Vantin Dosage

Generic name: cefpodoxime proxetil
Dosage form: granule, for suspension - tablet, film coated

The information at Drugs.com is not a substitute for medical advice. ALWAYS consult your doctor or pharmacist.

(See INDICATIONS AND USAGE for indicated pathogens.)

FILM-COATED TABLETS

VANTIN Tablets should be administered orally with food to enhance absorption. (See CLINICAL PHARMACOLOGY.)

The recommended dosages, durations of treatment, and applicable patient population are as described in the following chart:

Adults and Adolescents (age 12 years and older)

Type of Infection Total Daily
Dose
Dose Frequency Duration
Pharyngitis and/or tonsillitis 200 mg 100 mg Q 12 hours 5 to 10 days
Acute community-acquired
pneumonia
400 mg 200 mg Q 12 hours 14 days
Acute bacterial exacerbations
of chronic bronchitis
400 mg 200 mg Q 12 hours 10 days
Uncomplicated gonorrhea
(men and women) and rectal
gonococcal infections (women)
200 mg single dose
Skin and skin structure 800 mg 400 mg Q 12 hours 7 to 14 days
Acute maxillary sinusitis 400 mg 200 mg Q 12 hours 10 days
Uncomplicated urinary tract
infection
200 mg 100 mg Q 12 hours 7 days

GRANULES FOR ORAL SUSPENSION

VANTIN Oral Suspension may be given without regard to food. The recommended dosages, durations of treatment, and applicable patient populations are as described in the following chart:

Adults and Adolescents (age 12 years and older)

Type of Infection Total Daily
Dose
Dose Frequency Duration
Pharyngitis and/or tonsillitis 200 mg 100 mg Q 12 hours 5 to 10 days
Acute community-acquired
pneumonia
400 mg 200 mg Q 12 hours 14 days
Uncomplicated gonorrhea
(men and women) and rectal
gonococcal infections
(women)
200 mg single dose
Skin and skin structure 800 mg 400 mg Q 12 hours 7 to 14 days
Acute maxillary sinusitis 400 mg 200 mg Q 12 hours 10 days
Uncomplicated urinary tract
infection
200 mg 100 mg Q 12 hours 7 days

Infants and Pediatric Patients (age 2 months through 12 years)

Type of Infection Total Daily
Dose
Dose Frequency Duration
Acute otitis media 10 mg/kg/day
(Max 400 mg/day)
5 mg/kg Q 12 h
(Max 200 mg/dose)
5 days
Pharyngitis and/or tonsillitis 10 mg/kg/day
(Max 200 mg/day)
5 mg/kg/dose Q 12 h
(Max 100 mg/dose)
5 to 10 days
Acute maxillary sinusitis 10 mg/kg/day
(Max 400 mg/day)
5 mg/kg Q 12 hours
(Max 200 mg/dose)
10 days

Patients with Renal Dysfunction

For patients with severe renal impairment (<30 mL/min creatinine clearance), the dosing intervals should be increased to Q 24 hours. In patients maintained on hemodialysis, the dose frequency should be 3 times/week after hemodialysis.

When only the serum creatinine level is available, the following formula (based on sex, weight, and age of the patient) may be used to estimate creatinine clearance (mL/min). For this estimate to be valid, the serum creatinine level should represent a steady state of renal function.

Males:
(mL/min)
Weight (kg) × (140 - age)
72 × serum creatinine (mg/100 mL)
   
Females:
(mL/min)
0.85 × above value

Patients with Cirrhosis

Cefpodoxime pharmacokinetics in cirrhotic patients (with or without ascites) are similar to those in healthy subjects. Dose adjustment is not necessary in this population.

Preparation of Suspension

Constitution Directions For Oral Suspension
Constituted
Volume
Final
Concentration
Directions
50 mL 50 mg per 5 mL Suspend in a total of 29 mL of distilled water. Method: First, shake the bottle to loosen granules. Then add the water in two approximately equal portions, shaking vigorously after each aliquot of water.
75 mL 50 mg per 5 mL Suspend in a total of 44 mL of distilled water. Method: First, shake the bottle to loosen granules. Then add the water in two approximately equal portions, shaking vigorously after each aliquot of water.
100 mL 50 mg per 5 mL Suspend in a total of 58 mL of distilled water. Method: First, shake the bottle to loosen granules. Then add the water in two approximately equal portions, shaking vigorously after each aliquot of water.
50 mL 100 mg per 5 mL Suspend in a total of 29 mL of distilled water. Method: First, shake the bottle to loosen granules. Then add the water in two approximately equal portions, shaking vigorously after each aliquot of water.
75 mL 100 mg per 5 mL Suspend in a total of 43 mL of distilled water. Method: First, shake the bottle to loosen granules. Then add the water in two approximately equal portions, shaking vigorously after each aliquot of water.
100 mL 100 mg per 5 mL Suspend in a total of 57 mL of distilled water. Method: First, shake the bottle to loosen granules. Then add the water in two approximately equal portions, shaking vigorously after each aliquot of water.

After mixing, the suspension should be stored in a refrigerator, 2° to 8°C (36° to 46°F). Shake well before using. Keep container tightly closed. The mixture may be used for 14 days. Discard unused portion after 14 days.

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