Classes
DEA Class; Rx
Common Brand Names; Teflaro
- Cephalosporins, Other
Description
IV broad spectrum cephalosporin antibiotic
Used for acute bacterial skin and skin structure infections and community-acquired pneumonia
First beta-lactam approved to treat methicillin-resistant S. aureus (MRSA), vancomycin-resistant S. aureus (VRSA), vancomycin-insensitive S. aureus (VISA), and hetero-resistant vancomycin-insensitive S. aureus (hVISA)
Indications
Indicated for treatment of community-acquired bacterial pneumonia (CABP)
Indicated for acute bacterial skin and skin structure infections (ABSSSI), including MRSA
Contraindications
Hypersensitivity to drug, excipients or other cephalosporins
Adverse Effects
- Diarrhea (5%)
- Nausea (4%)
- Rash (3%)
- Constipation (2%)
- Vomiting (2%)
- Increased transaminases (2%)
- Hypokalemia (2%)
- Phlebitis (2%)
- Blood and lymphatic system disorders: Anemia, eosinophilia, neutropenia, thrombocytopenia
- Cardiac disorders: Bradycardia, palpitations
- Gastrointestinal disorders: Abdominal pain
- General disorders and administration site conditions: Pyrexia
- Hepatobiliary disorders: Hepatitis
- Immune system disorders: Hypersensitivity, anaphylaxis
- Infections and infestations: Clostridium difficile colitis
- Metabolism and nutrition disorders: Hyperglycemia, hyperkalemia
- Nervous system disorders: Dizziness, convulsion
- Renal and urinary disorders: Renal failure
- Skin and subcutaneous tissue disorders: Urticaria
Warnings
If anemia develops during or after treatment, consider drug-induced hemolytic anemia; perform diagnostic studies including a direct Coombs’ test; if drug-induced hemolytic anemia suspected, consider discontinuation; administer supportive care to patient (i.e. transfusion) if clinically indicated
Prescribing drug in absence of a proven or strongly suspected bacterial infection or a prophylactic indication is unlikely to provide benefit to patient and increases risk of development of drug-resistant bacteria
Neurological adverse reactions reported during postmarketing surveillance in patients treated with cephalosporins; reactions include encephalopathy and seizures; most cases occurred in patients with renal impairment who did not receive appropriate dosage adjustment; if neurological adverse reactions occur, consider discontinuing therapy or making appropriate dosage adjustments in patients with renal impairment
Pregnancy and Lactation
No data in pregnant women are available
No data are available regarding presence in human milk, or the effects on breastfed infants or on milk production
Maximum Dosage
1200 mg/day IV.
1200 mg/day IV.
weighing more than 33 kg: 1200 mg/day IV.
weighing 33 kg or less: 36 mg/kg/day IV.
2 years and older weighing more than 33 kg: 1200 mg/day IV.
2 years and older weighing 33 kg or less: 36 mg/kg/day IV.
younger than 2 years: 24 mg/kg/day IV.
2 to 11 months: 24 mg/kg/day IV.
1 month: 18 mg/kg/day IV.
Neonates at least 34 weeks gestational age and 12 days postnatal age: 18 mg/kg/day IV.
Neonates at least 34 weeks gestational age and younger than 12 days postnatal age: Safety and efficacy have not been established.
Neonates younger than 34 weeks gestational age: Safety and efficacy have not been established.
How supplied
Ceftaroline fosamil
injectable, powder for reconstitution
- 400mg/vial
- 600mg/vial