Cefaclor: Difference between revisions
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Cefaclor is indicated in the treatment of the following infections when caused by susceptible strains of the designated microorganisms: | Cefaclor is indicated in the treatment of the following infections when caused by susceptible strains of the designated microorganisms: | ||
'''Otitis media''' caused by Streptococcus pneumoniae, Haemophilus influenzae, staphylococci, and Streptococcus pyogenes | * '''Otitis media''' caused by Streptococcus pneumoniae, Haemophilus influenzae, staphylococci, and Streptococcus pyogenes | ||
Note: β-lactamase-negative, ampicillin-resistant (BLNAR) strains of Haemophilus influenzae should be considered resistant to cefaclor despite apparent in vitro susceptibility of some BLNAR strains. | '''Note''': β-lactamase-negative, ampicillin-resistant (BLNAR) strains of Haemophilus influenzae should be considered resistant to cefaclor despite apparent in vitro susceptibility of some BLNAR strains. | ||
'''Lower respiratory tract infections''', including [[pneumonia]] caused by [[Streptococcus pneumoniae]], [[Haemophilus influenzae]], and [[Streptococcus pyogenes]]. | * '''Lower respiratory tract infections''', including [[pneumonia]] caused by [[Streptococcus pneumoniae]], [[Haemophilus influenzae]], and [[Streptococcus pyogenes]]. | ||
Note: β-lactamase-negative, ampicillin-resistant (BLNAR) strains of Haemophilus influenzae should be considered resistant to cefaclor despite apparent in vitro susceptibility of some BLNAR strains. | '''Note''': β-lactamase-negative, ampicillin-resistant (BLNAR) strains of Haemophilus influenzae should be considered resistant to cefaclor despite apparent in vitro susceptibility of some BLNAR strains. | ||
'''Pharyngitis and Tonsillitis''', caused by Streptococcus pyogenes | '''Pharyngitis and Tonsillitis''', caused by Streptococcus pyogenes | ||
Note: Penicillin is the usual drug of choice in the treatment and prevention of streptococcal infections, including the prophylaxis of rheumatic fever. Cefaclor is generally effective in the eradication of streptococci from the nasopharynx; however, substantial data establishing the efficacy of cefaclor in the subsequent prevention of rheumatic fever are not available at present. | '''Note''': Penicillin is the usual drug of choice in the treatment and prevention of streptococcal infections, including the prophylaxis of rheumatic fever. Cefaclor is generally effective in the eradication of streptococci from the nasopharynx; however, substantial data establishing the efficacy of cefaclor in the subsequent prevention of rheumatic fever are not available at present. | ||
'''Urinary tract infections''', including [[pyelonephritis]] and [[cystitis]], caused by Escherichia coli, Proteus mirabilis, Klebsiella spp., and coagulase-negative staphylococci | * '''Urinary tract infections''', including [[pyelonephritis]] and [[cystitis]], caused by Escherichia coli, Proteus mirabilis, Klebsiella spp., and coagulase-negative staphylococci | ||
'''Skin and skin structure infections''' caused by Staphylococcus aureus and Streptococcus pyogenes | * '''Skin and skin structure infections''' caused by Staphylococcus aureus and Streptococcus pyogenes | ||
Appropriate culture and susceptibility studies should be performed to determine susceptibility of the causative organism to cefaclor. | Appropriate culture and susceptibility studies should be performed to determine susceptibility of the causative organism to cefaclor. |
Revision as of 16:16, 20 January 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]
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Overview
Cefaclor is a {{{drugClass}}} that is FDA approved for the {{{indicationType}}} of {{{indication}}}. Common adverse reactions include .
Adult Indications and Dosage
FDA-Labeled Indications and Dosage (Adult)
Indications
Cefaclor is indicated in the treatment of the following infections when caused by susceptible strains of the designated microorganisms:
- Otitis media caused by Streptococcus pneumoniae, Haemophilus influenzae, staphylococci, and Streptococcus pyogenes
Note: β-lactamase-negative, ampicillin-resistant (BLNAR) strains of Haemophilus influenzae should be considered resistant to cefaclor despite apparent in vitro susceptibility of some BLNAR strains.
- Lower respiratory tract infections, including pneumonia caused by Streptococcus pneumoniae, Haemophilus influenzae, and Streptococcus pyogenes.
Note: β-lactamase-negative, ampicillin-resistant (BLNAR) strains of Haemophilus influenzae should be considered resistant to cefaclor despite apparent in vitro susceptibility of some BLNAR strains.
Pharyngitis and Tonsillitis, caused by Streptococcus pyogenes
Note: Penicillin is the usual drug of choice in the treatment and prevention of streptococcal infections, including the prophylaxis of rheumatic fever. Cefaclor is generally effective in the eradication of streptococci from the nasopharynx; however, substantial data establishing the efficacy of cefaclor in the subsequent prevention of rheumatic fever are not available at present.
