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CEFADROXIL 250 MG/5 ML GRANULES FOR ORAL SUSPENSION

Active substance(s): CEFADROXIL MONOHYDRATE

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Package leaflet: Information for the patient

Cefadroxil
250 mg/5 ml granules for oral suspension
cefadroxil
Read all of this leaflet carefully before you start taking this medicine because it contains
important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you only. Do not pass it on to others. It may harm them,
even if their signs of illness are the same as yours.
- If you get any side effects, talk to your doctor or pharmacist. This includes any possible side
effects not listed in this leaflet. See section 4.
What is in this leaflet
1. What Cefadroxil suspension is and what it is used for
2. What you need to know before you take Cefadroxil suspension
3. How to take Cefadroxil suspension
4. Possible side effects
5. How to store Cefadroxil suspension
6. Contents of the pack and other information

1. What Cefadroxil suspension is and what it is used for

Driving and using machines
You may suffer from headaches, dizziness, nervousness, insomnia and fatigue while taking this
medication. This can affect your ability to drive or use machines. If this happens, do not drive
or use machines.
Cefadroxil 250 mg/5 ml granules for oral suspension contains sucrose
This medicine contains 2.780 g of sucrose per 5 ml reconstituted suspension. This should be
taken into account by patients with diabetes mellitus. If you have been told by your doctor that you
have an intolerance to some sugars (fructose intolerance, glucose-galactose malabsorption or
sucrase-isomaltase insufficiency), contact your doctor before taking this medicinal product.
Cefadroxil 250 mg/5 ml granules for oral suspension contains Soy-Lecithin.
If you are allergic to peanut or soya, do not use this medicinal product. (see Section 2 “Do not take
Cefadroxil suspension”)

3. How to take Cefadroxil suspension
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your
doctor or pharmacist if you are not sure.
The dose prescribed by your doctor depends on the nature and severity of the infection. It
also depends on how well your kidneys are working. Your doctor will explain this. Your doctor
will calculate the exact dose.
Cefadroxil granules for oral suspension is intended for use in children ≥ 5 kg.
It may also be used in adults and older children who have difficulty swallowing capsules.
The following table helps to define the recommended doses:

Cefadroxil suspension is an antibiotic. It belongs to a group of antibiotics called cephalosporins.
These antibiotics are similar to penicillin.
Cefadroxil suspension kills bacteria and can be used against various types of infections. Like all
antibiotics, cefadroxil is only effective against certain types of bacteria. It is therefore appropriate
to treat certain types of infections. Cefadroxil suspension can be used to treat:
- infections of the throat;
- uncomplicated infections of the bladder and kidneys;
- uncomplicated infections of the skin and soft tissue.

2. What you need to know before you take Cefadroxil suspension
Do not take Cefadroxil suspension:
- if you are allergic to cefadroxil or any of the other ingredients of this medicine (listed in
section 6);
- if you are allergic to any other cephalosporin antibiotic;
- if you have had a severe allergic reaction to any penicillin antibiotic.
Not all people allergic to penicillin are allergic to cephalosporins. However, you should not
take this medicine if you have ever had a severe allergic reaction to any penicillin, as you
may also be allergic to this medicine (a cross-allergy).
- if you are allergic to peanut or soya, do not take this medicinal product.
If you are not sure if any of the above apply to you, talk to your doctor or pharmacist.
Warnings and precautions
Talk to your doctor or pharmacist before taking Cefadroxil suspension:
- if you have ever had an allergic reaction to an antibiotic or suffer from asthma;
- if you have been told that your kidneys are not working well or if you are undergoing dialysis
(due to problems with the way your kidneys work). You can take cefadroxil, but your doctor
will adjust the dose for you;
- if you have ever had an inflammation of the large bowel, called colitis, or any other serious
disease that affects the intestines.
If you are being treated with Cefadroxil suspension for an extended period the doctor will perform
regular blood tests.
You must look out for certain symptoms of gastrointestinal disorders such as diarrhoea while
you are taking cefadroxil. See Serious side effects in section 4.
Infants
Cefadroxil should be used with caution in premature and newborn infants, since their enzyme
system is not fully developed.
If you need a blood or urine test
Cefadroxil can affect the results of urine tests for sugar and a blood test known as the Coombs test.
If you are having test:
Tell the person taking the sample that you are taking cefadroxil.
Other medicines and Cefadroxil suspension
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other
medicines.
Cefadroxil may be affected by other medicines which are excreted by the kidneys. Many medicines
have this effect, so you should consult your doctor or pharmacist before taking Cefadroxil
suspension.
In particular, tell your doctor or pharmacist if you are taking the following medicines:
- anticoagulants (used to thin the blood);
- probenecid (used for gout). It may delay the elimination of cefadroxil from your body;
- cholestyramine (used to reduce high cholesterol).
Never take Cefadroxil suspension together with the following medicines:
- antibiotics called aminoglycosides (such as gentamicin), polymyxin B and colistin;
- other antibiotics that stop the growth of bacteria (such as tetracycline);
- water pills (diuretics) such as furosemide. It may be necessary to frequently check your kidney
function during treatment. This can be done through blood and urine tests.
You should allow two to three hours to pass between taking Cefadroxil suspension and any of the
above medicines.
Cefadroxil suspension with food, drink and alcohol
Cefadroxil can be taken with or without food.
Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby,
ask your doctor or pharmacist for advice before taking this medicine.

