Cefixime

C difficile risk
Medium
Oral Bioavailability
Excellent
Cost
$4/day

Dosing

Defined criteria for use and/or important safety considerations. See below for more information.

400 mg PO q24h

800 mg PO x 1 dose with azithromycin 1 g PO x 1 dose

  • Note: Ceftriaxone 250 mg IM x 1 is preferred for infection in MSM (with azithromycin 1 g PO x 1 dose)

CrCl > 30 mL/minCrCl < 30 mL/minNo renal adjustment required200 mg PO q24h

200 mg PO q24h

  • Give dose after dialysis on HD days

200 mg PO q24h

No data

General Information

  • Uncomplicated anogenital gonorrhea infection (urethral, endocervical, vaginal, rectal) combine with azithromycin 1 g PO in a single dose

  • Can be used for other infections resistant to first line agents but susceptible to cefixime

Any gonorrhea infection in men who have sex with men OR pharyngeal infection in men or women, preferred therapy is:

  • Ceftriaxone 250 mg IM PLUS azithromycin 1 g PO in a single dose

Drug Class: 3rd generation cephalosporin

CSF penetration: Insufficient data

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