Ceftriaxone 1g Powder for solution for injection | Contains the active ingredient Ceftriaxone sodium USP solution for infusion



Consumer Medicine Information
SETRAXONE ®  1 gm Injection
Contains the active ingredient Ceftriaxone sodium USP solution for infusion.

What is in this leaflet

·         This leaflet answers some common questions about Setraxone injection. It does not contain all the available information.

·         It does not take the place of talking to your doctor or pharmacist.

·         All medicines have risks and benefits. Your doctor has weighed the risks of you being given Setraxone injection against the benefits they expect it will have for you.

If you have any concerns about being given this medicine, ask your doctor or pharmacist.
Keep this leaflet.

 
What Setraxone is used for

·         Setraxone is an antibiotic used to treat infections in different parts of the body caused by bacteria.
·         Setraxone is also used to prevent infections before, during and after surgery.
·         Setraxone will not work against infections caused by viruses such as colds or the flu.
·         Setraxone belongs to a group of antibiotics called cephalosporins.

These antibiotics work by killing the bacteria that are causing your infection or by stopping bacteria from growing.

Your doctor may have prescribed Setraxone for another reason

Ask your doctor if you have any questions why Setraxone has been prescribed for you.

This medicine is available only with a doctor's prescription. Setraxone is not addictive.

Before you are given Setraxone

When you must not be given it
Do not use Setraxone if:
          you have had an allergic reaction to Setraxone, other cephalosporins or any of the ingredients listed at the end of this leaflet

Some of the symptoms of an allergic reaction may include severe skin rash, itching, hives, dry skin, swelling of the face, lips, mouth or throat which may cause difficulty in swallowing or breathing, swelling of the hands, feet or ankles.

          you have had a serious allergic reaction to penicillins.
You may have an increased chance of being allergic to Setraxone if you are allergic to
penicillins.


In newborns, Setraxone should not be given if they require (or are expected to require) treatment with calcium containing intravenous solutions, including parenteral nutrition (intravenous nutrition).

Setraxone should not be given to preterm newborns or newborns with certain liver disorders.

If you are not sure if you should start using Setraxone, contact your doctor.


Before you are given it
Your doctor must know about all the following before you are given Setraxone.

You must tell your doctor if:
1. you have any type of allergic reaction to penicillin medicines

You may have an increased chance of being allergic to Setraxone if you are allergic to penicillins.

2. you have had an allergy or over-reaction to lignocaine or other anaesthetic drugs

These substances may be used to dissolve Setraxone before administration.

3. you are allergic to any other medicines or any other substances such as foods, preservatives or dyes

4. you have or have ever had any medical conditions including:
          kidney disease
          bowel conditions e.g. inflammation of the large bowel.
          diarrhoea associated with previous use of antibiotics
          previous infection of your intestine with a bacteria called Clostridium difficile.

5. you are pregnant, intend to become pregnant, are breast feeding or plan to breast feed

Your doctor will discuss the risks and benefits of using Setraxone during pregnancy or when breastfeeding.

If you have not told your doctor about any of the above, tell them before you are given Setraxone.

Taking other medicines
Tell your doctor if you are taking any other medicines including any that you have bought from a
pharmacy, supermarket or healthfood shop. Some medicines and Setraxone may interfere with each other.

These include:
          chloramphenicol, vancomycin, aminoglycosides, medicines used to treat infections
          fluconazole, a medicine used to treat fungal infections
          amsacrine, a medicine used to treat cancer

These medicines may be affected by Setraxone, or may affect how well it works. You may need to take different amounts of your medicine, or you may need to take different medicines. Your doctor will advise you.

Talk to your doctor about the need for an additional method of contraception while using Setraxone.

Some antibiotics may decrease the effectiveness of some birth control pills, although this has not been shown with Setraxone.

Your doctor and pharmacist have more information on medicines to be careful with or avoid while being given Setraxone.


How Setraxone is given

Setraxone can be given in two ways:
          as a slow injection into a vein
          as a deep injection into a large Muscle

Setraxone must only be given by a doctor or nurse. Setraxone should not be mixed or administered with calcium containing solutions, even via different infusion lines.

Your doctor will decide what dose and for how long you will receive Setraxone. This depends on your infection and other factors, such as your weight. For most infections, Setraxone is usually given once a day. The length of treatment usually is 4-14 days.

Sometimes only a single dose of Setraxone is required for the treatment and prevention of certain
infections.