Cefadroxil_susp_UK_mock up_5_297x420mm.indd 1

Adults and adolescents weighing more than
40 kg with normal kidney function

Indications
Uncomplicated infections of the
bladder and kidneys

1000 mg twice daily

Uncomplicated infections of the skin
and soft tissue
Infections of the throat

1000 mg once a day for at least 10 days

Adults
For adults and adolescents the doctor may prescribe a more appropriate pharmaceutical
form, Cefadroxil capsules.
Use in children
The daily dose is calculated according to the weight of the child. Your doctor will calculate the
exact dose.
Indications

Children weighing less than 40 kg,
with normal kidney function

Uncomplicated infections of the
bladder and kidneys

30-50 mg/kg/day divided into two daily doses

Uncomplicated infections of the skin
and soft tissue
Infections of the throat

30 mg/kg/day once a day over at least 10 days

Body weight (kg)

General dosing
recommendations
based on 30-50 mg/kg/day
administered twice daily

General dosing recommendations
for pharyngitis and tonsillitis
based on
30 mg/kg/day administered once
daily

5-6

2.5 to 3.75 ml twice daily

3.75 ml once daily

7-8

2.5 to 5 ml twice daily

5 ml once daily

9-10

3.75 to 5 ml twice daily

6.25 ml once daily

11-12

3.75 to 6.25 ml twice daily

7.5 ml once daily

13-14

5 to 7.5 ml twice daily

8.75 ml once daily

15-16

5 to 8.75 ml twice daily

10 ml once daily

17-18

6.25 to 10 ml twice daily

11.25 ml once daily

19-20

6.25 to 10 ml twice daily

12.5 ml once daily

21-22

7.5 to 11.25 ml twice daily

13.75 ml once daily

23-25

7.5 to 12.5 ml twice daily

15 ml once daily

26-27

8.75 to 13.75 ml twice daily

16.25 ml once daily

28-29

8.75 to 15 ml twice daily

17.5 ml once daily

30-31

10 to 16.25 ml twice daily

18.75 ml once daily

32-33

10 to 17.5 ml twice daily

20 ml once daily

34-35

11.25 to 17.5 ml twice daily

20 ml once daily*

36-37

11.25 to 18.75 ml twice daily

20 ml once daily*

38-40

12.5 to 20 ml twice daily

20 ml once daily*

*The single dose should not exceed 1000 mg.
- Children should not use Cefadroxil suspension if they weigh less than 40 kg and have kidney
problems or are undergoing hemodialysis (a procedure to remove waste from the blood).
Elderly and patients with kidney problems
The dosage should be adjusted.
Patients undergoing hemodialysis
The doctor may adjust the dose during hemodialysis. Patients undergoing hemodialysis are
treated with one additional dose of cefadroxil at the end of hemodialysis.

