What is cefdinir?
Cefdinir is a third-generation cephalosporin antibiotic available in capsule and oral suspension forms. It's effective against various bacteria by inhibiting cell wall synthesis, leading to bacterial death. Cefdinir is only for bacterial infections, not viruses, and misuse can cause antibiotic resistance.
Conditions treated by cefdinir
Cefdinir treats a variety of mild to moderate bacterial infections, with specific uses varying by age and infection type. For a comprehensive list of conditions treated by cefdinir, consult {Link: MedCentral https://www.medcentral.com/drugs/monograph/5543-398001/cefdinir-oral}. These include:
Respiratory Tract Infections
- Community-Acquired Pneumonia (CAP): Used in adults and adolescents for CAP caused by susceptible bacteria.
- Acute Exacerbations of Chronic Bronchitis: Treats sudden bacterial flare-ups in adults and adolescents.
- Acute Maxillary Sinusitis: Approved for bacterial sinus infections in adults and children 6 months and older.
Ear, Nose, and Throat Infections
- Acute Otitis Media (AOM): Treats ear infections in children 6 months to 12 years, especially for those with penicillin allergies.
- Pharyngitis and Tonsillitis: Effective for strep throat in adults and children 6 months and older. A course of treatment with cefdinir has shown comparable effectiveness to a course of penicillin V for this condition.
Skin and Soft Tissue Infections
- Uncomplicated Skin Infections: Prescribed for mild to moderate skin infections caused by susceptible Staphylococcus aureus and Streptococcus pyogenes. It has comparable efficacy to cephalexin.
Administration
Cefdinir is taken orally, and can be taken with or without food. The oral suspension needs shaking before use. The frequency of administration varies by condition. Completing the full course is essential to prevent infection resurgence and antibiotic resistance.
Cefdinir vs. other common antibiotics
Feature | Cefdinir | Amoxicillin | Cephalexin |
---|---|---|---|
Drug Class | Cephalosporin (3rd-gen) | Penicillin | Cephalosporin (1st-gen) |
Typical Administration | Once or twice daily | Multiple times daily | Multiple times daily |
Spectrum | Broad (gram-pos & gram-neg) | Broad (gram-pos & some gram-neg) | Broad (gram-pos & some gram-neg) |
Usage | Respiratory, ear, sinus, throat, skin infections | Respiratory, ear, sinus, throat, skin, UTI, H. pylori infections | Respiratory, ear, skin, bone, UTI infections |
Best For... | Penicillin-allergic patients needing once-daily option, specific strep strains | First-line for many infections, broad coverage | Alternative for penicillin allergy, effective on many skin infections |
Penicillin Allergy Risk | Cross-sensitivity can occur, but may be safer for mild allergies | Direct penicillin class, high risk | Cross-sensitivity possible |
Risks and side effects
Common side effects include diarrhea, nausea, headache, and rash. The oral suspension contains sucrose, which may affect blood sugar in diabetic patients. Serious rare side effects include C. difficile infection, causing severe diarrhea, and allergic reactions, which are medical emergencies.
Drug interactions can reduce cefdinir's effectiveness. Antacids containing aluminum or magnesium, and iron supplements, should be taken at least two hours before or after cefdinir.
Conclusion
Cefdinir is an effective oral antibiotic for various bacterial infections in the respiratory tract, ears, throat, and skin. Its administration frequency and broad-spectrum activity make it a convenient option for adults and children. While generally well-tolerated, be aware of side effects and drug interactions. Always complete the prescribed course to eradicate the infection and combat antibiotic resistance. Consult MedlinePlus for more clinical information.