What is Oracefal® (cefadroxil monohydrate) used for?
Oracefal® is a first-generation cephalosporin antibiotic, which is commonly used for the treatment of urinary tract infections, skin and skin structure infections, pharyngitis, and tonsillitis caused by S. pneumoniae, H. influenzae, staphylococci, S. pyogenes, E. coli, etc.
How should I take Oracefal® (cefadroxil monohydrate)?
Use cefadroxil as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take cefadroxil by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
To clear up your infection completely, take cefadroxil for the full course of treatment. Keep taking it even if you feel better in a few days.
How do I store Oracefal® (cefadroxil monohydrate)?
Oracefal® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Oracefal® in the bathroom or the freezer. There may be different brands of Oracefal® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.
You should not flush Oracefal® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.
Precautions & warnings
What should I know before using Oracefal® (cefadroxil monohydrate)?
Before using Oracefal®, tell your doctor if:
- You are allergic to any ingredient in cefadroxil or any other cephalosporin (e.g., cephalexin).
- You have a severe allergic reaction (e.g., a severe rash, hives, breathing difficulties, or dizziness) to a penicillin antibiotic (e.g., amoxicillin) or other beta-lactam antibiotics (e.g., imipenem).
Also, there is some important safety information that you may notice:
- Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
- Be sure to use cefadroxil for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
- Cefadroxil only works against bacteria; it does not treat viral infections (e.g., the common cold).
- Long-term or repeated use of cefadroxil may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
- Diabetes patients – Cefadroxil may cause the results of some tests for urine glucose to be wrong. Ask your doctor before you change your diet or the dose of your diabetes medicine.
- Cefadroxil may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking cefadroxil.
- Use cefadroxil with caution in the elderly; they may be more sensitive to the effects of cefadroxil.
- Use cefadroxil with extreme caution in children younger than 10 years old who have diarrhea or an infection of the stomach or bowel.
Is it safe during pregnancy or breastfeeding?
There are no adequate studies in women for determining risk when using Oracefal® during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Oracefal®. Oracefal® is pregnancy risk category B, according to the US Food and Drug Administration (FDA).
FDA pregnancy risk category reference below:
- A=No risk
- B=No risk in some studies
- C=There may be some risk
- D=Positive evidence of risk
What side effects can occur from Oracefal® (cefadroxil monohydrate)?
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most common side effects persist or become bothersome:
- Stomach upset
Seek medical attention right away if any of these severe side effects occur:
- Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue)
- Bloody diarrhea
- Dark urine
- Decreased urination
- Fever, chills, or sore throat
- Joint pain
- Red, swollen, or blistered skin
- Severe diarrhea
- Stomach pain or cramps
- Unusual bruising or bleeding
- Unusual tiredness or weakness
- Vaginal itching, odor, or discharge
- Yellowing of the skin or eyes
Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.
What drugs may interact with Oracefal® (cefadroxil monohydrate)?
Oracefal® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.
Does food or alcohol interact with Oracefal® (cefadroxil monohydrate)?
Oracefal® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.
What health conditions may interact with Oracefal® (cefadroxil monohydrate)?
Oracefal® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.
Especially if you have:
- A blood clotting disorder
- Kidney problems
- Stomach or bowel problems (e.g., inflammation)
The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Oracefal® (cefadroxil monohydrate).
What is the dose of Oracefal® (cefadroxil monohydrate) for an adult?
The recommended dose is 1 g PO qDay or divided q12hr for 10 days.
Skin & Skin Structure Infections
The recommended dose is 1 g PO qDay or divided q12hr.
The recommended dose is 1 g PO qDay or divided q12hr for 10 days.
Urinary Tract Infections
The recommended dose is 2 g PO qDay or divided q12hr.
Prophylaxis (dental, upper respiratory procedure): The recommended dose is 2 g PO 1 hour before procedure.
The recommended dose is 1 g initially, then 500 mg maintenance dose at intervals.
- CrCl 25-50 ml/min: q12hr
- CrCl 10-25 ml/min: qDay
- CrCl <10 ml/min: q36hr
What is the dose of Oracefal® (cefadroxil monohydrate) for a child?
Prophylaxis (dental, upper resp procedure): The recommended dose is 50 mg/kg PO 1 hour before procedure, no more than 2 g.
The recommended dose is 30 mg/kg/day PO divided q12hr.
The recommended dose is 30 mg/kg PO qDay for 10 days; not to exceed 1 g/dose.
How is Oracefal® (cefadroxil monohydrate) available?
Oracefal® is available in the following dosage forms and strengths:
- Capsule; Oral; Cefadroxil Monohydrate 500 mg
- Powder for Suspension; Oral; Cefadroxil Monohydrate 125 mg / 5 ml
- Powder for Suspension; Oral; Cefadroxil Monohydrate 250 mg / 5 ml
- Powder for Suspension; Oral; Cefadroxil Monohydrate 500 mg / 5 ml
- Tablet, Dispersible; Oral; Cefadroxil Monohydrate 1 g
What should I do in case of an emergency or overdose?
In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.
What should I do if I miss a dose?
If you miss a dose of Oracefal®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.
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