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LOPRATIN 250MG POWDER FOR SOLUTION FOR INJECTION
Active substance(s): CEFTRIAXONE SODIUM
Lopratin 250 mg Powder for Solution for Injection
Read all of this leaflet carefully before you are given 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, pharmacist or nurse.
• If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in
this leaflet. See section 4.
What is in this leaflet
1. What Lopratin is and what it is used for
2. What you need to know before you are given Lopratin
3. How Lopratin is given
4. Possible side effects
5. How to store Lopratin
6. Contents of the pack and other information
What Lopratin is and what it is used for
Lopratin is an antibiotic given to adults and children (including
newborn babies). It works by killing bacteria that cause infections.
It belongs to a group of medicines called cephalosporins.
Lopratin is used to treat infections of
• the brain (meningitis).
• the lungs.
• the middle ear.
• the abdomen and abdominal wall (peritonitis).
• the urinary tract and kidneys.
• bones and joints.
• the skin or soft tissues.
• the blood.
• the heart.
It can be given:
• to treat specific sexually transmitted infections (gonorrhoea
• to treat patients with low white blood cell counts
(neutropenia) who have fever due to bacterial infection.
• to treat infections of the chest in adults with chronic bronchitis.
• to treat Lyme disease (caused by tick bites) in adults and
children including newborn babies from 15 days of age.
• to prevent infections during surgery.
What you need to know before you are
You must not be given Lopratin if:
• You are allergic to ceftriaxone or any of the other
ingredients of this medicine (listed in section 6).
• You have had a sudden or severe allergic reaction to
penicillin or similar antibiotics (such as cephalosporins,
carbapenems or monobactams). The signs include sudden
swelling of the throat or face which might make it difficult to
breath or swallow, sudden swelling of the hands, feet and
ankles, and a severe rash that develops quickly.
• You are allergic to lidocaine and you are to be given
Lopratin as an injection into a muscle.
Lopratin must not be given to babies if:
• The baby is premature.
• The baby is newborn (up to 28 days of age) and has certain
blood problems or jaundice (yellowing of the skin or the
whites of the eyes) or is to be given a product that contains
calcium into their vein.
Warnings and precautions
Talk to your doctor or pharmacist or nurse before you are given
• You have recently received or are about to receive products
that contain calcium.
• You have recently had diarrhoea after having an antibiotic
medicine. You have ever had problems with your gut, in
particular colitis (inflammation of the bowel).
• You have liver or kidney problems.
• You have gall stones or kidney stones
• You have other illnesses, such as haemolytic anaemia (a
reduction in your red blood cells that may make your skin
pale yellow and cause weakness or breathlessness).
• You are on a low sodium diet.
If you need a blood or urine test
If you are given Lopratin for a long time, you may need to have
regular blood tests. Lopratin can affect the results of urine
tests for sugar and a blood test known as the Coombs test. If
you are having tests:
• Tell the person taking the sample that you have been given
If you are diabetic or need to have your blood glucose level
monitored you should not use certain blood glucose monitoring
systems which may estimate blood glucose incorrectly while
you are receiving ceftriaxone. If you use such systems check
the instructions for use and tell your doctor, pharmacist or
nurse. Alternative testing methods should be used if necessary.
Talk to your doctor or pharmacist or nurse before your child is
administered Lopratin if:
• He/She has recently been given or is to be given a product
that contains calcium into their vein.
Other medicines and Lopratin
Tell your doctor or pharmacist if you are taking, have recently
taken or might take any other medicines.
In particular, tell your doctor or pharmacist if you are taking any
of the following medicines:
• A type of antibiotic called an aminoglycoside.
• An antibiotic called chloramphenicol (used to treat
infections, particularly of the eyes).
Pregnancy and 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 for
advice before taking this medicine.
The doctor will consider the benefit of treating you with
Lopratin against the risk to your baby.
Driving and using machines
Lopratin can cause dizziness. If you feel dizzy, do not drive or
use any tools or machines. Talk to your doctor if you
experience these symptoms.
Lopratin contains sodium
Each gram of Lopratin contains 3.6 mmol sodium. This should be
taken into consideration in patients on a controlled sodium diet.
How Lopratin is given
Lopratin is usually given by a doctor or nurse. It can be given
as a drip (intravenous infusion) or as an injection directly into a
vein or into a muscle. Lopratin is made up by the doctor,
pharmacist or nurse and will not be mixed with or given to you
at the same time as calcium-containing injections.
