Cefadroxil

Generic name
Cefadroxil
Brand name
ATC Code
J01DB05

Cefadroxil

Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Pharmacokinetics in children

After a single dose of 25 mg/kg, the following parameters were determined in children (n= 20):

  Infants 1 months-1 year (n=8) Infants 1 -2 years (n=12)
Tmax (h) 1 - 2 1 - 2
Cmax (µg/mL) 24,6 ± 5,0 20,4 ± 4,5
T1/2 (h) 2,3 1,8

[SmPC Grüncef®]

dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

Available formulations

No information is present at this moment.

Dosages

Streptococcal pharyngitis
  • Oral
    • 1 month up to 18 years and < 40 kg
      • 25 mg/kg/day in 1 dose
    • 1 month up to 18 years and ≥ 40 kg
      • 1.000 mg/day in 1 dose
    • 1 month up to 18 years and < 40 kg
      [1] [2]
      • 25 mg/kg/day in 1 dose
    • 1 month up to 18 years and ≥ 40 kg
      [1] [2]
      • 1.000 mg/day in 1 dose

Renal impaiment in children > 3 months

all indications except tonsillitis:

GFR >50 ml/min/1.73 m2: no dose adjustment needed
GFR 25-50 ml/min/1.73 m2: start at 100% of regular single dose, continue with 50% of regular daily dose in 2 single doses, dosing interval 12 hours
GFR 10-25 ml/min/1.73 m2: start at 100% of regular single dose, continue with 25% of regular daily dose once daily (dosing interval 24 hours)
GFR <10 ml/min/1.73 m2: start at 100 % of regular single dose, continue with 25% of regular daily dose once every 36 hours (dosing interval 36 hours

The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects

No information is present at this moment.

The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions

No information available on specific warnings and precautions in children.

Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

OTHER BETA-LACTAM ANTIBACTERIALS

This pages provides a list of drugs from the same ATC class for comparison. This does not necessarily mean that these drugs are interchangeable.

First-generation cephalosporins
J01DB04
J01DB01
J01DB03
Second-generation cephalosporins
J01DC04
J01DC03
J01DC02
Third-generation cephalosporins
J01DD08
J01DD01
J01DD13
J01DD52
J01DD02
J01DD14
J01DD04
Fourth-generation cephalosporins
J01DE01
Monobactams
J01DF01
Carbapenems
J01DH03
J01DH51
J01DH02
MONOBACTAMS
J01DF01
Other cephalosporins and penems
J01DI02

References

  1. INFECTOPHARM Arzneimittel und Consilium GmbH, SmPC GRÜNCEF® 500 mg/5 mL Trockensaft, Pulver zur Herstellung einer Suspension zum Einnehmen (2532.01.02), 09/2020
  2. INFECTOPHARM Arzneimittel und Consilium GmbH, SmPC GRÜNCEF® 1g Tabletten (179.00.02), 11/2018
  3. Peltola H,, Acute osteomyelitis in children, N Engl J Med, 2014, Jan 23;370(4), 352-60
  4. Lorrot M et al., Antibiotic therapy of bone and joint infections in children: proposals of the French Pediatric Infectious Disease Group., Arch Pediatr., 2017, S36-S41, DOI: 10.1016/S0929-693X(17)30517-1
  5. Peltola H et al., Clindamycin vs. first-generation cephalosporins for acute osteoarticular infections of childhood--a prospective quasi-randomized controlled trial, Clin Microbiol Infect, 2012, 18(6):582-589, DOI: 10.1111/j.1469-0691.2011.03643.x

Changes

Therapeutic Drug Monitoring


Overdose