Cefuroxime Axetil

Cefuroxime axetil is an oral second-generation cephalosporin antibiotic. It acts by binding to and inactivating penicillin-binding proteins (PBPs) located on the inner membrane of the bacterial cell wall, preventing cell wall synthesis and leading to bacterial cell death.

Dosage by Body Weight

Dosage depends on the type and severity of infection, patient age, and renal function. It must be taken with food to ensure optimal absorption. Tablets and oral suspension are not bioequivalent on a milligram-for-milligram basis.

  1. Body Weight
    Below 5 kg
    Dose
    Requires precise clinical calculation (usually 10-15 mg/kg per dose)
    Frequency
    Every 12 hours
    Tracking Notes
    Safety and efficacy in infants under 3 months of age have not been established. Use only under strict pediatric supervision.
  2. Body Weight
    5-7 kg
    Dose
    75 mg to 100 mg (approx. 3 mL to 4 mL of 125 mg/5 mL suspension)
    Frequency
    Every 12 hours (twice daily)
    Tracking Notes
    Must be taken with food to enhance absorption. Shake the suspension bottle well before each use.
  3. Body Weight
    8-10 kg
    Dose
    125 mg (5 mL of 125 mg/5 mL suspension)
    Frequency
    Every 12 hours (twice daily)
    Tracking Notes
    Complete the entire prescribed course of treatment even if symptoms disappear early to prevent bacterial resistance.
  4. Body Weight
    11-15 kg
    Dose
    187.5 mg to 250 mg (approx. 3.75 mL to 5 mL of 250 mg/5 mL suspension)
    Frequency
    Every 12 hours (twice daily)
    Tracking Notes
    Store reconstituted oral suspension in a refrigerator (2-8°C) and discard any unused portion after 10 days.
  5. Body Weight
    16-20 kg
    Dose
    250 mg (5 mL of 250 mg/5 mL suspension or one 250 mg tablet if child can swallow whole)
    Frequency
    Every 12 hours (twice daily)
    Tracking Notes
    Tablets have a strong, bitter taste when crushed. It is highly recommended to use the suspension formulation for children.

Formulation

TabletOral Suspension

Purpose

Used to treat a wide variety of bacterial infections, including middle ear infections (otitis media), tonsillitis, throat infections (pharyngitis), sinus infections (sinusitis), bronchitis, skin infections, urinary tract infections (UTIs), and early Lyme disease.

Generic Name

Cefuroxime Axetil

Branded Drug Names

Cefuroxime Axetil is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.