Adults oral dosing:

  • Chronic bronchitis:
    • 250-500mg BD * 7/7
  •  Pneumonia:
    • 500mg BD * 5/7
  •  URTI , ENT e.g. otitis media, sinusitis, tonsillitis & pharyngitis:
    • 250mg BD *7/7
  • UTI :
    • 125mg BD * 5/7
  • Pyelonephritis:
    • 250mg BD * 7/7
  • Uncomplicated gonorrhea:
    • 1g OD STAT
  • Lyme disease:
    • 500mg BD * 14-21 days
  • Severe or Complicated Infections:
    • 5 g IV/IM TDS; may be administered QID in life-threatening situations

Children oral dosing:

  • 3 months-1 year: 10 mg/kg twice daily (max. per dose 125 mg)
  • 2-11 years: 15 mg/kg twice daily (max. per dose 250 mg)
  • 12–17 years: 250 mg twice daily, dose may be doubled in severe LRTI or if pneumonia is suspected

With IV/IM use:

  • Child: 20 mg/kg every 8 hours (max. per dose 750 mg); increased to 50-60 mg/kg every 6-8 hours for severe infection and cystic fibrosis (max. per dose 1.5 g)
  • Adult: 750 mg every 68 hours; increased if necessary up to 1.5 g every 6-8 hours for severe infections

In renal impairment:

  • CrCl >30 mL/min: No adjustment necessary
  • CrCl 10-30 mL/min: Administer usual dose every 24 hours
  • CrCl <10 mL/min: Administer usual dose every 48 hours

Tablet:

  • 125mg
  • 250mg
  • 500mg

Suspension:

  • 125mg/5mL

Injection:

  • 750mg/vial
  • 1.5g/vial
  • To be given after a meal for proper absorption.
  • Tablet should NOT be crushed.
  • Not recommended for children < 3months.
  • Single doses >750mg to be given via IV route only.

2nd generation cephalosporin.

Bactericidal by action of interfering with the synthesis of the bacteria cell wall by inhibiting transpeptidases. It also combines with the penicillin binding proteins present in the bacterial cell wall.

  • Diarrhoea
  • Decreased Hb
  • Eosinophilia
  • Nausea
  • Vomiting
  • Diaper rash in pediatric patients
  • Vaginitis
  • Transient rise in hepatic transaminases
  • Increase in alkaline phosphatases
  • Thrombophlebitis
  • Pain at site of IM injection
  • Drug fever
  • Candidiasis
  • Children <3 months
  • Hypersensitivity to components or penicillins
  • Probenecid
  • BCG live vaccine
  • Cimetidine
  • Proton pump inhibitors

