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Why it's used

Suprax Tablet is used to treat certain bacterial infections including urinary tract infections, ear infections, throat infections including pharyngitis and tonsillitis, and sexually transmitted infections, such as, gonorrhea, that are affecting the urethra and rectum. It is a prescription medicine. Suprax is also used to treat worsening symptoms of severe cases of bronchitis.
When not to use
Suprax Tablet will not work to treat a viral infection, such as, a common cold or flu.
Cephalosporin Antibacterials
Suprax belongs to a class of medicines called Cephalosporin Antibacterials. Cephalosporins are antibacterial medicines that kill bacteria by interfering with how bacteria build their cell walls.

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How to use

Read the directions on the product label, patient guide, or medicine guide provided by the medicine company or your pharmacist before starting to use Suprax Tablet. If you have any questions related to this medicine, ask your doctor or pharmacist. Consume this medicine as recommended by your doctor.
Suprax Tablet is consumed with or without food.

Typical Dosage

The typical dose of Suprax is 400 mg daily or 200 mg every 12 hours. The usual dose for children is 400 mg daily if weighing more than 50 kg (or 12 years and older). Children less than 12 years old and more than 6 months old are to be given 8 mg per kg of body weight of this medicine daily. Suprax is commonly used at the same time every day.
This medicine should be used on an as-needed basis. You should continue to use this medicine as directed by the doctor even if you feel well.
If you are using the chewable tablet form of this medicine, make sure you chew the medicine before you swallow it.
If using the liquid form of this medicine, measure the dose using the provided measuring cup, spoon, or dropper. Before pouring the medicine into the measuring device, you should check the measurement markings carefully. Then, pour the dose amount into the device. After use, clean and store the measuring device in a safe place for your next use. You should not use a tablespoon or teaspoon as the dose measuring devices since it can result in an incorrect dose. If indicated on the product package, shake the medicine before use.

Talk to Your Doctor

Talk to your doctor if your condition does not improve or worsens. If you have any kidney disease, a low dose may be recommended by your doctor. You should consult with your doctor before stopping the use of Suprax.
Taking a higher dose of this medicine may increase the risk of side-effects.

Use in Children

If you are giving Suprax Tablet to a child, be sure to use a product that is meant for children. Before giving this medicine to a child, use the child's weight or age to find the right dose from the product package. You can also read the dosage section of this page to know the correct dose for your child. Else, consult with your doctor and follow their recommendation.

Storage

You should store Suprax Tablet at room temperature 20° to 25°C (68-77°F) away from heat, and away from moisture. Store the medicine away from the reach of children and pets.
Medicines may be prescribed for uses other than those listed in the medicine guide. Do not use Suprax Tablet for conditions for which it was not prescribed. Do not give Suprax Tablet to other people who might have the same conditions or symptoms that you have. Self-medication may harm them.

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How to take Suprax

The dose and frequency of using Suprax will depend on the following factors:
  • age of the patient
  • the weight of the patient
  • patient's health
  • the health of the patient's liver
  • medicines recommended by the doctor
  • any other medicines being used
  • herbal supplements being used

