• Ceftriaxone 125~250 mg IM, ST + Azithromycin 1g po in a single dose. (gov.tw)
  • Both the US Centers for Disease Control and Prevention and the World Health Organization recommend the combination therapy of intramuscular ceftriaxone and oral azithromycin. (umn.edu)
  • Azithromycin, which has a different mechanism of action than ceftriaxone, was added to the regimen to improve treatment efficacy and to slow the emergence of ceftriaxone resistance. (umn.edu)
  • Participants were randomly assigned 1:1 to receive a single intramuscular dose of either 240-milligrams (mg) gentamicin or 500-mg ceftriaxone, with both groups also receiving a single oral dose of 1 gram (g) of azithromycin. (umn.edu)
  • However, gentamicin combined with 1 g azithromycin achieved a cure rate of 94% for genital gonorrhoea, and its use might be appropriate in patients who are allergic, intolerant, or harbour a ceftriaxone-resistant infection. (umn.edu)
  • The investigators also found that the oral dose of azithromycin did not prevent treatment failure in the participants who received gentamycin. (umn.edu)
  • A 1 g dose of azithromycin as a component of dual therapy for gonorrhoea had limited efficacy in treating gentamicin-resistant infections and this suggests that its widespread use to prevent development of resistance requires review," they write. (umn.edu)
  • This finding from the trial was among the reasons cited by the British Association for Sexual Health and HIV in its decision to drop the recommendation for dual therapy with azithromycin in patients with uncomplicated gonorrhea in its 2019 guidelines, which now recommend a 1-g intramuscular shot of ceftriaxone as the first-line treatment. (umn.edu)
  • Because dual therapy with ceftriaxone plus azithromycin is the only recommended gonorrhea treatment, increases in azithromycin and cephalosporin MICs are cause for concern that resistance to these antimicrobial agents might be emerging. (cdc.gov)
  • Gonorrhea is treated with an injection of the antibiotic ceftriaxone, combined with the oral medication azithromycin (Zmax) or doxycycline (Vibramycin). (healthline.com)
  • azithromycin is used in a dose of 10mg/kg given once daily. (pediatriconcall.com)
  • Based on reported resistance of Ng strains, the CDC currently prescribes a two antibiotic protocol using ceftriaxone (a β-lactam) and azithromycin (a macrolide). (elifesciences.org)
  • Since 2012, the Centers for Disease Control and Prevention (CDC) has recommended dual therapy with a single dose of 250 mg of intramuscular ceftriaxone in combination with 1 gram of oral azithromycin . (cdc.gov)
  • Isolates with reduced azithromycin susceptibility were highly susceptible to ceftriaxone, and isolates with reduced ceftriaxone susceptibility were highly susceptible to azithromycin, suggesting that cases resistant to one drug would be cured by the second. (cdc.gov)
  • Researchers are studying the efficacy of ceftriaxone and azithromycin in treating syphilis. (medscape.com)
  • Uncomplicated Gonococcal Infections Recommended Regimens - Ceftriaxone 125 mg IM in a single dose or Cefixime 400 mg orally in a single dose or Ciprofloxacin 500 mg orally in a single dose or Ofloxacin 400 mg orally in a single dose PLUS A regimen effective against possible coinfection with C. trachomatis, such as doxycycline 100 mg orally 2 times a day for 7 days. (cdc.gov)
  • Cefixime has an antimicrobial spectrum similar to that of ceftriaxone, but the 400 mg oral dose does not provide as high nor as sustained a bactericidal level as does 125 mg of ceftriaxone. (cdc.gov)
  • No Azi-RS isolates exhibited reduced cefixime or ceftriaxone susceptibility (Cfx-RS and Cro-RS, respectively). (cdc.gov)
  • The percentage of isolates with elevated cefixime MICs increased during 2009-2010, then decreased during 2012-2013 after treatment recommendations were changed in 2010 to recommend dual therapy (with a cephalosporin and a second antibiotic) and a higher dosage of ceftriaxone. (cdc.gov)
  • Subsequently, the treatment recommendations were changed again in 2012 to no longer recommend cefixime as part of first-line therapy (leaving ceftriaxone-based dual therapy as the only recommended therapy). (cdc.gov)
  • Oral cefixime is used in a dose of 15-20 mg/kg/day in two divided doses. (pediatriconcall.com)
  • One isolate was resistant to cefixime, but no resistance to ceftriaxone or spectinomycin was found. (biomedcentral.com)
  • Ceftriaxone injection is in a class of medications called cephalosporin antibiotics. (medlineplus.gov)
