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Dosage and administration : The dosage and duration of<br />

therapy depends upon the severity of the disease . Susceptibility<br />

of the causative organism, the condition of the patient and<br />

method of administration. Treatment with ceftriaxone should be<br />

continued a minimum of 48 of 72 hours after ascertaining<br />

elimination of the bacterial infection or when the patient shows<br />

no sign of fever. However, in certain indications, as specified<br />

below, a single dose will give adequate therapeutic results.<br />

Dosage: treatment may be initiated before the results of<br />

bacterial susceptibility tests are known, A once-daily dose is<br />

re<strong>com</strong>mended.<br />

Condition<br />

Adults (12 years &<br />

over)<br />

Children (under 12<br />

years)<br />

Sever renal impairment<br />

(creatinine clearance<br />

greater than 10ml/min.<br />

Pre-terminal renal<br />

impairment (creatinine<br />

clearance less than<br />

10ml/min).<br />

Hepatic impairment<br />

Renal AND hepatic<br />

impairment<br />

Dialysis patients<br />

Prophylaxis<br />

Dosage<br />

Mild to moderate Severe infection<br />

infection<br />

1 g once daily 2-4g once daily<br />

20-50mg/kg body weight<br />

once daily<br />

1g once daily provided<br />

hepatic function is normal<br />

1g once daily provided<br />

hepatic function is normal<br />

Maximum of<br />

80mg/kg body weight<br />

once daily by<br />

infusion only*<br />

1-4g once daily<br />

provided hepatic<br />

function is normal.<br />

Maximum 2g daily.<br />

1g once daily provided 2-4g once daily<br />

renal function is normal provided renal<br />

function is normal.<br />

Monitor ceftriaxone plasma concentration and<br />

adjust dose accordingly<br />

No additional supplementary dosing is required<br />

following the dialysis<br />

Surgical infection: 1g single dose colorectal<br />

surgical infection: 2g single dose in conjunction

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