Doctil Plus Tablet

Introduction

Doctil Plus Tablet 250 mg+62.5 mg is a combination antibiotic used to treat a wide range of bacterial infections in people. It contains cefuroxime axetil, which is a cephalosporin antibiotic, and clavulanic acid, which is a beta-lactamase inhibitor. It works by preventing the growth and multiplication of bacteria.

Uses

Doctil Plus Tablet 250 mg+62.5 mg is used to treat a variety of infections caused by bacteria, such as bronchitis, sinusitis, pneumonia, bone and joint infections, skin infections, and urinary tract infections.

Mechanism of Action

Doctil Plus Tablet 250 mg+62.5 mg works by killing or slowing the growth of susceptible bacteria. Cefuroxime is a cephalosporin antibiotic, and it works by interfering with the bacteria’s cell wall formation in order to weaken it and destroy it. Clavulanic acid is a beta-lactamase inhibitor, and it works by blocking the production of beta-lactamase, an enzyme which can destroy cefuroxime.

How Long Does it Take to Work?

Doctil Plus Tablet 250 mg+62.5 mg begins to work immediately after it is taken, and most people start to feel better within a few days. However, it is important to finish the entire course of antibiotics, even if you are feeling better.

Absorption

Doctil Plus Tablet 250 mg+62.5 mg is rapidly and almost completely absorbed after oral administration. It is rapidly and widely distributed to most body tissues and fluids, including cerebrospinal fluid.

Route of Elimination

Doctil Plus Tablet 250 mg+62.5 mg is eliminated mainly by glomerular filtration and tubular secretion. A small amount is metabolized in the liver.

Dosage

• Pharyngitis/tonsillitis: 250 mg b.i.d. for 5-10 days
• Acute bacterial maxillary sinusitis: 250 mg b.i.d. for 10 days
• Acute bacterial exacerbation of chronic bronchitis: 250-500 mg b.i.d. for 10 days
• Secondary bacterial infections of acute bronchitis: 250-500 mg b.i.d. for 5-10 days 
• Uncomplicated skin and skin structure infections: 250-500 mg b.i.d. for 10 days
• Uncomplicated urinary tract infections: 250 mg b.i.d. for 7-10 days
• Uncomplicated Gonorrhoea: 1000 mg b.i.d. Single dose
• Community acquired pneumonia: 250-500 mg b.i.d. for 5-10 days
• MDR Typhoid Fever: 500 mg b.i.d. for 10-14 days
• Early Lyme disease: 500 mg b.i.d. for 20 days

• Pharyngitis/Tonsillitis: 20 mg/kg/day b.i.d for 5-10 days
• Acute otitis media: 30 mg/kg/day b.i.d for 10 days
• Acute bacterial maxillary sinusitis: 30 mg/kg/day b.i.d for 10 days
• Impetigo: 30 mg/kg/day b.i.d for 10 days

The recommended dose of Doctil Plus Tablet 250 mg+62.5 mg for adults is 500 mg every 8-12 hours. For pediatric patients, the recommended dose is 250-500 mg every 6-12 hours.

Administration

Doctil Plus Tablet 250 mg+62.5 mg can be taken with or without food. It is recommended to take it with food or a glass of milk to reduce the risk of stomach irritation.

Side Effects

Common side effects of Doctil Plus Tablet 250 mg+62.5 mg include nausea, vomiting, diarrhea, dizziness, headache, and skin rash.

Toxicity

Doctil Plus Tablet 250 mg+62.5 mg is generally well tolerated with few side effects. It is not known to be directly toxic to people.

Precautions

It is important to tell your doctor if you have any known allergies to cephalosporin medications. People with impaired kidney or liver function should use this medication cautiously, as it can cause increased levels of the medication in the body.

Interactions

Doctil Plus Tablet 250 mg+62.5 mg may interact with certain other medications, such as probenecid, warfarin, and other antibiotics. Therefore, it is important to tell your doctor about any other medications you are taking before taking this medication.

Disease Interactions

People with a history of kidney or liver disease should use this medication cautiously, as it can cause increased levels of the medication in the body.

Drug Interactions

Doctil Plus Tablet 250 mg+62.5 mg may interact with certain other medications, such as probenecid, warfarin, and other antibiotics. Therefore, it is important to tell your doctor about any other medications you are taking before taking this medication.

Food Interactions

This medication may be taken with food or a glass of milk to reduce the risk of stomach irritation.

Pregnancy Use

The use of Doctil Plus Tablet 250 mg+62.5 mg in pregnant women is not recommended due to the potential for harm to the fetus.

Lactation Use

The use of Doctil Plus Tablet 250 mg+62.5 mg in lactating women is not recommended due to the potential for harm to the infant.

Acute Overdose

Symptoms of an acute overdose of Doctil Plus Tablet 250 mg+62.5 mg include nausea, vomiting, and diarrhea. In severe cases, it can lead to difficulty breathing, confusion, rapid heartbeat, and seizures. If an acute overdose is suspected, seek medical attention immediately.

Contraindication

Doctil Plus Tablet 250 mg+62.5 mg is contraindicated in patients with known allergies to cephalosporin medications.

Use Direction

Take Doctil Plus Tablet 250 mg+62.5 mg as directed by your doctor. The recommended dose for adults is 500 mg every 8-12 hours, and the recommended dose for pediatric patients is 250-500 mg every 6-12 hours. It can be taken with or without food.

Storage Condition

Store Doctil Plus Tablet 250 mg+62.5 mg at room temperature, away from heat and light. Keep all medication out of the reach of children.

Volume of Distribution

The volume of distribution of Doctil Plus Tablet 250 mg+62.5 mg is 0.5-0.7 L/kg.

Half Life

The half life of Doctil Plus Tablet 250 mg+62.5 mg is 2-4 hours.

Clearance

The clearance of Doctil Plus Tablet 250 mg+62.5 mg is 0.15-0.25 ml/min/kg.

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