Monograph Details

Infections & Infestations > Bacterial infections
MEFOXIN
Manufacturer
Merck & Co., Inc.
Legal Classification
Rx
Pharmacological Class
Cephalosporin.
Generic Name
Cefoxitin sodium 1g, 2g; for IV inj; sodium content 2.3mEq/g.
Indications
Susceptible bacterial septicemia, lower respiratory or urinary tract, skin and skin structure, bone and joint, gynecologic, intraabdominal infections. Surgical prophylaxis.
Children
<3months: not recommended. ≥3months: 80-160mg/kg per day in 4-6 equal divided doses; max 12g/day. Prophylaxis: see literature.
Adults
Usually 1–2g every 6–8 hrs. Uncomplicated: 1g every 6–8 hrs. Moderately severe to severe: 1g every 4 hrs or 2g every 6–8 hrs. Max 2g every 4 hrs or 3g every 6 hrs. Prophylaxis: see literature.
Precautions
Penicillin or other allergy. Renal impairment (CrCl <50mL/min), reduce dose: see literature. GI disease (esp. colitis). Pregnancy (Cat.B). Nursing mothers.
Interactions
Aminoglycosides may potentiate nephrotoxicity. Potentiated by probenecid. May cause false (+) Clinitest. May interfere with creatinine tests.
Adverse Reactions
Local reactions, rash, pruritus, drug fever, GI upset, anaphylaxis, blood dyscrasias, elevated liver enzymes.
How Supplied
Vials (1g, 2g)—25
Additional Resources
Related Prescribing Note