  • Ceftriaxone for injection, USP is a sterile, semisynthetic, broad-spectrum cephalosporin antibiotic for intravenous or intramuscular administration. (nih.gov)
  • [ 19 ] This limits treatment of gonorrhea to drugs in the cephalosporin class (eg, ceftriaxone 125 mg IM once as a single dose). (medscape.com)
  • For complicated typhoid the choice of drug is parenteral third generation cephalosporin e.g. ceftriaxone (2). (pediatriconcall.com)
  • Identification of N. gonorrhoeae infections with reduced ceftriaxone susceptibility can be a sign of emerging resistance. (cdc.gov)
  • If ceftriaxone is mixed with a numbing medication (such as lidocaine ) before injection into a muscle, it may rarely cause a serious blood problem (methemoglobinemia). (webmd.com)
  • Ceftriaxone injection is also sometimes given before certain types of surgery to prevent infections that may develop after the operation. (medlineplus.gov)
  • Antibiotics such as ceftriaxone injection will not work for colds, flu, or other viral infections.Using antibiotics when they are not needed increases your risk of getting an infection later that resists antibiotic treatment. (medlineplus.gov)
  • Ceftriaxone injection comes as a powder to be mixed with liquid, or as a premixed product, to be injected intravenously (into a vein) over a period of 30 or 60 minutes.Ceftriaxone injection can also be given intramuscularly (into a muscle). (medlineplus.gov)
  • You may receive ceftriaxone injection in a hospital or doctor's office, or you may administer the medication at home. (medlineplus.gov)
  • If you will be receiving ceftriaxone injection at home, your healthcare provider will show you how to use the medication. (medlineplus.gov)
  • You should begin to feel better during the first few days of your treatment with ceftriaxone injection. (medlineplus.gov)
  • If you will be using more than one dose of ceftriaxone injection, use the medication until you finish the prescription, even if you feel better. (medlineplus.gov)
  • If you stop using ceftriaxone injection too soon or skip doses, your infection may not be completely treated and the bacteria may become resistant to antibiotics. (medlineplus.gov)
  • penicillin antibiotics, or any other medications.Also tell your doctor if you are allergic to any of the ingredients in ceftriaxone injection. (medlineplus.gov)
  • To reduce the development of drug-resistant bacteria and maintain the effectiveness of ceftriaxone for injection, and other antibacterial drugs, ceftriaxone for injection should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria. (nih.gov)
  • Your doctor may not want your baby to receive ceftriaxone injection. (epnet.com)
  • The drawbacks of ceftriaxone are that it is expensive, currently unavailable in vials of less than 250 mg, and must be administered by injection. (cdc.gov)
  • Providing you the best range of ceftriaxone injection ip, 100mg remdesivir injection, medroxyprogesterone acetate injection suspension usp, mikamegt amikacin sulfate injection usp and lidocaina injection with effective & timely delivery. (dossmegt.in)
  • In order to facilitate ambulating children on IV ceftriaxone, 80mg/kg ceftriaxone (generic) is safe to give over 10 minutes by slow intravenous injection. (piernetwork.org)
  • During 2009-2015, several ceftriaxone-resistant (MIC genetic analysis showed close genetic relatedness among 0.5-4 mg/L) N. gonorrhoeae strains were reported: in 2009, all 5 isolates. (cdc.gov)
  • No isolates resistant to ceftriaxone and spectinomycin were identified. (biomedcentral.com)
  • SUMMARY: The 2021 CDC STI Treatment Guidelines now recommend 500mg ceftriaxone intramuscularly once for the treatment of uncomplicated gonorrhea at all anatomic sites. (cdc.gov)
  • Once an organism is identified, an appropriate antibiotic is selected, and the child is demonstrating a good clinical response, continue outpatient therapy with either high-dose oral antibiotics or parenteral antibiotics. (medscape.com)
  • An alternative is needed because Neisseria gonorrhoeae -which is known for its ability to develop resistance quickly and has cycled through several antibiotics-is becoming increasingly resistant to ceftriaxone. (umn.edu)
  • Ceftriaxone is one of the most commonly used antibiotics. (limamemorial.org)
  • All patients received prophylactic intravenous antibiotics (ceftriaxone + metronidazole) preoperatively as well as in postoperative period. (banglajol.info)
