Ceclor Suspension (60 mL) is a liquid formulation of Cefaclor, a second-generation cephalosporin antibiotic. This suspension is specifically designed for pediatric patients and is used to treat a variety of bacterial infections. Below is a detailed overview of Ceclor Suspension, including its composition, uses, mechanism of action, dosage, side effects, and other relevant information.

Active Ingredient:

• Cefaclor (125 mg/5 mL):
  • A broad-spectrum antibiotic effective against a range of gram-positive and gram-negative bacteria. It is commonly prescribed for various infections.

Uses:

Ceclor Suspension is indicated for the treatment of infections caused by susceptible bacteria, including:

1. Respiratory Tract Infections:
   • Effective for conditions like pneumonia, bronchitis, and sinusitis.
2. Ear Infections (Otitis Media):
   • Commonly used to treat middle ear infections in children.
3. Skin and Soft Tissue Infections:
   • Prescribed for skin infections, such as cellulitis or abscesses.
4. Urinary Tract Infections (UTIs):
   • Used to treat uncomplicated UTIs caused by susceptible bacteria.
5. Dental Infections:
   • Sometimes used in treating dental infections.

Mechanism of Action:

• Cefaclor works by inhibiting bacterial cell wall synthesis. It binds to specific proteins (penicillin-binding proteins) inside the bacterial cell wall, leading to:
  • Disruption of cell wall formation.
  • Bacterial cell lysis and death.
• This action is effective against various bacteria, including Staphylococcus, Streptococcus, and certain strains of Escherichia coli.

Dosage and Administration:

• Recommended Dosage:
  • For children, the usual dose is 20 mg/kg/day, divided into two or three doses. The maximum dose typically does not exceed 1,000 mg/day.
  • For adults, the dosage may vary based on the infection but generally ranges from 250 mg to 500 mg every 8 hours.
• Administration:
  • Shake the suspension well before each use to ensure proper mixing.
  • The suspension can be taken with or without food, but it may be best tolerated when taken after meals.

Side Effects:

While Ceclor is generally well-tolerated, some potential side effects may include:

• Common Side Effects:
  • Gastrointestinal disturbances, such as nausea, vomiting, diarrhea, and abdominal pain.
  • Allergic reactions like rash, itching, or hives.
• Serious Side Effects (less common but require immediate medical attention):
  • Anaphylaxis: A severe allergic reaction that can be life-threatening.
  • Clostridium difficile-associated diarrhea: A severe form of diarrhea caused by antibiotic use that disrupts normal gut flora.
  • Blood disorders: Such as thrombocytopenia (low platelet count) or eosinophilia (high eosinophil count).
  • Liver dysfunction, indicated by jaundice or elevated liver enzymes.

Precautions:

1. Allergy History: Inform the healthcare provider if there is a history of allergies to cephalosporins or penicillin.
2. Renal Impairment: Dose adjustments may be necessary for patients with kidney disease.
3. Pregnancy and Breastfeeding: Ceclor should be used during pregnancy and breastfeeding only if clearly needed and prescribed by a healthcare provider.
4. Antibiotic Resistance: Overuse or inappropriate use of antibiotics can lead to resistance. It’s crucial to use antibiotics as directed.

Drug Interactions:

• Antacids: May interfere with the absorption of Cefaclor, particularly those containing magnesium or aluminum.
• Probenecid: May increase the levels and effects of Cefaclor in the blood by reducing its elimination.
• Other Antibiotics: Use caution when combining with other antibiotics, as this may lead to increased side effects or reduced effectiveness.

Storage:

• Store Ceclor Suspension at room temperature, away from moisture and heat. After opening, it should typically be used within 10 to 14 days, as indicated on the packaging.

Key Benefits:

1. Effective Treatment: Provides a reliable option for treating various bacterial infections, particularly in children.
2. Broad-Spectrum Activity: Effective against a wide range of bacteria, making it useful for mixed infections.
3. Convenient Liquid Formulation: The suspension form is easier to administer to children compared to tablets or capsules.

Indications for Use:

• Pediatric Use: Commonly prescribed for children with ear infections, respiratory infections, and skin infections.
• Adult Use: Effective for similar infections in adults, particularly when penicillin allergy is present.

In summary, Ceclor Suspension (Cefaclor 125 mg/5 mL) is a versatile antibiotic used to treat a variety of bacterial infections, especially in pediatric patients. It is important to use this medication as directed by a healthcare provider to ensure effective treatment and minimize the risk of resistance and adverse effects.