23-Sep-16 2:21:30 PM

Instructions for reconstitution
Directions for making up the suspension using a graduated plastic measuring cup
Warning:
• A graduated plastic measuring cup is provided; this serves only to measure the amount of
water needed to prepare the suspension.
• After preparing the suspension, throw away the plastic measuring cup.
• Never use the graduated plastic measuring cup to give the medicine.
1. Shake the bottle to loosen the granules and remove the cap.
2. Add 60 ml purified water to the bottle, using the plastic measuring cup, and replace the cap.
Shake well the bottle to obtain a uniform suspension. The reconstituted suspension is a light
lemon yellow viscous liquid with pleasant orange odour.
3. The reconstituted suspension may be stored for 7 days below 30ºC or 21 days in a refrigerator
(5ºC ± 3ºC).
Method of administration
Use the plastic graduated oral syringe provided to measure the dose needed. The plastic oral
syringe is graduated on 1.25 ml, 2.5 ml, 3.75 ml and 5 ml.
1. Shake the bottle before use and remove the bottle cap.
2. Check how much medicine needs to be taken.
3. Remove cap from the syringe.
4. While the bottle is sitting on a firm, flat surface, insert the syringe into the bottle.
5. Slowly pull back the plunger of the syringe up to the graduation mark on the syringe corresponding
to the quantity in milliliters (ml) prescribed by the doctor.
6. Remove the syringe from the bottle.
7. Make sure your child is supported in an upright position.
8. Put the tip of the syringe carefully into your child’s mouth. Point the tip of the syringe towards
the inside of your child’s cheek.
9. Slowly push down the plunger of the syringe: Do not squirt it out quickly.
The medicine will trickle into your child’s mouth.
10. Allow your child some time to swallow the medicine.
11. Repeat steps 4-10 in the same way until the whole dose has been given.
12. Replace the cap on the bottle. Wash the syringe as instructed below.
Cleaning and storing the syringe
1. Pull the plunger out of the syringe and wash both parts thoroughly in fresh drinking water.
2. Allow the plunger and the barrel to dry naturally. Push the plunger back into the syringe. Keep
it in a clean safe place with the medicine.
Duration of treatment
Treatment should be continued for at least 2-3 days after the acute symptoms disappear.
In case of streptococcal infections, the minimum duration of treatment is 10 days.
If you take more Cefadroxil suspension than you should
If you use more Cefadroxil suspension then prescribed, immediately contact your doctor or
hospital. Symptoms of overdose may include: nausea, hallucinations, increased reflexes,
decreased consciousness or even coma, problems with the way your kidneys work.
If you forget to take Cefadroxil suspension
If you forget to use this medicine, continue with your normal dosage schedule recommended by
your doctor. Do not take a double dose to make up for a forgotten dose.
If you stop taking Cefadroxil suspension
It is important that you take the medicine as prescribed by your doctor. Do not suddenly stop using
this medication without first talking to your doctor. Otherwise, the symptoms may return.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If any of the following occurs, stop taking this medicine and consult your doctor immediately
or go to the emergency department of the nearest hospital:
Serious side effects that require emergency care:
Very rare (may affect up to 1 in 10,000 users):
- severe allergic reactions (anaphylaxis) such as:
- Sudden onset of wheezing and tightness in the chest;
- Swelling of eyelids, face or lips;
- Loss of consciousness (fainting).
- severe rash associated with blistering, involving eyes, mouth and throat, or genitals (StevensJohnson syndrome).
- severe diarrhea, or if you have blood in your stool, which is an indication of an inflammation of
the intestines, called pseudomembranous colitis.
Rare (may affect up to 1 in 1,000 users):
- yellowing of the eyes or skin, changes in blood tests for liver function;
- swelling of the face, tongue and throat;
- decrease in the number of different types of blood cells (symptoms may include fatigue, new
infections, fever, sudden sore throat and mouth ulcers), increased number of certain types of
white blood cells, decrease in the number of blood cells that are necessary for blood clotting that
may result in bruising or bleeding.
If you think you have any of these signs, stop taking this medicine and contact your doctor or the
emergency department of the nearest hospital.
Other possible side effects:
Common (may affect up to 1 in 10 users):
- feeling or being sick, upset stomach, abdominal pain, swelling of the tongue with redness and
pain and diarrhea;
- itching, rash, hives.
Uncommon (may affect up to 1 in 100 users):
- thrush, vaginal thrush.
Rare (may affect up to 1 in 1,000 users):
- allergic reactions (which include skin rash, allergic reactions less severe than those mentioned
above, hives, itching);
- changes in the way your kidneys work;
- joint pain;
- fever.

Cefadroxil_susp_UK_mock up_5_297x420mm.indd 2

Very rare (may affect up to 1 in 10,000 users):
- a type of anemia which can be severe and is caused by the breakdown of red blood cells;
- headache, sleeplessness, dizziness, nervousness;
- tiredness;
- abnormal blood tests.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side
effects not listed in this leaflet. You can also report side effects directly via Yellow Card Scheme
Website: www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more
information on the safety of this medicine.

