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Indications
Adora treats bacterial infections including:
Streptococcal pharyngitis/tonsillitis
Bronchopneumonia and bacterial pneumonia
Uncomplicated urinary tract infections (pyelonephritis, cystitis)
Skin/soft tissue infections (abscesses, furunculosis, impetigo, erysipelas, pyoderma, lymphadenitis)
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Pharmacology
Cefadroxil inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs), disrupting peptidoglycan assembly and causing cell death.
Dosage & Administration
Streptococcal Infections:
Adults/Adolescents (>40 kg): 1000 mg once daily âĨ10 days
Children (<40 kg): 30 mg/kg/day once daily âĨ10 days
Other Infections:
Adults/Adolescents (>40 kg): 1000 mg twice daily
Children (<40 kg): 30â35 mg/kg/day in divided doses
*Max: 4 g/day; 500 mg tablets not recommended <6 years*
Renal Impairment:
CrCl 50â25 ml/min: 500â1000 mg every 12 hr
CrCl 25â10 ml/min: 500â1000 mg every 24 hr
CrCl 10â0 ml/min: 500â1000 mg every 36 hr
Not indicated for children with renal insufficiency
Hemodialysis: Additional 500â1000 mg post-dialysis
*Take with/without food; duration: Continue 2â3 days after symptom resolution*
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Interaction
Prolongs prothrombin time with anticoagulants (bleeding risk)
Probenecid reduces elimination
Contraindications
Hypersensitivity to cephalosporins, severe penicillin/beta-lactam reactions. Avoid with bacteriostatic antibiotics, aminoglycosides, or nephrotoxic agents.
Side Effects
Common: Nausea, diarrhea, rash, abdominal pain
Serious: Pseudomembranous colitis, anaphylaxis, Stevens-Johnson syndrome
Hematologic: Eosinophilia, thrombocytopenia, hemolytic anemia
Renal: Interstitial nephritis
Pregnancy & Lactation
Limited safety data; low concentrations in breast milk. Use strictly under medical supervision.
Precautions & Warnings
Monitor blood counts, renal/hepatic function during prolonged use
Discontinue if allergic reactions or severe diarrhea occur
Use cautiously in penicillin-allergic patients, renal impairment, or colitis history
Overdose Effects
Possible nausea, hallucinations, renal impairment, or neurological symptoms (hyperreflexia, coma).
Therapeutic Class
First-generation cephalosporin
Storage Conditions
Store in dry, cool place protected from light. Keep away from children.
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