- Urinary tract infections, including pyelonephritis and cystitis, caused by Escherichia coli, Proteus mirabilis, Klebsiella spp., and coagulase-negative staphylococci
- Skin and skin structure infections caused by Staphylococcus aureus and Streptococcus pyogenes
Appropriate culture and susceptibility studies should be performed to determine susceptibility of the causative organism to cefaclor.
To reduce the development of drug-resistant bacteria and maintain the effectiveness of cefaclor and other antibacterial drugs, cefaclor should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.
Off-Label Use and Dosage (Adult)
Guideline-Supported Use
Condition1
- Developed by:
- Class of Recommendation:
- Strength of Evidence:
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Guideline-Supported Use of Cefaclor in adult patients.
Non–Guideline-Supported Use
Condition1
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Non–Guideline-Supported Use of Cefaclor in adult patients.
Pediatric Indications and Dosage
FDA-Labeled Indications and Dosage (Pediatric)
Condition1
- Dosing Information
- Dosage
Condition2
There is limited information regarding FDA-Labeled Use of Cefaclor in pediatric patients.
Off-Label Use and Dosage (Pediatric)
Guideline-Supported Use
Condition1
- Developed by:
- Class of Recommendation:
- Strength of Evidence:
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Guideline-Supported Use of Cefaclor in pediatric patients.
Non–Guideline-Supported Use
Condition1
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Non–Guideline-Supported Use of Cefaclor in pediatric patients.
Contraindications
- Condition1
Warnings
- Description
Precautions
- Description
Adverse Reactions
Clinical Trials Experience
There is limited information regarding Clinical Trial Experience of Cefaclor in the drug label.
Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous
Postmarketing Experience
There is limited information regarding Postmarketing Experience of Cefaclor in the drug label.
Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous
Drug Interactions
- Drug
- Description
Use in Specific Populations
Pregnancy
- Pregnancy Category
- Australian Drug Evaluation Committee (ADEC) Pregnancy Category
There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Cefaclor in women who are pregnant.
Labor and Delivery
There is no FDA guidance on use of Cefaclor during labor and delivery.
Nursing Mothers
There is no FDA guidance on the use of Cefaclor with respect to nursing mothers.
Pediatric Use
There is no FDA guidance on the use of Cefaclor with respect to pediatric patients.
Geriatic Use
There is no FDA guidance on the use of Cefaclor with respect to geriatric patients.
Gender
There is no FDA guidance on the use of Cefaclor with respect to specific gender populations.
Race
There is no FDA guidance on the use of Cefaclor with respect to specific racial populations.
Renal Impairment
There is no FDA guidance on the use of Cefaclor in patients with renal impairment.
Hepatic Impairment
There is no FDA guidance on the use of Cefaclor in patients with hepatic impairment.
Females of Reproductive Potential and Males
There is no FDA guidance on the use of Cefaclor in women of reproductive potentials and males.
Immunocompromised Patients
There is no FDA guidance one the use of Cefaclor in patients who are immunocompromised.
Administration and Monitoring
Administration
- Oral
- Intravenous
Monitoring
There is limited information regarding Monitoring of Cefaclor in the drug label.
- Description
IV Compatibility
There is limited information regarding IV Compatibility of Cefaclor in the drug label.
Overdosage
Acute Overdose
Signs and Symptoms
- Description
Management
- Description
Chronic Overdose
There is limited information regarding Chronic Overdose of Cefaclor in the drug label.
Pharmacology
There is limited information regarding Cefaclor Pharmacology in the drug label.
Mechanism of Action
Structure
Pharmacodynamics
There is limited information regarding Pharmacodynamics of Cefaclor in the drug label.
Pharmacokinetics
There is limited information regarding Pharmacokinetics of Cefaclor in the drug label.
Nonclinical Toxicology
There is limited information regarding Nonclinical Toxicology of Cefaclor in the drug label.
Clinical Studies
There is limited information regarding Clinical Studies of Cefaclor in the drug label.
How Supplied
Storage
There is limited information regarding Cefaclor Storage in the drug label.
Images
Drug Images
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Package and Label Display Panel
{{#ask: Label Page::Cefaclor |?Label Name |format=template |template=DrugLabelImages |mainlabel=- |sort=Label Page }}
Patient Counseling Information
There is limited information regarding Patient Counseling Information of Cefaclor in the drug label.
Precautions with Alcohol
- Alcohol-Cefaclor interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
Brand Names
- ®[1]
Look-Alike Drug Names
- A® — B®[2]
Drug Shortage Status
Price
References
The contents of this FDA label are provided by the National Library of Medicine.
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- ↑ "http://www.ismp.org". External link in
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