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WIKI PHARMA-MNU
  • Introduction 

  • Illustrated mechanism of action 

  • Examples of Medication Brand Names (with Images)

  • Indication

  • Side Effects 

  • Precautions & Contraindications 

  • Monographs

  • Reference 

                                             History 

Second-generation cephalosporins were developed in the 1970s as an improvement over the first-generation drugs. They were designed to have a broader spectrum of activity, especially against gram-negative bacteria like Haemophilus influenzae and some Enterobacter species. These antibiotics also show better resistance to beta-lactamase enzymes produced by certain bacteria. Their development marked a significant step in combating respiratory and urinary tract infections

                                                                   MOA  

Medication Brand Names

      Side Effects

.Allergy
symptoms
1-Skin Rash 

2-Urticaria (Hives)

3-Facial Swelling (Angioedema)Breathing Difficulties/Wheezing

4-Anaphylaxis (Severe Allergic Reaction):

5-Joint Pain (Arthralgia)

6-Fever (Pyrexia)
Managment
Immediate Discontinuation of the Drug:

Stop using the second-generation cephalosporin immediately upon identification of allergic symptoms

.Antihistamines:

Purpose: To relieve mild symptoms such as skin rash and hives.

Examples: Diphenhydramine (Benadryl), Chlorpheniramine.

.Corticosteroids (Oral or Topical):

Purpose: To reduce inflammation in cases of severe rash or hives.

Examples: Prednisone (oral), Hydrocortisone (topical).

.Epinephrine (Adrenaline):

Purpose: To treat severe allergic reactions like anaphylaxis by reversing symptoms such as difficulty breathing and low blood pressure.

Method: Administer intramuscular epinephrine as soon as anaphylaxis is suspected.


   Indications 

Second-generation cephalosporins are used to treat various infections, including:

  • Bone and joint infections

  • Skin and soft tissue infections

  • Gynecological infections

  • Intra-abdominal infections

  • Lower respiratory tract infections

  • Urinary tract infections

  • Meningitis in children

  • Sepsis

   Precautions & Contraindications

 Allergic Reactions: Patients with a history of severe allergic reactions to penicillins or carbapenems may have cross-reactivity with cephalosporins. However, recent studies suggest that the risk is lower than previously thought, especially with second-generation cephalosporins. 

Alcohol Interaction: Some cephalosporins, like cefotetan, can cause a disulfiram-like reaction when taken with alcohol. This is due to the methylthiotetrazole (MTT) side chain, which can interfere with alcohol metabolism.

                                                                             Monographs

111.pdf

Cefaclor

2222.pdf

Cefoxitin

2003.pdf

Cefuroxime

Cefprozil.pdf

Cefprozil

Loracarbef.pdf

Loracarbef

                                                                                 References

  • https://en.wikipedia.org/wiki/Cephalosporin
    https://www.ncbi.nlm.nih.gov/books/NBK551517/
    https://www.rxlist.com/consumer_cephalosporins/drugs-condition.htm
    https://www.youtube.com/watch?v=1CzH0QjUu1Y

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