                                   Drug Status

Availability Prescription only
Pregnancy Category B; May be used
Breastfeeding May be used
Schedule Not controlled
BRAND NAME STRENGTH FORMULATION PACK SIZE MANUFACTURER DISTRIBUTOR
Altacef 125mg/5mL Suspension 50mL Glenmark Pharma Glenmark Pharma
Altacef 500mg Tablet 10’s Glenmark Pharma Glenmark Pharma
Auroxetil 500mg Tablet 10’s Aurobindo Pharma Simba Pharma
Auroxetil 250mg Tablet 10’s Aurobindo Pharma Simba Pharma
Axacef 500mg Tablet 10’s Sanofi-Aventis Ressourcethica Kenya
Axacef 250mg Tablet 10’s Sanofi-Aventis Ressourcethica Kenya
Axetine 500mg Tablet 10’s Medochemie Ltd Sunpar Pharma
C-Tri T 250mg Tablet 10’s Emcure Pharma Lazor Pharma
C-Tri T 500mg Tablet 10’s Emcure Pharma Lazor Pharma
Cefakind 500mg Tablet 10’s Mankind Pharma Pharma Specialities
Cefakind 250mg Tablet 10’s Mankind Pharma Pharma Specialities
Cefaks 500mg Tablet 10’s Pharmaco Healthcare Pharmaco Healthcare
Cefasyn 500mg Tablet 10’s Cipla Ltd Imperial Managed
Cefaxil 1500mg Injection 1’s Crown Healthcare Crown Healthcare
Cefaxil 500mg Tablet 10’s Crown Healthcare Crown Healthcare
Cefaxil 750mg Injection 1’s Crown Healthcare Crown Healthcare
Cefaxil DS 125mg/5mL Suspension 50mL Crown Healthcare Crown Healthcare
Cefeal 125mg/5mL Suspension 50mL Questa Care C/O Surgilinks Ltd Surgilinks Ltd
Cefogen 750mg Injection 1’s Cadila Pharm Cadila Pharm
Ceforce 250mg Tablet 10’s Medisel Kenya Medisel Kenya
Ceforce 500mg Tablet 10’s Medisel Kenya Medisel Kenya
Cefotil 250mg Tablet 20’s Square Pharma Ace Pharma
Cefotil 500mg Tablet 10’s Square Pharma Ace Pharma
Cefotil 750mg Injection 1’s Square Pharma Ace Pharma
Cefotil 125mg/5mL Suspension 70mL Square Pharma Ace Pharma
Cefoxim 250mg Tablet 10’s Zydus Healthcare Sai Pharma
Cefoxim 500mg Tablet 10’s Zydus Healthcare Sai Pharma
Cefoxim 750mg Injection 1’s Zydus Healthcare Sai Pharma
Cefuken 500mg Tablet 10’s Sance Labs Pharmaken Ltd
Cefuken 750mg Injection 1’s Pharmaken Ltd Pharmaken Ltd
Cefuken DS 125mg/5mL Suspension 50mL Sance Labs Pharmaken Ltd
Cefumax 125mg/5mL Suspension 50mL Krishna Chemists Krishna Chemists
Cefumax 500mg Tablet 10’s Krishna Chemists Krishna Chemists
Cefurome 500mg Tablet 10’s Brussels Labs National Pharmacy
Cefurome 125mg/5mL Suspension 10’s National Pharmacy National Pharmacy
Celza 125mg/5mL Suspension 50mL Cachet Pharma Pharma Specialities
Celza 500mg Tablet 10’s Cachet Pharma Pharma Specialities
Cerox 125mg/5mL Suspension 50mL Pro Med Pharma Pro Med Pharma
Cerox A 500mg Tablet 10’s Pro Med Pharma Pro Med Pharma
Ceurox 250mg Tablet 10’s Medley Pharma Zawadi Healthcare
Ceurox 500mg Tablet 10’s Medley Pharma Zawadi Healthcare
Evorox 750mg Injection 1’s Pharmevo Harley’s Ltd
Evorox 125mg/5mL Suspension 50mL Pharmevo Harley’s Ltd
Fetnal 500mg Tablet 10’s Brawn Labs Sai Pharma
Foxitil 250mg Tablet 10’s Innocia Lifesciences Wessex Pharma
Foxitil 500mg Tablet 10’s Innocia Lifesciences Wessex Pharma
Furocef 250mg Tablet 16’s Renata Limited Harley’s Ltd
Furocef 500mg Tablet 12’s Renata Limited Harley’s Ltd
Furotil 500mg Tablet 10’s Healthcare Pharma Nextgen Pharma
Furotil 250mg Tablet 10’s Healthcare Pharma Nextgen Pharma
Furotil 250mg Tablet 10’s Healthcare Pharma Nextgen Pharma
Furotil 125mg/5mL Suspension 70mL Healthcare Pharma Nextgen Pharma
