
GENERIC NAME: loracarbef
BRAND NAME: Lorabid
DRUG CLASS AND MECHANISM: Loracarbef is a synthetic
cephalosporin type antibiotic, chemically similar to
penicillin. It is
effective against a wide variety of bacteria organisms, such as
Staphylococcus aureus, Streptococcus pneumoniae, Streptococcus
pyogenes,
Haemophilus influenzae, E. coli, and many others.
PRESCRIPTION: yes
GENERIC AVAILABLE: no
PREPARATIONS: Capsules: 200 mg, 400 mg. Suspension: 100
mg per 5
ml teaspoon, 200 mg per 5 ml teaspoon.
STORAGE: Tablets and oral suspension may be stored at
room
temperature in a tightly closed container.
PRESCRIBED FOR: Loracarbef is effective against
susceptible
bacterias causing infections of the middle ear, tonsillitis,
throat
infections, laryngitis, bronchitis, sinusitis, and pneumonia.
It is also
used in treating urinary tract and skin infections.
DOSING: Should be taken at least one hour before or two
hours
after meals.
DRUG INTERACTIONS: Loracarbef should be avoided by
patients with
a known allergy to cephalosporin type antibiotics. Since
loracarbef is
chemically related to penicillin, an occasional patient can
have an
allergic reaction (sometimes even anaphylaxis) to both
medications.
Treatment with loracarbef and other antibiotics can alter the
normal
bacteria flora of the colon and permit overgrowth of C.
difficile, a
bacteria responsible for pseudomembranous colitis. Patients who
develop
pseudomembranous colitis as a result of antibiotics treatment
can
experience diarrhea, abdominal pain, fever, and sometimes even
shock.
Probenecid may increase the blood levels of loracarbef. It can
be used in
children, although safety in infants younger than 6 months has
not been
established. Loracarbef is not habit forming.
PREGNANCY: Safe use during pregnancy has not been
established.
NURSING MOTHERS: Safe use in nursing mothers has not
been
established.
SIDE EFFECTS: Loracarbef is
generally well tolerated, side effects are usually transient. Reported side
effects include diarrhea, pseudomembranous colitis (can occur even after
loracarbef is stopped) nausea, abdominal pain, vomiting, skin rash, abnormal liver
tests,
vaginitis, itching, headaches, and dizziness.
Last Editorial Review: 12/31/1997
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