5. How to store Cefadroxil suspension
Keep this medicine out of the sight and reach of children.
The product as granules should be stored below 25ºC.
Once water is added to the granules to make the viscous liquid suspension, it may be stored for
7 days below 30ºC or 21 days in a refrigerator (5ºC + 3ºC).
Do not use this medicine after the expiry date which is stated on the carton, bottle after “Expiry
date:”. The expiry date refers to the last day of that month.
After the course of treatment has finished discard any unused suspension.Do not throw away any
medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines
you no longer use. These measures will help protect the environment.

6. Contents of the pack and other information
What Cefadroxil suspension contains
- The active substance is cefadroxil monohydrate.
5 ml oral suspension contains 250 mg cefadroxil, corresponding to 262.39 mg cefadroxil
monohydrate.
1 ml oral suspension contains 50 mg cefadroxil, corresponding to 52.478 mg cefadroxil
monohydrate
- The other ingredients are: microcrystalline cellulose and carmellose sodium, sucrose, xantan
gum E415, sodium benzoate E211, citric acid monohydrate, sodium citrate dihydrate, polysorbate
80, flavour powder orange (flavouring ingredients, maltodextrin, sucrose, soy-lecithin E322,
silicon dioxide E551), quinoline yellow al.lake E104.
What Cefadroxil suspension looks like and contents of the pack
Cefadroxil granules for oral suspension are light yellow granules with visible dark yellow granules
and pleasant-orange odour.
The granules for oral suspension are packed in a 150 ml brown neutral glass bottle, supplied with
an aluminium cap with a polyethylene seal.
Cardboard box contains one (1) bottle, one plastic measuring cup graduated on 60 ml for
reconstitution only, one plastic oral 5 ml syringe for dosing graduated on 1.25 ml, 2.5 ml, 3.75 ml
and 5 ml, and an instruction leaflet. Each bottle contains 65 g granules for preparation of 100 ml
oral suspension.
Marketing Authorisation Holder and Manufacturer
ALKALOID-INT d.o.o.
Šlandrova ulica 4, 1231 Ljubljana – Črnuče, Slovenia
Tel.: 386 1 300 42 90
Fax: 386 1 300 42 91
e-mail: info@alkaloid.si
This medicinal product is authorised in the Member States of the EEA under the following
names:
UK

Cefadroxil 250 mg/5 ml granules for oral suspension

Austria

Valdocef 250 mg/5 ml Granulat zur Herstellung einer Suspension zum Einnehmen

Bulgaria

Valdocef 250 mg/5 ml granules for oral suspension

Czech Republic Valdocef 250 mg/5 ml granule pro perorální suspenzi
Germany

Valdiocef 250 mg/5 ml Granulat zur Herstellung einer Suspension zum Einnehmen

France

Cefadroxil Alkaloid-INT 250 mg/5 ml, granulés pour suspension buvable

Poland

Valdocef

Romania

Valdocef 250 mg/5 ml granule pentru suspensie oralã

Slovak Republic Valdocef, 250 mg/5 ml granulát na perorálnu suspenziu
Slovenia
PL34088/0033

Valdiocef 250 mg/5 ml zrnca za peroralno suspenzijo


This leaflet was last revised in 9/2016
Advice/medical education
Antibiotics are used to cure infections caused by bacteria (bacterial infections). They are ineffective
against infections caused by viruses (viral infections).
If your doctor has prescribed antibiotics, you need them precisely for your current illness.
Despite antibiotics, some bacteria may survive or grow. This phenomenon is called resistance:
some antibiotic treatments become ineffective.
Misuse of antibiotics increases resistance. You may even help bacteria become resistant and
therefore delay your cure or decrease antibiotic efficacy if you do not respect appropriate:
- dosages;
- schedules;
- duration of treatment.
Consequently, to preserve the efficacy of this drug:
1 - Use antibiotics only when prescribed by your doctor.
2 - Strictly follow the prescription.
3 - Do not re-use an antibiotic without medical prescription, even if you want to treat a similar
illness.
4 - Never give your antibiotic to another person; maybe it is not adapted to her/his illness.
5 - After completion of treatment, return all unused medicines to your pharmacist to ensure they
will be correctly thrown away.

23-Sep-16 2:21:31 PM

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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