<p><strong>Indications &amp; Usage</strong></p>

<p>AGEXTIM-500 (Cefuroxime Axetil 500 mg) Tablet from Agex Laboratories is indicated for the treatment of patients with mild to moderate infections caused by susceptible strains of the designated microorganisms in the conditions given below:</p>

<ul>
	<li>Pharyngitis/Tonsillitis caused by Streptococcus pyogenes.</li>
	<li>Acute Bacterial Otitis Media caused by Streptococcus pneumonia.</li>
	<li>Haemophilus influenzae (including beta-lactamase&ndash;producing strains).</li>
	<li>Acute Bacterial Maxillary Sinusitis caused by Streptococcus pneumoniae or Haemophilus influenzae (non-beta-lactamase&ndash;producing strains only).</li>
	<li>Acute Bacterial Exacerbations of Chronic Bronchitis and Secondary Bacterial Infections of Acute Bronchitis caused by Streptococcus pneumoniae, Haemophilus influenza (beta-lactamase negative strains), or Haemophilus parainfluenzae</li>
	<li>Uncomplicated Skin and Skin-Structure Infections caused by Staphylococcus aureus</li>
	<li>Uncomplicated Urinary Tract Infections caused by Escherichia coli or Klebsiella pneumoniae.</li>
	<li>Uncomplicated Gonorrhea, urethral and endocervical, caused by penicillinase-producing and non-penicillinase&ndash;producing strains of Neisseria gonorrhoeae and uncomplicated gonorrhea, rectal, in females, caused by nonpenicillinase&ndash;producing strains of Neisseria gonorrhoeae.</li>
	<li>Early Lyme Disease (erythema migrans) caused by Borrelia burgdorferi.</li>
</ul>

<p><strong>Contraindications</strong><br />
Cefuroxime Axetil tablets are contraindicated in patients with known allergy to the cephalosporin group of antibiotics.</p>

<p><strong>Precautions &amp; Warnings</strong><br />
Cefuroxime Axetil tablets and Cefuroxime Axetil for Oral Suspension are not Bioequivalent and are therefore not substituted on a miligram per miligram basis.A careful inquire is recommended before Cefuroxime Axetil therapy is instituted. It is needed to determine if the patient has had previous hyper-sensivity reactions to Cefuroxime Axetil products, other Cephalosporins, Penicilllins, or other drugs.Nursing Mothers: Because cefuroxime is excreted in human milk, consideration should be given to discontinuing nursing temporarily during treatment with Cefuroxime Axetil.</p>

<p><strong>Drug Interactions</strong></p>

<p>Concomitant administration of probenecid with Cefuroxime Axetil tablets increases the area under the serum concentration versus time curve by 50%. The peak serum cefuroxime concentration after a 1.5 g single dose is greater when taken with 1 g of probenecid (mean = 14.8 mcg/mL) than without probenecid (mean = 12.2 mcg/mL).</p>

<p>Drugs that reduce gastric acidity may result in a lower bioavailability of Cefuroxime Axetil tablets compared with that of fasting state and tend to cancel the effect of postprandial absorption.</p>

<p>In common with other antibiotics, Cefuroxime Axetil may affect the gut flora, leading to lower estrogen reabsorption and reduced efficacy of combined oral estrogen/ progesterone contraceptives.</p>

<p><strong>Dosage &amp; Administration</strong></p>

<p>Adult Dose</p>

<p>Bronchitis: 250 to 500 mg orally twice a day for 5 to 10 days. Cystitis: 250 mg orally twice a day for 7 to 10 days Uncomplicated infections of the cervix, urethra, or rectum: 1 g orally one time Lyme Disease: 500 mg orally twice a day for 20 days Otitis Media: 250 mg orally twice a day for 10 days Peritonitis: 750 mg to 1.5 g every 8 hours for 10 to 14 days Pyelonephritis: 750 mg to 1.5 g every 8 hours or 250 to 500 mg orally twice a day for 14 days, depending on the nature and severity of the infection Sinusitis: 250 mg orally twice a day for 10 to 14 days Skin or Soft Tissue Infection: 250 mg to 500 mg orally twice a day Tonsillitis/Pharyngitis: 250 mg orally twice a day for 10 days Upper Respiratory Tract Infection: 250 to 500 mg orally twice a day Urinary Tract Infection: 250 mg orally twice a day for 7 to 10 days</p>

<p>&nbsp;</p>