  • Of the antibiotics, penicillin protected nerve cells best in laboratory dishes, but ceftriaxone had the best results in mice, probably because it more easily crosses into the brain from the blood, the researchers report. (scienceblog.com)
  • A review of 28 articles identified 18 antibiotics used for peritonitis, of which 9 (cefotaxime, ceftriaxone, daptomycin, ofloxacin, and teicoplanin in glucose-based solutions, tobramycin in Extraneal solution only and fosfomycin in Extraneal, Nutrineal, Physioneal 1.36% and 2.27% glucose solutions ) can be dosed interaperitoneally. (homedialysis.org)
  • Children receiving intravenous antibiotics as part of the UHS paediatric intravenous antibiotic service, including 10-minute infusions of ceftriaxone, will routinely have clinical observations and any side effects recorded on a proforma. (piernetwork.org)
  • Penicillin in high doses can be effective for susceptible bacteria. (limamemorial.org)
  • The results of the present surveillance initiated in 2009 were also used to replace penicillin G with ceftriaxone (1 g single dose intramuscularly) as the first-line drug for empiric treatment of gonorrhoea in the national treatment guidelines in Belarus in late 2009. (biomedcentral.com)
  • [ 26 ] Since the dividing time of T pallidum is slow (days), penicillin G benzathine is the only penicillin effective for single-dose therapy because it is in depo form and levels remain therapeutic in the blood for up to 30 days. (medscape.com)
  • Central nervous system (CNS) penetration and its similarity to penicillin support the use of ceftriaxone in the treatment of syphilis. (medscape.com)
  • Ceftriaxone is an alternative agent for penicillin-allergic patients, with limited data to support its use. (medscape.com)
  • ABSTRACT We carried out a prospective, randomized, controlled clinical trial to evaluate the clinical efficacy of ceftriaxone and ampicillin/cloxacillin prophylaxis in decreasing the frequency of post-caesarean section infection-related morbidity. (who.int)
  • Two hundred patients randomly received either ceftriaxone (single dose) or ampicillin/cloxacillin (3 doses) intravenously at induction of anaesthesia. (who.int)
  • One dose of ceftriaxone was as effective as ampicillin/ cloxacillin in preventing post-caesarean section complications and is easier to administer. (who.int)
  • Patients were randomized to receive ei- the efficacy of ceftriaxone with ampicillin/ ther ceftriaxone as single dose of 1 g or 1 g cloxacillin in preventing post-operative ampicillin/cloxacillin every 8 hours. (who.int)
  • In this report, we present a case of ceftriaxone-induced encephalopathy (CIE) in a patient following craniotomy for glioma, who was given ceftriaxone as perioperative antibiotic prophylaxis. (surgicalneurologyint.com)
  • Ceftriaxone is used to treat a wide variety of bacterial infections . (webmd.com)
  • Published studies indicate that ceftriaxone 125 mg and ciprofloxacin 500 mg can cure greater than or equal to 90% of pharyngeal infections. (cdc.gov)
  • The Gentamicin in the Treatment of Gonorrhea (G-ToG) trial was conducted as part of an effort to find an acceptable alternative to ceftriaxone, which is the current recommended treatment for gonorrhea infections. (umn.edu)
  • Fluoroquinolones are given at high doses in the treatment of Pseudomonas infections. (vin.com)
  • Dose intervals should be shorter for gram-negative infections because they are less susceptible and have higher MIC than gram-positives. (vin.com)
  • For more severe infections, double the dose. (medscape.com)
  • Ceftriaxone is a commonly used antibiotic in a wide range of local and systemic infections. (surgicalneurologyint.com)
  • Extensive clinical experience indicates that both doses are safe and effective for the treatment of uncomplicated gonorrhea at all sites. (cdc.gov)
  • Ceftriaxone also may abort incubating syphilis, a concern when gonorrhea treatment is not accompanied by a 7-day course of doxycycline or erythromycin for the presumptive treatment of chlamydia. (cdc.gov)
  • The results of a randomized clinical trial conducted in the United Kingdom indicate that gentamicin is not a suitable alternative for ceftriaxone as part of first-line treatment for gonorrhea. (umn.edu)
  • The color of ceftriaxone sodium solutions ranges from light yellow to amber, depending on the length of storage, concentration and diluent used. (nih.gov)
  • Closed system pre-filled with accurate drug and diluent doses in a sealed two-chamber IV bag. (infectioncontroltoday.com)
