Maxipime
 Maxipime

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Maxipime

Generic Name: cefepime
Brand Names: Maxipime

What is cefepime?

Cefepime is an antibiotic in a class of drugs called cephalosporins. Cefepime fights bacteria in the body.

Cefepime is used to treat many different types of bacterial infections including respiratory, skin, genital, urinary, bone, joint, and other infections. Cefepime will not treat a viral infection, such as the flu or common cold.

Cefepime may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about cefepime?

Do not take cefepime if you have ever had an allergic reaction to another cephalosporin or to a penicillin without first talking to your doctor. Take the cefepime for as many days as it has been prescribed for you, even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated. Cefepime will not treat a viral infection, such as the flu or common cold.

Using cefepime may cause you to have false results with a certain type of test that checks for glucose (sugar) in your urine. If you need to be tested for glucose in your urine, tell the healthcare provider or lab professional that you are using cefepime.

What should I discuss with my health care provider before taking cefepime?

Do not take cefepime if you have ever had an allergic reaction to another cephalosporin or to a penicillin without first talking to your doctor.

Before taking cefepime, tell your doctor if you have kidney disease, liver disease, or a stomach disorder such as colitis. You may need a dosage adjustment or special monitoring during therapy.

Cefepime is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not, however, take this medication without telling your doctor if you are pregnant or could become pregnant during treatment. It is unknown whether cefepime passes into breast milk. Do not take this medication without telling your doctor if you are breast-feeding a baby.

How should I use cefepime?

Cefepime will be given by a healthcare provider as an injection into one of your veins (intravenously) or into a muscle (intramuscularly).

If you are injecting cefepime at home, your healthcare provider will show you how and where to give yourself the injection. Do not use this medicine at home unless you fully understand how to give yourself an injection. Contact your healthcare provider for further instructions.

Take the cefepime for as many days as it has been prescribed for you, even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.

Cefepime is a dry powder that is mixed with a liquid to make it injectable. Once it has been mixed, the medication may be clear or yellow to light orange in color. Do not use any cefepime that has particles in it, or looks different from your previous doses. If you have any unused cefepime leftover after your treatment ends, ask your pharmacist or healthcare provider how to dispose of it.

Never use a needle and syringe more than one time. With your medicine you should receive a puncture resistant container to put your needles and syringes into after you use them. Keep this container out of the reach of children or pets.

If you use cefepime at home and need to store the medicine, follow these storage directions:

Store the dry cefepime dry powder at room temperature. Protect it from light, heat, and moisture. Store cefepime in the refrigerator if it has been mixed with other medicines into a liquid for injection. The medicine will not keep for very long once it has been mixed, and the length of time depends on what the medicine is mixed with. Ask your healthcare provider or pharmacist how long your individual medicine mixture may be stored.

What happens if I miss a dose?

Ask your healthcare provider what you should do if you miss a dose.

What happens if I overdose?

Contact your doctor or seek emergency medical attention if you think you have used too much of this medication.

Symptoms of cefepime overdose may include confusion, hallucinations, muscle twitching or uncontrollable movements, fainting, extreme lightheadedness, seizures, and coma.

What should I avoid while taking cefepime?

Using cefepime may cause you to have false results with a certain type of test that checks for glucose (sugar) in your urine. If you need to be tested for glucose in your urine, tell the healthcare provider or lab professional that you are using cefepime.

Cefepime side effects

If you experience any of the following rare but serious side effects, seek emergency medical attention or contact your doctor immediately:
  • an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, face, or tongue; hives; or a rash);

  • red or peeling skin rash;

  • urinating more or less than usual;

  • severe nausea, vomiting, or diarrhea;

  • watery or bloody diarrhea; or

  • weakness, unusual bruising or bleeding.

Other, less serious side effects may be more likely to occur. Talk to your doctor if you experience:

  • mild itchy rash;

  • fever, headache, mild nausea;

  • yeast infection of the mouth or vagina; or

  • pain or tenderness where you injected the medication.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect cefepime?

Before using cefepime, tell your doctor if you are taking any of the following medicines

  • mycophenolate (CellCept, Myfortic); or

  • amikacin (Amikin), gentamcin (Garamycin), kanamycin (Kantrex), neomycin (Neo-Fradin), netilmicin (Netromycin), streptomycin, tobramycin (Nebcin, Tobi);

  • a loop diuretic (water pill) such as furosemide (Lasix), bumetanide (Bumex), torsemide (Demadex), or ethacrynic acid (Edecrin); or

  • another antibiotic.

If you are using any of the medicines listed above, you may require a dosage adjustment or special monitoring during treatment.

Vaccines (including flus shots) may not work as well while you are using cefepime. Talk with your doctor before getting any vaccine.

Drugs other than those listed here may also interact with cefepime. Tell any doctor or dentist who treats you that you are using cefepime. Talk to your doctor and pharmacist before using any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Where can I get more information?

  • Your pharmacist has more information about cefepime written for health professionals that you may read.

What does my medication look like?

Cefepime is available with a prescription under the brand name Maxipime. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ("Multum") is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum"s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum"s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are using, check with your doctor, nurse or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 1.02. Revision Date: 12/22/05 10:30:21 AM.



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