Antimicrobials
Cefixime

Cefixime

High
Low
PO: $

General Information

  • Gonorrhea
  • Typhoid Fever: Oral alternative (high dose)

ODB Funded (tablets, oral liquid)

  • >10%: Gastrointestinal: Diarrhea (16%)
  • 2% to 10%: Gastrointestinal: Abdominal pain, nausea, dyspepsia, flatulence, loose stools
  • <2%: Acute renal failure, anaphylactoid reaction, anaphylaxis, angioedema, candidiasis, dizziness, drug fever, eosinophilia, erythema multiforme, facial edema, fever, headache, hepatitis, hyperbilirubinemia, increased blood urea nitrogen, increased serum creatinine, increased serum transaminases, jaundice, leukopenia, neutropenia, prolonged prothrombin time, pruritus, pseudomembranous colitis, seizure, serum sickness-like reaction, skin rash, Stevens-Johnson syndrome, thrombocytopenia, toxic epidermal necrolysis, urticaria, vaginitis, vomiting
  • With prolonged therapy, monitor renal and hepatic function periodically; number and type of stools/day for diarrhea
  • Observe for signs and symptoms of anaphylaxis during first dose
  • When used as part of alternative treatment for gonococcal infection, test-of-cure 7 days after dose (CDC 2012)
  • Food delays cefixime absorption
  • Management: May administer with or without food