Suprax Dosage

Dosage for uncomplicated urinary tract infections

Adult (adults)
  • Recommended: 400 mg/day
Children (6 months or older)
  • Recommended: 8 mg per kg/3.6 mg per lb of body weight daily for oral suspension
Children (children over 12 years or weighing more than 50 kg)
  • Recommended: 400 mg/day
Children (weight between 5 - 6.2 kg (11.03 - 13.67 lb))
  • Recommended: 2.5 ml daily (100 mg/5 ml suspension) or 1.25 ml daily (200 mg/5 ml suspension)
Children (weight between 6.3 - 12.5 kg (13.89 - 27.56 lb))
  • Recommended: 5 ml daily (100 mg/5 ml suspension) or 2.5 ml daily (200 mg/5 ml suspension)
Children (weight between 12.6 - 18.8 kg (27.78 - 41.45 lb))
  • Recommended: 7.5 ml daily (100 mg/5 ml suspension) or 3.75 ml daily (200 mg/5 ml suspension)
Children (weight between 18.9-25 kg (41.67-55.12 lb))
  • Recommended: 10 ml daily (100 mg/5 ml suspension) or 5 ml daily (200 mg/5 ml suspension)
Children (weight between 25.1-31.3 kg (55.34-69.01 lb))
  • Recommended: 12.5 ml daily (100 mg/5 ml suspension) or 6.25 ml daily (200 mg/5 ml suspension)
Children (weight between 31.4-37.5 kg (69.23-82.67 lb))
  • Recommended: 15 ml daily (100 mg/5 ml suspension) or 7.5 ml daily (200 mg/5 ml suspension)
Children (weight between 37.6 -43.8 kg (82.89-96.56 lb))
  • Recommended: 17.5ml daily (100 mg/5 ml suspension) or 8.75 ml daily (200 mg/5 ml suspension)
Children (weight between 43.9 to 50 kg (96.78-110.23 lb))
  • Recommended: 20ml daily (100 mg/5 ml suspension) or 10ml daily (200 mg/5 ml suspension)

Dosage for middle ear infections

Adult (adults)
  • Recommended: 400 mg/day
Children (6 months or older)
  • Recommended: 8 mg per kg/3.6 mg per lb of body weight daily for oral suspension
Children
  • Recommended: 400 mg daily

Dosage for throat infections (pharyngitis or tonsillitis)

Adult (adults)
  • Recommended: 400 mg daily
Children (6 months or older)
  • Recommended: 8 mg per kg/3.6 mg per lb of body weight daily for oral suspension
Children (children over 12 years or weighing more than 50 kg)
  • Recommended: 400 mg daily

Dosage for worsening of severe bronchitis

Adult (adults)
  • Recommended: 400 mg/day
Children (6 months or older)
  • Recommended: 8 mg per kg/3.6 mg per lb of body weight daily for oral suspension
Children (children over 12 years or weighing more than 50 kg)
  • Recommended: 400 mg daily

Dosage for sexually transmitted infections (gonorrhea)

Adult (adults)
  • Recommended: 400 mg/day
Children (6 months or older)
  • Recommended: 8 mg per kg/3.6 mg per lb of body weight daily for oral suspension
Children (children over 12 years or weighing more than 50 kg)
  • Recommended: 400 mg/day

Minimum Age

6 months

Dosage calculation for children

To calculate the dosage for children please use the weight based dose calculator to calculate the appropriate dosage as per the weight of your child.

Forms

Tablet
Strength: 100 mg, 150 mg, 200 mg, 400 mg
Capsule
Strength: 100 mg, 150 mg, 200 mg, 400 mg
Oral suspension
Strength: 100 mg/5 ml, 200 mg/5 ml, 500 mg/5 ml
Chewable tablet
Strength: 100 mg, 150 mg, 200 mg, 400 mg

Missed Dose

Skip the missed dose and take the next dose as per your regular schedule.

Overdose

What to do if you overdose on Suprax?
An antidote is not available for Suprax. The effects of an overdose may be removed by the procedure called gastric lavage, which is used to clean out the contents of the stomach.
Symptoms of an overdose of Suprax
If you use too much of this medicine, it could lead to dangerous levels of the medicine in your body. In such cases, symptoms of an overdose may include:
If you think you have overdosed on Suprax Tablet, call a poison control center immediately. You can look up the poison control center information from the Poison Center Finder at TabletWise.com.

Precautions while using Suprax

Before you use Suprax, tell your doctor of your medical and health history including the following:
  • an inherited disorder that causes an increase in the level of phenylalanine in the blood (phenylketonuria)
  • inflammation of the digestive tract (colitis)
  • kidney disease
  • liver disease
Treatment with Suprax changes the normal state of the colon leading to overgrowth of bacteria in the intestine. This may result in mild diarrhea or in the worst case even cause a fatal inflammatory condition of the intestines.
Before you use Suprax Tablet, discuss with your doctor if you are allergic to it or its ingredients. Your doctor may prescribe an alternative medicine and update your medical records to record this information. Tell your doctor if you are allergic any of the following substances: cephalosporin antibiotics, or penicillin antibiotics.

