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Alcohol
Caution
Avoid consuming alcohol while taking Pecef-200 Tablet as it might cause increased dizziness.
Pregnancy
Caution
Pecef-200 Tablet belongs to pregnancy category B. Please consult your doctor if you are pregnant; your doctor will prescribe Pecef-200 Tablet only if the benefits outweigh the risks.
Breast Feeding
Caution
Pecef-200 Tablet passes into breast milk. Please consult your doctor if you are breastfeeding.
Driving
Caution
Pecef-200 Tablet may cause dizziness, do not drive or operate heavy machinery if you feel dizzy.
Liver
Caution
Dose adjustment may be needed. Please consult your doctor if you have any concerns regarding this or if you have liver impairment/liver disease.
Kidney
Caution
Dose adjustment may be needed. Please consult your doctor if you have any concerns regarding this or if you have kidney impairment/kidney disease.
Children
Safe if prescribed
Pecef-200 Tablet is safe for children if prescribed by the doctor. However, the use of Pecef-200 Tablet is not recommended for children below 2 months as safety and efficacy have not been established.
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Drug-Drug Interactions
Drug-Drug Interactions
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Co-administration of Pecef-200 Tablet with Heparin may enhance the levels or effects of heparin by anticoagulation (preventing blood from clotting).
How to manage the interaction:
Although there is an interaction, Pecef-200 Tablet can be taken with Heparin if prescribed by the doctor. Do not stop using any medications without a doctor's advice. Do not discontinue the medication without consulting a doctor.
Co-administration of Pecef-200 Tablet with the Cholera vaccine may reduce the effectiveness of the vaccine.
How to manage the interaction:
Talk to your doctor before receiving the Cholera vaccine if you are currently being treated with Pecef-200 Tablet or have been treated within the last 14 days. To ensure adequate vaccine response, you should not receive cholera vaccine until at least 14 days after you complete your antibiotic therapy. Do not discontinue the medication without consulting a doctor.
Drug-Food Interactions
Drug-Food Interactions
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Drug-Diseases Interactions
Drug-Diseases Interactions
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Almost all antibacterial medications have been associated to reports of Clostridioides difficile-associated diarrhoea (CDAD), formerly known as pseudomembranous colitis. It can vary from mild diarrhoea to deadly colitis. Clindamycin and lincomycin are two of the most frequent offenders.
How to manage the interaction:
Antibiotics may cause Clostridioides difficile-associated diarrhoea (CDAD), which may range from mild diarrhoea to fatal colitis. Appropriate fluid and electrolyte management, protein supplementation, antibacterial treatment of C difficile, and surgical evaluation is advised.
The kidneys remove the majority of beta-lactam antibiotics as unaltered drugs and, in certain situations, as metabolites as well. In individuals with poor renal function, the blood concentrations of beta-lactam antibiotics and their metabolites may rise and their half-lives may be prolonged. According to the particular product package labelling, dosage modifications may be required. These alterations should be based on the severity of the infection as well as the degree of renal impairment. Renal function tests should be carried out on a regular basis during extended and/or high-dose therapy since these medicines have occasionally been linked to nephrotoxicity and changes in renal function.
How to manage the interaction:
The serum concentration may be increased in patients with impaired kidney function. Dose adjustment may be necessary for patients with kidney dysfunction. Regular renal function tests are advised.
Certain cephalosporins have been associated with cases of hepatitis. There has also been a brief increase in the levels of AST, ALT, and alkaline phosphatase. Patients with hepatic problems should be treated with caution and under close observation when using these medications.
How to manage the interaction:
Caution and monitoring is recommended in patients with liver disorders.
It has been suggested that cephalosporins can cause seizures. In particular in patients with a history of epilepsy and/or where prescribed doses of cephalosporins were exceeded because of renal impairment, cephalosporins have been associated with nonconvulsive status epilepticus (NCSE), encephalopathy, coma, asterixis, neuromuscular excitability, and myoclonia. Depending on the creatinine clearance, change the dosage. In individuals with known seizure disorders, anticonvulsant medication should be maintained. Patients should get a neurological exam to see if medication should be stopped if CNS side effects like seizures happen.
How to manage the interaction:
Cephalosporin antibiotics may trigger seizures. Dose adjustment may be needed.
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