Furox 750mg Injection 1’s Zawadi Healthcare Zawadi Healthcare
Injroxime 750mg Injection 1’s Surgilinks Ltd C/O Injectionect Care Surgilinks Ltd
Kefrox 250mg Injection 1’s CCL Pharma Harley’s Ltd
Kefrox 125mg/5mL Suspension 50mL CCL Pharma Harley’s Ltd
Kefrox 250mg/5mL Suspension 50mL CCL Pharma Harley’s Ltd
Kefstar 750mg Injection 1’s Wockhardt Ltd Pharma Specialities
Kefstar 250mg Tablet 10’s Wockhardt Ltd Pharma Specialities
Kefstar 500mg Tablet 10’s Wockhardt Ltd Pharma Specialities
Kefstar 125mg/5mL Suspension 50mL; 100mL Wockhardt Ltd Pharma Specialities
Kilbac 125mg/5mL Suspension 70mL Incepta Pharma Radiance Pharma
Lebac 500mg Tablet 10’s Nextgen Pharma Nextgen Pharma
Lebac 125mg/5mL Tablet 50mL Nextgen Pharma Nextgen Pharma
Lebac 125mg/5mL Suspension 50mL Nextgen Pharma Nextgen Pharma
Mexirof 125mg Suspension 50mL Salama Pharma Salama Pharma
Mexirof 250mg Suspension 50mL Salama Pharma Salama Pharma
Mexirof 500mg Tablet 10’s Salama Pharma Salama Pharma
MyDawa Cefuroxime 125mg/5mL Suspension 50mL MyDawa Trading ION Kenya
Nelcef 125mg/5mL Suspension 10’s Innova Cap Nairobi Enterprises
Nelcef 250mg Tablet 10’s Innova Cap Nairobi Enterprises
Nelcef 500mg Tablet 10’s Innova Cap Nairobi Enterprises
Proximexa 125mg/5mL Suspension 50mL GSK Ltd GSK Ltd
Proximexa 250mg/5mL Suspension 50mL GSK Ltd GSK Ltd
Proximexa 250mg Tablet 10’s GSK Ltd GSK Ltd
Proximexa 500mg Tablet 10’s GSK Ltd GSK Ltd
Pulmocef 250mg Tablet 10’s Micro Labs Micro Labs
Pulmocef 500mg Tablet 10’s Micro Labs Micro Labs
Rufex 250mg Tablet 10’s Medox Pharma Medox Pharma
Rufex 500mg Tablet 10’s Medox Pharma Medox Pharma
Rufex 125mg/5mL Suspension 60mL Medox Pharma Medox Pharma
Sanfurox 750mg Injection 1’s Bliss GVS Prunus Pharma
Sanfurox 500mg Tablet 10’s Bliss GVS Prunus Pharma
Sefur 750mg Suspension 70mL Opsonin Pharma Opsonin Pharma
Sefur DS 250mg/5mL Suspension 50mL Radiance Pharma Radiance Pharma
Spizef 250 mg Tablet 10’s Orchid Healthcare Europa Healthcare
Spizef 500 mg Tablet 10’s Orchid Healthcare Europa Healthcare
Synercef 250mg Tablet 10’s Synermed Pharma Synermed Pharma
Synercef 500mg Tablet 10’s Synermed Pharma Synermed Pharma
Synercef 125mg/5mL Suspension 50mL Zest Pharma Synermed Pharma
Theoroxime 250 mg, 500 mg Tablet 10’s Theon Pharma Synermed Pharma
Tryoxim 500mg Tablet 10’s Twenty First Century Twenty First Century
Ximecor 500mg Tablet 10’s Signature Healthcare Signature Healthcare
Zamur 500mg Tablet 10’s Acino Pharma Goodman Agencies
Zinacef 750mg Injection 1’s GSK Ltd GSK Ltd
Zinavir 500mg Tablet 10’s Virchow Healthcare Surgipharm Ltd
Zinavir-DS 125mg/5mL Suspension 50mL Virchow Healthcare Surgipharm Ltd
Zinaxime 125mg/5mL Suspension 60mL PSA International Avacare Kenya
Zinaxime 500mg Tablet 10’s PSA International Avacare Kenya
Zinnat 125mg/5mL Suspension 50mL, 100mL GSK Ltd GSK Ltd
Zinnat 250mg Tablet 10’s GSK Ltd GSK Ltd
Zinnat 500mg Tablet 10’s GSK Ltd GSK Ltd
Zinnat 250mg/5mL Suspension 50mL GSK Ltd GSK Ltd
Zocef 500mg Tablet 10’s Alkem Labs Pharmacor Ltd
Zocef 250mg Tablet 10’s Alkem Labs Pharmacor Ltd
Zocef 750mg Injection 1’s Alkem Labs Pharmacor Ltd
Zocef 125mg/5mL Suspension 70mL Alkem Labs Pharmacor Ltd
Zolidon 125mg/5mL Suspension 50mL Cosmos Ltd Cosmos Ltd
Zolidon 500mg Tablet 10’s Cosmos Ltd Cosmos Ltd