The usual dose
Your doctor will decide the correct dose of Lopratin for you.
The dose will depend on the severity and type of infection;
whether you are on any other antibiotics; your weight and age;
how well your kidneys and liver are working. The number of
days or weeks that you are given Lopratin depends on what
sort of infection you have.
Adults, older people and children aged 12 years and over
with a body weight greater than or equal to 50 kilograms (kg):
• 1 to 2 g once a day depending on the severity and type of
infection. If you have a severe infection, your doctor will
give you a higher dose (up to 4 g once a day). If your daily
dose is higher than 2 g, you may receive it as a single dose
once a day or as two separate doses.
Continued on the next page >>
The following information is intended for medical or
healthcare professionals only:
Method and route of administration of Lopratin 250 mg
powder for solution for injection/infusion
Intravenous infusion (infusion into a vein)
• Lopratin 250 mg for infusion is administered as a short
• The infusion should be administered over at least 30
• The content of the vial is dissolved in one of the following
calcium-free infusion solutions by swirling:
- Dextrose Injection BP 5% or
- 10%, Sodium Chloride Injection BP,
- Sodium Chloride and Dextrose Injection BP (0.45%
Sodium Chloride and 2.5% Dextrose),
- Dextran 6% in Dextrose Injection BP 5%,
- Hydroxyethyl Starch 6 - 10% infusions.
• See also section “Principal chemical intolerances”.
For full prescribing information please see the full Summary of
Lopratin 250 mg is injected into a vein (intravenous
administration); however, it can also be injected into a muscle
When reconstituted for intramuscular or intravenous injection,
the white to yellowish crystalline powder gives a pale yellow to
Intravenous injection (injection into a vein)
• Lopratin 250 mg for IV injection is dissolved in water for
The content of a 250 mg vial is dissolved in 5 ml of water
for injections by swirling.
The duration of injection is between 2 and 4 minutes
directly into the vein or via the tubing of an intravenous
Continued on the next page >>
Newborn babies, infants and children aged 15 days to 12
years with a body weight of less than 50 kg:
• 50-80 mg Lopratin for each kg of the child’s body weight
once a day depending on the severity and type of infection.
If you have a severe infection, your doctor will give you a
higher dose up to 100 mg for each kg of body weight to a
maximum of 4 g once a day. If your daily dose is higher
than 2 g, you may receive it as a single dose once a day or
as two separate doses.
• Children with a body weight of 50 kg or more should be
given the usual adult dose.
Newborn babies (0-14 days)
• 20 – 50 mg Lopratin for each kg of the child’s body weight
once a day depending on the severity and type of infection.
• The maximum daily dose is not to be more than 50 mg for
each kg of the baby’s weight.
People with liver and kidney problems
You may be given a different dose to the usual dose. Your
doctor will decide how much Lopratin you will need and will
check you closely depending on the severity of the liver and
If you are given more Lopratin than you should
If you accidentally receive more than your prescribed dose,
contact your doctor or nearest hospital straight away.
If you forget to use Lopratin
If you miss an injection, you should have it as soon as
possible. However, if it is almost time for your next injection,
skip the missed injection. Do not take a double dose (two
injections at the same time) to make up for a missed dose.
If you stop using Lopratin
Do not stop taking Lopratin unless your doctor tells you to. If
you have any further questions on the use of this medicine,
ask your doctor or nurse.
Possible side effects
Like all medicines, this medicine can cause side effects,
although not everybody gets them. The following side effects
may happen with this medicine:
Severe allergic reactions (not known, frequency cannot be
estimated from the available data)
If you have a severe allergic reaction, tell a doctor straight away.
The signs may include:
• Sudden swelling of the face, throat, lips or mouth. This can
make it difficult to breathe or swallow.
• Sudden swelling of the hands, feet and ankles.
Severe skin rashes (not known, frequency cannot be
estimated from the available data)
If you get a severe skin rash, tell a doctor straight away.
• The signs may include a severe rash that develops quickly,
with blisters or peeling of the skin and possibly blisters in
Other possible side effects:
Common (may affect up to 1 in 10 people)
• Abnormalities with your white blood cells (such as a
decrease of leucocytes and an increase of eosinophils) and
platelets (decrease of thrombocytes).
• Loose stools or diarrhoea.
• Changes in the results of blood tests for liver functions.