  • The DUPLEX® System consists of a pre-filled, PVC-free, DEHP-free, and latex-free IV bag containing proper doses of drug and diluent in different compartments separated by a quick release seal. (infectioncontroltoday.com)
  • Ceftriaxone remains a first-line treatment for patients in- fected by Neisseria gonorrhoeae in most settings. (cdc.gov)
  • Our re- considered to have occurred sporadically because, except sults provide further evidence of international transmission for limited transmission of F89 among persons in France of ceftriaxone-resistant N. gonorrhoeae . (cdc.gov)
  • However, on the basis of ceftriaxone's activity against N. gonorrhoeae, its pharmacokinetics, and the results in clinical trials of doses as low as 62.5 mg, the 125 mg dose appears to have a therapeutic reserve at least as large as that of other accepted treatment regimens. (cdc.gov)
  • No ceftriaxone-resistant strains of N. gonorrhoeae have been reported. (cdc.gov)
  • Fass environmental information for lidocaine from Rocephalin med lidokain (ceftriaxone, lidocaine), Roche (downloaded 2022-02-09). (janusinfo.se)
  • A large, multi-center clinical trial planned for the spring will help determine the best dose of and schedule for ceftriaxone in people with ALS, and will measure whether the known risks of long-term antibiotic treatment are worth it, he says. (scienceblog.com)
  • Evaluating Ceftriaxone 80 mg/kg Administration by Rapid Intravenous Infusion-A Clinical Service Evaluation. (piernetwork.org)
  • Increasing frequency of administration (decreasing time between doses) will enhance efficacy, whereas increasing the dose will not. (vin.com)
  • Thus, increasing dose improves efficacy. (vin.com)
  • 60.001), associated with ceftriaxone resistance. (cdc.gov)
  • In the past, the 250 mg dose has been recommended on the supposition that the routine use of a higher dose may forestall the development of resistance. (cdc.gov)
  • Reducing the frequency of administration for convenience, even if the dose is increased, may lead to therapeutic failure and development of resistance. (vin.com)
  • Since this application is an informed consent application, the medicinal product subject to this application is intended to be administered at comparable dose levels and for indications that were already approved in the Union for Fortacin. (janusinfo.se)
  • The 2 g three-times-weekly regimen achieved 98% probability to maintain unbound ceftriaxone concentrations ≥1 mg/L for a serum bilirubin of 5 µmol/L. Incremental accumulation of ceftriaxone was observed in those with bilirubin concentrations >5 µmol/L. Three-times-weekly regimens were less probable to achieve toxic exposures compared with once-daily regimens. (bvsalud.org)
  • A prophylactic dose of antibiotic, Ceftriaxone 1gm was given to provide prophylaxis against infective endocarditis. (ispub.com)
  • Ceftriaxone sodium contains approximately 83 mg (3.6 mEq) of sodium per gram of ceftriaxone activity. (nih.gov)
  • 1 The serum concentration and half-life of trimethoprim-sulfamethoxazole increase in patients with impaired renal clearance, requiring dose adjustments. (psychiatrist.com)
  • Since almost all beta-lactams are excreted by the kidneys, some patients with renal failure may require a dose adjustment. (vin.com)
  • Encephalopathy is a rare complication of ceftriaxone, often seen in older adults and those with renal insufficiency. (surgicalneurologyint.com)
  • It is sometimes given as a single dose and sometimes given once or twice a day for 4-14 days, depending on the type of infection being treated. (medlineplus.gov)
  • Average plasma concentrations of ceftriaxone following a single 30-minute intravenous (IV) infusion of a 0.5, 1 or 2 g dose and intramuscular (IM) administration of a single 0.5 (250 mg/mL or 350 mg/mL concentrations) or 1 g dose in healthy subjects are presented in Table 1. (nih.gov)
  • Multiple IV or IM doses ranging from 0.5 to 2 g at 12 to 24 hour intervals resulted in 15% to 36% accumulation of ceftriaxone above single dose values. (nih.gov)
  • Ceftriaxone in a single dose of either 125 mg or 250 mg provides sustained, high bactericidal levels in the blood. (cdc.gov)
  • Ceftriaxone was completely absorbed following IM administration with mean maximum plasma concentrations occurring between 2 and 3 hours post-dose. (nih.gov)
  • After a 1 g IV dose, average concentrations of ceftriaxone, determined from 1 to 3 hours after dosing, were 581 mcg/mL in the gallbladder bile, 788 mcg/mL in the common duct bile, 898 mcg/mL in the cystic duct bile, 78.2 mcg/g in the gallbladder wall and 62.1 mcg/mL in the concurrent plasma. (nih.gov)