If too much Setraxone is given, you may experience symptoms such as skin reactions, chills, diarrhoea,
stomach upsets, headache or dizziness.

While you are using Setraxone

Things you must do
If the symptoms of your infection do not improve within a few days, or if they become worse, tell your doctor.

If you get severe diarrhoea tell your doctor, pharmacist or nurse immediately. Do this even if it occurs several weeks after
Setraxone has been stopped.

Diarrhoea may mean that you have a serious condition affecting your bowel. You may need urgent medical care. Do not take any diarrhea medicine without first checking with your doctor.

If you get a sore or furry white mouth or tongue while using or soon after stopping Setraxone, tell your doctor. Also tell your doctor if you get vaginal itching or discharge.

This may mean that you have a fungal infection called thrush. Sometimes the use of Setraxone allows fungi to grow and the above symptoms to occur. Setraxone does not work against fungi.

If you become pregnant while using Setraxone, tell your doctor. If you have to test your urine for sugar while you are being given Setraxone, make sure your doctor knows which type of test you use.



Setraxone may affect the results of some of these tests.

If you have any blood tests tell your doctor you are being given Setraxone.
Complete blood counts should be done at regular intervals as Setraxone may affect the results of
some blood tests.

Tell all doctors, dentists and pharmacists who are treating you that you are using Setraxone.

Things you must not do
Do not give Setraxone to anyone else even if they seem to have the same condition as you.
Do not use Setraxone to treat other complaints unless your doctor says to.

Things to be careful of
Be careful driving or operating machinery until you know how Setraxone affects you.

Setraxone generally does not cause any problems with your ability to drive or operate machinery. However, as with many other medicines, Setraxone may cause dizziness in some people.

Storage
Setraxone will be stored in the pharmacy or on the ward. The powder for injection is kept in a cool dry place where the temperature stays below 30°C.

Side Effects

·         Tell your doctor or pharmacist as soon as possible if you do not feel well while you are using Setraxone.

·         Setraxone helps most people with infections but it may have unwanted side effects in a few people.

 All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.

Ask your doctor or pharmacist to answer any questions you may have.

While using it
Tell your doctor if you notice any of the following and they worry you:
          white, furry, sore tongue and mouth (oral thrush)
          sore and itchy vagina and/or discharge (vaginal thrush)
          a hard lump, swelling, pain or tenderness at the injection site
          diarrhoea, feeling sick, vomiting
          altered sense of taste
          headache, dizziness
          fast or irregular heart beat.

Tell your doctor immediately or go to casualty at your nearest hospital if you notice any of the following:
          severe skin rash, itching or hives
          red, peeling or dry skin
          swelling of the face, lips, mouth or throat which may cause difficulty in swallowing or breathing, swelling of the hands, feet or ankles
          tiredness, headaches, being short of breath when exercising, dizziness, looking pale and yellowing of the skin and/or eyes
          severe diarrhoea (that may contain blood
and mucous), stomach pain, and fever.

These are serious side effects. You may need urgent medical attention. Serious side effects are rare.

After finishing it

Tell your doctor immediately if you notice any of the following side effects, particularly if they occur several weeks after stopping treatment with Setraxone:
          severe abdominal cramps or stomach cramps
          watery and severe diarrhoea
          raised temperature (fever) in combination with one or both of the above.

These are rare but serious side effects. You may have a serious condition affecting your bowel.
Therefore, you may need urgent medical attention. However, this side effect is rare.

Do not take any diarrhea medicine without first checking with your doctor.
Other side effects not listed above may also occur in some patients.

Tell your doctor if you notice anything else that is making you feel unwell.
Ask your doctor or pharmacist if you don't understand anything in this list.

Do not be alarmed by this list of possible side effects. You may not experience any of them.

Product Description

What Setraxone looks like
Setraxone is available as a white to yellowish-orange powder. It is reconstituted before injection into a vein or muscle.

Ingredients
Setraxone does not contain gluten, lactose, sucrose, tartrazine or any other azo dyes.

Active ingredients - Ceftriaxone as the sodium salt
          each 1 gram Setraxone vial contains 1 gram Ceftriaxone

Dosage Forms And Strengths
Setraxone 1 gram and 2 gram come in packs of 1 vial.

Available Dosage Forms:
          1 gram vial
          2 gram vial


Manufacturer:
Setraxone®  Injection is made in India by:
Taj Pharmaceuticals Limited.





This leaflet was prepared on Feb. 2014.







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