III. Contraindications

  1. Staphylococcus aureus infection (poor activity)

V. Medications

  1. Capsules: 400 mg
  2. Chewable Tablets: 100 or 200 mg (contain Phenylalanine)
  3. Suspension: 100 or 200 mg/5ml and 500 mg/5 ml
    1. Stable at room Temperature for 2 weeks

VI. Dosing

  1. Adult (or child age >13 years, weight > 45 to 50 kg)
    1. Standard Dosing
      1. Take 400 mg orally divided once daily
    2. Gonorrhea
      1. Take 400 mg orally for single dose
  2. Child (age <13 years or weight < 45 to 50 kg)
    1. Standard Dosing
      1. Give 8 mg/kg/day divided daily to twice daily
    2. Febrile Urinary Tract Infection
      1. Give 16 mg/kg orally on day 1, then 8 mg/kg/day daily for 14 days
  3. Renal Dosing
    1. eGFR 21 to 60 ml/min (or Hemodialysis): Decrease usual dose to 75%
    2. eGFR <20 ml/min (or Peritoneal Dialysis): Decrease usual dose to 50%

VII. Safety

  1. Pregnancy Category B
  2. Safe in Lactation

VIII. Drug Interactions

  1. Warfarin
    1. Cefixime may increase INR
  2. Carbamazepine
    1. Cefixime may increase Carbamazepine levels

X. References

  1. Hamilton (2020) Tarascon Pocket Pharmacopoeia
  2. (2012) Presc Lett, Resource #280706, Comparison of Cephalosporins

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Cost: Medications

cefixime (on 2/22/2023 at Medicaid.Gov Survey of pharmacy drug pricing)
CEFIXIME 200 MG/5 ML SUSP Generic $4.86 per ml
CEFIXIME 400 MG CAPSULE Generic $10.76 each