Uncommon (may affect up to 1 in 100 people)
• Fungal infections (for example, thrush).
• A decrease in the number of white blood cells
• Reduction in number of red blood cells (anaemia).
• Problems with the way your blood clots. The signs may
include bruising easily and pain and swelling of your joints.
• Feeling sick or being sick.
• Pruritis (itching).
• Pain or a burning feeling along the vein where Lopratin has
been given. Pain where the injection was given.
• A high temperature (fever).
• Abnormal kidney function test (blood creatinine increased).
Not known (Frequency cannot be estimated from the
• A secondary infection that may not respond to the antibiotic
• Form of anaemia where red blood cells are destroyed
• Severe decrease in white blood cells (agranulocytosis).
• Vertigo (spinning sensation).
• Inflammation of the pancreas (pancreatitis). The signs
include severe pain in the stomach which spreads to your
• Inflammation of the mucus lining of the mouth (stomatitis).
• Inflammation of the tongue (glossitis). The signs include
swelling, redness and soreness of the tongue.
• Problems with your gallbladder, which may cause pain,
feeling sick and being sick.
• A neurological condition that may occur in neonates with
severe jaundice (kernicterus).
• Kidney problems caused by deposits of calcium
ceftriaxone. There may be pain when passing water (urine)
or low output of urine.
• A false positive result in a Coombs’ test (a test for some
• A false positive result for galactosaemia (an abnormal build
up of the sugar galactose).
• Lopratin may interfere with some types of blood glucose
tests - please check with your doctor.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or
nurse. This includes any possible side effects not listed in this
leaflet. You can also report side effects directly via the Yellow
Card Scheme: www.mhra.gov.uk/yellowcard. By reporting side
effects, you can help provide more information on the safety of
(Please note the manufacturer's information on the risks of
lidocaine hydrochloride in the relevant information documents
on the respective lidocaine preparations used).
For other routes of administration other strengths of
Ceftriaxone are available.
How to store Lopratin
Keep this medicine out of the sight and reach of children
Do not use this medicine after the expiry date which is
stated on the carton and label after EXP. The expiry date
refers to the last day of that month.
Powder for solution for injection:
Do not store above 25 °C.
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.
Contents of the pack and other information
What Lopratin 250 mg contains:
The active substance is ceftriaxone disodium .
Each vial contains 250 mg ceftriaxone (as ceftriaxone
There are no other ingredients.
What Lopratin 250 mg looks like and contents of the pack
The powder is coloured white to yellowish.
Do not use Lopratin 250 mg if you notice the following: The
solution is not clear.
Packs sizes 1, 5, 10, 25, 50 and 100 vials.
Not all pack sizes may be marketed.
Marketing Authorisation Holder
Sandoz Ltd, Frimley Business Park, Frimley, Camberley,
Surrey, GU16 7SR, UK.
Sandoz GmbH, Biochemiestraße 10, A-6250 Kundl, Austria.
This leaflet was last revised in 04/2017
Rare (may affect up to 1 in 1,000 people)
• Inflammation of the large bowel (colon). The signs include
diarrhoea, usually with blood and mucus, stomach pain and
• Difficulty in breathing (bronchospasm).
• A lumpy rash (hives) that may cover a lot of your body,
feeling itchy and swelling.
Intramuscular injection (injection into a muscle)
• Lopratin 250 mg can be administered by the intramuscular
• Treatment with injection into a muscle is only justified in
exceptional cases and after a careful risk/benefit
• The content of the 250 mg injection vial is dissolved
completely in 1 ml of 1.06% lidocaine hydrochloride
solution for injection by swirling
• The solution is injected deeply into the buttocks muscle
• No more than 1 g Lopratin should be injected on one side.
• An injection into the blood vessels must be strictly avoided.
Blood or sugar in your urine.
Oedema (fluid build-up).
As a matter of principle, ceftriaxone solutions must always be
administered separately from other solutions for infusion.
Under no circumstances must ceftriaxone solutions be
mixed with solutions containing calcium.
Principal chemical intolerances
Lopratin 250 mg must never be mixed with any of the following
solutions containing calcium such as Hartmann's and
aminoglycosides (when given concurrently, these
preparations must be administered separately)
• Lopratin 250 mg must not be administered in the same
syringe as other antibiotics or other bactericidal agents.
A chemical intolerance of ceftriaxone has also been reported
with amsacrine (antitumour agent), vancomycin (antibiotic) and
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.