  • Intravenous (IV) vitamin therapy (also known as intravenous micronutrient therapy and hydration therapy) is a way to give high concentrations of vitamins and minerals directly into the bloodstream, allowing rapid absorption of higher doses of the vitamins and minerals than if the person got them through food or supplements. (merckmanuals.com)
  • Population pharmacokinetic analysis and Monte Carlo simulations were performed using Pmetrics in R. The probability of pharmacokinetic/pharmacodynamic target attainment (unbound trough concentrations ≥1 mg/L) and toxicity [trough concentrations (total) â ≥100 mg/L] were simulated for various dosing strategies . (bvsalud.org)
  • A two-compartment model including protein -binding adequately described the data, with serum bilirubin concentrations associated (inversely) with ceftriaxone clearance. (bvsalud.org)
  • To describe the total and unbound population pharmacokinetics of a 2 g three-times-weekly post- dialysis ceftriaxone regimen in Indigenous Australian patients requiring hemodialysis . (bvsalud.org)
  • The Myers' formula consists of high doses of B vitamins, vitamin C, and minerals (magnesium and calcium) mixed with sterile water. (merckmanuals.com)
  • Ceftriaxone 80mg/kg administration over 10 minutes was evaluated at Southampton Children's Hospital). (piernetwork.org)
  • Gentamicin cannot therefore be recommended to replace ceftriaxone as first-line therapy for gonorrhoea," the authors of the study write. (umn.edu)
  • Very few studies have tested the effectiveness of the Myers' cocktail or any other form of high-dose IV vitamin therapy in people who do not have a vitamin or mineral deficiency. (merckmanuals.com)
  • Plasma samples were serially collected over two dosing intervals and assayed using validated methodology . (bvsalud.org)
  • No dose on non-dialysis days. (sunnybrook.ca)
  • Ceftriaxone clearance was increased by >10-fold during dialysis . (bvsalud.org)
  • A novel 2 g three-times-weekly post- dialysis ceftriaxone regimen can be recommended for a bacterial infection with an MIC ≤1 mg/L. A 1 g three-times-weekly post- dialysis regimen is recommended for those with serum bilirubin ≥10 µmol/L. Administration of ceftriaxone during dialysis is not recommended. (bvsalud.org)
  • After 2 weeks of treatment, the infection was cleared in 299 (98%) of the 306 patients in the ceftriaxone arm, compared with 267 (91%) of 292 patients in the gentamicin group, for an adjusted risk difference of -−6.4 percentage points (95% confidence interval [CI], −10.4 to −2.4), indicating inferiority. (umn.edu)
  • The control group of 100 other children received the standard anti-meningitis treatment at the time-a drug called ceftriaxone. (patrick.net)
  • Rats and mice that received daily ceftriaxone for up to a week had triple the usual amount of the transporter, known as GLT1, in their brain cells, an effect that lasted for up to three months after treatment. (scienceblog.com)
  • Because ceftriaxone only protects against glutamate damage, just one problem in ALS, it's not surprising that the mice eventually succumbed to weakness and paralysis despite treatment, he says. (scienceblog.com)
  • Ceftriaxone sodium is a white to yellowish crystalline powder which is readily soluble in water, sparingly soluble in methanol and very slightly soluble in ethanol. (nih.gov)
  • In group I, PEG was given per orally or through nasogastric tube at the rate of 1.5 gm powder/kg/dose, in group II, PEG & Mannitol were given orally or via nasogastric tube. (banglajol.info)
  • In patients older than 28 days of age ceftriaxone and calcium-containing solutions may be administered sequentially one after another through a different IV site or through the same IV site if thoroughly flushed with normal saline. (piernetwork.org)
  • Validating a novel three-times-weekly post-hemodialysis ceftriaxone regimen in infected Indigenous Australian patients-a population pharmacokinetic study. (bvsalud.org)
  • Adult Indigenous patients on intermittent hemodialysis (using a high-flux dialyzer) and treated with a 2 g three-times-weekly ceftriaxone regimen were recruited. (bvsalud.org)
  • When twice-daily dosing is desired, half of the total daily dose may be taken q12h. (medscape.com)
  • In mice engineered to develop the equivalent of Lou Gehrig's disease, daily injections of an antibiotic called ceftriaxone, started just as symptoms tend to surface, delayed both nerve damage and symptoms and extended survival by 10 days compared to untreated animals. (scienceblog.com)