Generic name: Cefuroxime (oral/injection)
Pregnancy & Lactation: Risk data not available
What is Zinacef?
Cefuroxime is a cephalosporin (SEF a low spor in) antibiotic that is used to treat bacterial infections of the ear, nose, throat, lungs, skin, bones, joints, bladder, or kidneys. Cefuroxime is also used to treat gonorrhea, sepsis, or early Lyme disease.
Cefuroxime injection is sometimes given before and after a surgery to prevent infection.
Cefuroxime may also be used for purposes not listed in this medication guide.
Warnings
Cefuroxime can cause serious or life-threatening allergic reactions. You should not use this medicine if you have ever had a severe allergic reaction to an antibiotic, such as:
- cefuroxime, cefadroxil, cefdinir, cefoxitin, cefprozil, ceftriaxone, cephalexin, Keflex, Omnicef, and others;
- avibactam, relebactam, sulbactam, tazobactam, vaborbactam, and others; or
- amoxicillin (Amoxil, Augmentin, Moxatag), ampicillin, dicloxacillin, oxacillin, penicillin, and others.
Tell your doctor if you have ever had:
- an stomach or intestinal disorder such as colitis;
- kidney disease;
- liver disease; or
- heart problems.
Cefuroxime oral suspension may contain phenylalanine and could be harmful if you have phenylketonuria (PKU).
Tell your doctor if you are pregnant or breastfeeding.
If you are being treated for gonorrhea: Having gonorrhea during pregnancy may increase the risk of complications including premature birth, low birth weight, or gonorrhea developing the newborn. The benefit of treating this condition may outweigh any risks to the baby.
Not approved for use by anyone younger than 3 months old.
How should I use Zinacef
Use Zinacef (Injectable) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
Cefuroxime oral is taken by mouth.
Swallow the tablet whole and do not crush, chew, or break it. Take with or without food.
Shake the oral suspension (liquid). Measure a dose with the supplied measuring device (not a kitchen spoon). Take with food.
Tell your doctor if a child taking cefuroxime has trouble swallowing the medicine.
Cefuroxime oral may be given as a single dose to treat gonorrhea. For most other infections, cefuroxime oral is usually given for 7 to 10 days, or for 20 days to treat early Lyme disease.
Your dose needs may change if you switch from tablets to oral suspension. Follow your doctor's dosing instructions very carefully.
Cefuroxime injection is given into a muscle or a vein, usually for 5 to 10 days.
Ask your doctor or pharmacist if you don't understand how to use an injection.
You may need to mix cefuroxime with a liquid (diluent) before using it. Use only the diluent your doctor has recommended.
Prepare an injection only when you are ready to give it. Call your pharmacist if the medicine has changed colors or has particles in it.
Do not reuse a needle or syringe. Place them in a puncture-proof "sharps" container and dispose of it following state or local laws. Keep out of the reach of children and pets.
Keep using this medicine even if your symptoms quickly improve. Skipping doses could make your infection resistant to medication. Cefuroxime will not treat a viral infection (flu or a common cold).
Cefuroxime can affect the results of certain medical tests. Tell any doctor who treats you that you are using cefuroxime.
Store the tablets at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.
Store the oral suspension in the refrigerator, do not freeze. Throw away any unused medicine after 10 days.
After mixing cefuroxime for injection, you will need to use it within a certain number of hours or days. This will depend on the diluent and how you store the mixture (at room temperature or in a refrigerator). Be sure you understand how to properly mix and store the medicine if using injections at home.
If the cefuroxime injection is frozen when you receive it, thaw the medicine at room temperature (do not use heat).
After thawing, you may store the cefuroxime injection at room temperature for up to 24 hours, or in a refrigerator for up to 7 days. Do not refreeze the medicine once it has been thawed.
Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use take doses at one time.
Call your doctor for instructions if you miss a cefuroxime injection.
Zinacef side effects
Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).
Call your doctor at once if you have:
- severe stomach pain, diarrhea that is watery or bloody (even if it occurs months after your last dose);
- jaundice (yellowing of the skin or eyes);
- fever, chills;
- a seizure; or
- chest pain.
Common side effects may include:
- nausea, vomiting, diarrhea;
- flu-like symptoms;
- vaginal itching or discharge; or
- diaper rash (in people using the oral suspension).
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect Zinacef?
Antibiotic medicines can cause diarrhea. Tell your doctor if you have diarrhea that is watery or bloody.