxil:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Headache; mild diarrhea; nausea.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody stools; dark urine; decreased urination; fever; red, swollen, blistered, or peeling skin; seizures; severe or persistent diarrhea, nausea, or vomiting; severe stomach pain or cramping; swelling of the hands, ankles, or feet; unusual bruising or bleeding; unusual tiredness or weakness; vaginal discharge or itching; white spots or sores in the mouth; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include diarrhea; nausea; seizures; stomach pain; vomiting.

Proper storage of cefditoren pivoxil:

Store cefditoren pivoxil at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep cefditoren pivoxil out of the reach of children and away from pets.

General information:

  • If you have any questions about cefditoren pivoxil, please talk with your doctor, pharmacist, or other health care provider.
  • Cefditoren pivoxil is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take cefditoren pivoxil or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about cefditoren pivoxil. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to cefditoren pivoxil. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using cefditoren pivoxil.

Issue Date: November 5, 2014
Database Edition 14.4.1.002
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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