CLOXACILLIN

Background and Date of Approval

Cloxacillin received initial approval from the United States Food and Drug Administration (FDA) on 31 March 1962.

Uses

Cloxacillin is used in the treatment of skin and soft tissue infections, respiratory tract infections, bone and joint infections, and other conditions caused by penicillinase-producing bacteria.

How is it administered?

Cloxacillin can be administered via injection by healthcare provider. The appropriate route of administration is determined based on factors such as infection severity and patient condition. Always follow healthcare provider guidance for the correct administration method and dosage of this medication.

Side Effects

Cloxacillin use may result in a range of side effects, including common ones like gastrointestinal disturbances (nausea, vomiting, diarrhea), skin reactions (rash, itching), and injection site reactions (IV use). Serious side effects includes severe allergic reactions (swelling, breathing difficulties), severe skin reactions (Stevens-Johnson syndrome), gastrointestinal effects (Clostridium difficile infection, severe diarrhea), liver impact (jaundice, enzyme changes), blood disorders (low blood cell counts), drug interactions, superinfections, kidney function changes, and potential dizziness/drowsiness.

Warnings

Many signs of allergic reaction, like rash, swelling, or difficulty breathing can occur while on Cloxacillin. Persistent severe diarrhea can also occur which can be a signal of a dangerous. gut infection. Rare blood disorders can occur while using this medication. Yellowing of the skin or eyes, dark urine, or abdominal pain might indicate liver problems. Stopping early this medication can lead to incomplete treatment and antibiotic resistance.

Precautions

If you notice unusual bleeding, bruising, or frequent infections, while using Cloxacillin inform your healthcare provider. Watch for new or worsening symptoms during treatment, as prolonged use might lead to secondary infections. Rapid swelling, difficulty breathing, and severe rashes need urgent medical attention. Those with kidney issues might need regular monitoring by the healthcare professional. Complete the full course of this medicationas prescribed by the health care professional.

Word of Advice

Before starting Cloxacillin, inform your healthcare provider about any allergies, particularly to antibiotics, and your complete medical history, including kidney or liver disorders. Follow the prescribed dosage and complete the entire course even if symptoms resolve. If you are pregnant, breastfeeding, or have diabetes, consult your healthcare provider before using this medication. Limit alcohol consumption and exercise caution if driving or operating machinery, as dizziness or drowsiness may occur. Report any unusual or severe side effects immediately, such as rash or difficulty breathing. Patients with renal or hepatic impairment may require dosage adjustments, and elderly patients require careful monitoring for serious adverse effects. Be aware of possible drug interactions and store this medication as directed. By observing these precautions, you can enhance the safe and effective use of this medication whilst reducing potential risks.

References

Jiangxi Xierkangtai Pharmaceutical Co., Ltd, US Food and Drug Administration, [Issued on 07th 2022] [Accessed on 16th August 2023], https://www.fda.gov.ph/fda-advisory-no-2022-0485-product-recall-of-specific-batch-of-cloxacillin-as-sodium-500-mg-capsule-philclox/ JB Bru et al, Role of intravenous Cloxacillin in inpatient infections, Med Mal Infect,[Published on 2012] [Accessed on 16th August 2023], https://pubmed.ncbi.nlm.nih.gov/22542764/ J Loulerge; Changes in microbial ecology and use of cloxacillin; [Published on 1994] [Accessed on 16th August 2023], https://pubmed.ncbi.nlm.nih.gov/7963470/ Victor Manuel Martinez Taboada; Cloxacillin based therapy in severe septic bursitis; [Published on 2009] [Accessed on 16th August 2021], https://pubmed.ncbi.nlm.nih.gov/19576835/

Frequently Asked Questions

Can I sunbathe or use tanning beds while on Cloxacillin?

Cloxacillin itself is not known to cause photosensitivity, but skin infections may be sensitive. It's advisable to protect your skin from excessive sun exposure while on antibiotics.

Can I use Cloxacillin for viral infections like the flu or common cold?

No, Cloxacillin is an antibiotic effective against bacterial infections. It won't work against viral infections like the flu or common cold. Using antibiotics inappropriately can contribute to antibiotic resistance.

How long does it take for Cloxacillin to start working?

The onset of action can vary, but you might start to notice improvement in your symptoms within a few days of starting treatment. It's important to complete the full course as prescribed to ensure the infection is fully treated.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. However, if it's close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses.

What should I do if I experience severe diarrhea while on Cloxacillin?

Severe or persistent diarrhea could indicate a Clostridium difficile infection. Contact your healthcare provider immediately if you experience this, as it may require specific treatment.

Can I continue using probiotics while on Cloxacillin?

Discuss the use of probiotics with your healthcare provider. They can advise you on whether probiotics might help maintain a healthy gut balance while on antibiotics.

Available Brands 1

Written By: Muskan Patel, M.Pharm

Reviewed By: Dr. Vishwa Patel, MBBS