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Why NSAIDs Cause Gastric Ulcers?
04/01/2026

Why NSAIDs Cause Gastric Ulcers?

Anemia Classification
04/01/2026

Anemia Classification

What's your diagnosis and treatment plan?Comment your answer
03/01/2026

What's your diagnosis and treatment plan?
Comment your answer

Pathogonomic Signs
03/01/2026

Pathogonomic Signs

Cranial Nerve Lesion Causes
03/01/2026

Cranial Nerve Lesion Causes

Moxifloxacin
02/01/2026

Moxifloxacin

Cephradine
02/01/2026

Cephradine

Lincomycin
01/01/2026

Lincomycin

Co-Amoxiclav
01/01/2026

Co-Amoxiclav

Vacutainer Tube Guide
30/12/2025

Vacutainer Tube Guide

CefiximeClass: Third-generation cephalosporin (oral).Mechanism: Bactericidal. Inhibits bacterial cell wall synthesis by ...
29/12/2025

Cefixime

Class: Third-generation cephalosporin (oral).

Mechanism: Bactericidal. Inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs). Resistant to many beta-lactamases.

Spectrum: Broad Gram-negative coverage; retained Gram-positive activity.

ยท Gram-negative: Excellent coverage of Haemophilus influenzae, Moraxella catarrhalis, Neisseria gonorrhoeae (including penicillin-resistant strains), Escherichia coli, Proteus mirabilis, Klebsiella pneumoniae, Salmonella & Shigella spp.
ยท Gram-positive: Covers Streptococcus pneumoniae (but not penicillin-resistant strains) and Streptococcus pyogenes. Not active against Staphylococcus aureus (MSSA or MRSA) or Enterococci.
ยท Gaps: Poor activity against Pseudomonas aeruginosa, anaerobes, and Listeria.

Key Uses:

ยท Uncomplicated gonorrhea (first-line, typically as a single dose with azithromycin for chlamydia coverage).
ยท Acute otitis media and bacterial sinusitis (when first-line amoxicillin fails or in areas with high beta-lactamase prevalence).
ยท Uncomplicated urinary tract infections (UTIs).
ยท Pharyngitis/Tonsillitis (alternative in penicillin allergy, except type I hypersensitivity).

Side Effects:

ยท Gastrointestinal: Diarrhea, nausea, abdominal pain.
ยท Hypersensitivity reactions: Rash, urticaria (cross-reactivity with penicillins ~5-10%).
ยท Less common: Headache, dizziness, vaginitis, transient elevation of liver enzymes.

Important:

ยท Use with caution in patients with penicillin allergy (contraindicated in type I/immediate hypersensitivity).
ยท No activity against MRSA, Enterococci, or Pseudomonas.
ยท May cause false-positive urinary glucose with copper reduction tests (Clinitest).
ยท Can be taken with or without food (absorption is slower but not reduced with food).

AmoxicillinClass: Aminopenicillin (Beta-Lactam Antibiotic)Mechanism: Inhibits bacterial cell wall synthesis by binding t...
29/12/2025

Amoxicillin

Class: Aminopenicillin (Beta-Lactam Antibiotic)

Mechanism: Inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs). Bactericidal.

Spectrum: Gram-positive cocci (non-penicillinase-producing S. pneumoniae, S. pyogenes, E. faecalis); some Gram-negative rods (H. influenzae, E. coli, P. mirabilis). Inactivated by beta-lactamases.

Key Uses:

ยท Otitis media, sinusitis, community-acquired pneumonia
ยท Streptococcal pharyngitis (requires 10-day course)
ยท Uncomplicated UTIs
ยท Helicobacter pylori eradication (in combination therapy)

Side Effects:

ยท Diarrhea, nausea, vomiting
ยท Non-allergic maculopapular rash (common in mononucleosis or CLL)
ยท Hypersensitivity reactions (urticaria to anaphylaxis)

Important:

ยท Contraindicated in patients with penicillin/beta-lactam hypersensitivity.
ยท Requires dose adjustment in renal impairment.
ยท Use with clavulanate (Augmentin) for beta-lactamase producing organisms.

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