Seizures

Suprax Tablet can make you feel sleepy. Be careful when using any machinery, driving a vehicle, or doing any other activity that needs you to be fully alert. The consumption of alcohol with Suprax Tablet can worsen the sleepiness. Suprax Tablet may cause rarely seizures in some people. If you perform any activities where a loss of consciousness may cause harm to you (or others), you should discuss with your doctor.

Use in Pregnancy

The use of Suprax during pregnancy should only be when required.

Use while Breastfeeding

Consult with your doctor on the use of Suprax Tablet during breastfeeding. It is unknown if this medicine passes into breast milk.

Use while Conceiving

Consult with your doctor on the use of Suprax, if you are trying to conceive.

Suprax Side-effects

The following side-effects may commonly occur when using Suprax Tablet. If any of these side-effects worsen or last for a long time, you should consult with your doctor:
The following side-effects may commonly occur in children when using Suprax Tablet. Discuss with your doctor if any of these side-effects last for a long time or are severe:
Rarely, the use of Suprax Tablet may cause the following side-effects:
  • an increase in the number of disease fighting white blood cells (eosinophilia)
  • blistering of the skin
  • decrease in the number of granulocytes, a type of white blood cells
  • dizziness
  • facial swelling
  • fever
  • headache
  • increase in platelet count
  • increase in prothrombin time
  • increase in the level of lactate dehydrogenase enzyme (LDH)
  • increase in the level of liver enzymes
  • inflammation in the kidney
  • itching of the skin
  • joint pain
  • liver disease
  • serious skin disorders
  • skin rashes
  • swelling of the lips, throat or tongue
  • temporarily increased level of waste products in the blood such as creatinine and blood urea nitrogen
  • vaginal itching
  • yeast infection
The following severe side-effects may also occur when using Suprax Tablet:
  • Disorder of the skin or mucous membrane called as Stevens-Johnson syndrome
    Symptoms: bleeding or blistering of the skin, flu-like symptoms fever
    If this happens, contact your doctor right away.
  • Inflammation of the colon (pseudomembranous colitis)
    Symptoms: severe watery diarrhea, feeling weak fever
    If this happens, contact your doctor right away and stop using this medicine.
  • Inflammation of the vagina, called as vaginitis
    Symptoms: itching in the vaginal area
    If this happens, contact your doctor right away.
  • An abnormal low level of a type of white blood cell (neutropenia)
  • A deficiency of platelets, red blood cells and white blood cells called as pancytopenia
  • Brain disease called as encephalopathy
    Symptoms: convulsions, confusion lack of consciousness
    If this happens, contact your doctor right away.
  • Severe skin reaction
    Symptoms: fever, chill, muscle pain severe blistering rash on the skin
    If this happens, contact your doctor right away.
  • Inflammation of the liver, called as hepatitis
  • Anemia due to an abnormal breakdown of the red blood cells (hemolytic anemia)
    Symptoms: nosebleeds, shortness of breath, bleeding gums, chills, pale skin tiredness
    If this happens, contact your doctor right away.
Your doctor has prescribed Suprax Tablet because they judge that the benefit is greater than the risk posed by side-effects. Many people using this medicine do not have serious side-effects. This page does not list all possible side-effects of Suprax Tablet.
If you experience side-effects or notice other side-effects not listed above, contact your doctor for medical advice. You may also report side-effects to your local food and drug administration authority. You can look up the drug authority contact information from the Drug Authority Finder at TabletWise.com.

Warnings

Severe Skin-Related Side-Effects

Patients with severe skin related side-effects are at increased risk with this medicine. These patients may see an increase in white blood cell counts in the body. Use of the medicine should be discontinued in such a case.

Prior Use of Suprax

Patients who are using this medicine again are at an increased risk with this medicine. These patients may have an increased risk of anemia.

Liver Dysfunction and Poor Nutritional State

Patients with abnormal liver functioning and poor nutritional state are at increased risk when using this medicine. Such patients may have an increased risk of fall in prothrombin time. Monitor prothrombin time carefully and take vitamin K as indicated by your doctor.

Strongly Suspected Bacterial Infection

Patients with strongly suspected bacterial infection are at increased risk when using Suprax. This medicine does not work against this type of infection.

Suprax Use with Other Antimicrobial Agents

Patients using Suprax and other antimicrobial agents are at increased risk using this medicine. Such patients are at increased risk of developing diarrhea. If the patient suffers from diarrhea, treatment including fluid/electrolytes, protein supplementation, antibiotics, and a surgical evaluation should be given to the patient.

Poor Functioning of Kidneys

Patients suffering from kidney related health issues are at increased risk when using this medicine. A fall in prothrombin activity may occur in these patients. This may indicate that your blood clots faster than normal and possibly cause serious health issues. Monitor prothrombin time carefully and your doctor may prescribe you to take vitamin K.

Prolonged Treatment with Antimicrobial Therapy

Patients with antimicrobial therapy are at increased risk when using this medicine. A fall in prothrombin activity may occur in these patients. Monitor prothrombin time carefully and take vitamin K as indicated by your doctor. A fall in prothrombin time indicates that your blood clots faster than normal and possibly cause serious health issues.

Interactions with Suprax

When two or more medicines are taken together, it can change how the medicines work and increase the risk of side-effects. In medical terms, this is called as a Drug Interaction.
This page does not contain all the possible interactions of Suprax Tablet. Share a list of all medicines that you use with your doctor and pharmacist. Do not start, stop, or change the dose of any medicines without the approval of your doctor.

Ketone Identification Test

Suprax Tablet interacts with a test for ketone identification in urine using nitroprusside. A false-positive result for the presence of ketones in the urine may occur.

Anticoagulants

There may be an interaction of Suprax with warfarin, which is used to prevent blood clotting. When Suprax is taken with blood thinners, it increases blood clotting time. An increased blood clotting time may indicate a higher risk of bleeding.

Anticonvulsants

Suprax Tablet may interact with carbamazepine, which is used in the treatment of seizures. When using Suprax with carbamazepine, the level and effects of carbamazepine may increase in the body.

Coombs Test

Your doctor's guidelines may need to be followed while taking this medicine along with Coombs test, which is used to determine the presence of hemolytic anemia (abnormal breakdown of red blood cells). Wrong results for the Coombs test can occur when using this medicine.

Glucose Detection Test

Special instructions need to be followed while taking this medicine along with a test for presence of glucose in the urine using Benedict’s solution or Fehling’s solution. A false-positive reaction for glucose present in the urine may occur. It is recommended that glucose tests based on enzymatic glucose oxidase reactions should be used.

Traveling With Medication

  • Ensure that you carry enough doses of each of your prescription medicines to last the entire trip. The best place to store your medicines is in the carry on baggage. However, while flying, if carrying liquid medicines, make sure you do not go over the limits imposed for carry-on liquids.
  • While traveling overseas, make sure that you can carry each of your prescription medicines legally to your destination country. One way to ensure this is by checking with your destination country's embassy or website.
  • Make sure that you carry each of your medicines in their original packaging, which should typically include your name and address, and the details of the prescribing doctor.
  • If your travel involves crossing time zones, and you are required to take your medicine as per a fixed schedule, make sure that you adjust for the change in time.

Expired Medication

Taking a single dose of expired Suprax is unlikely to cause a side-effect. However, please discuss with your doctor or pharmacist, if you feel unwell or sick. An expired medicine may become ineffective in treating your prescribed conditions. To be on the safe side, it is important not to use an expired drug. You are much safer by always keeping a fresh supply of unexpired medicines.

Safe Disposal of Medication

  • If there are disposal instructions on the package, please follow the instructions.
  • If there are medicine take-back programs in your country, you should contact the respective authority to arrange for the disposal of the medicine. For example, in the USA, the Drug Enforcement Administration regularly hosts National Prescription Drug Take-Back events.
  • If there are no take-back programs, mix the medicine with dirt and place them in a sealed plastic bag. Throw the plastic bag in your household trash. Separately, remove all personal information including the prescription label from the medicine packaging and then dispose off the container.
  • If specifically indicated on the medicine package that it needs to be flushed down the toilet when no longer needed, perform the required step.

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