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Cinobac Overdose, Contraindications and Information - Cinoxacin

Cinobac Overdose, Contraindications and Information - Cinoxacin

OVERDOSE

Signs and Symptoms

Symptoms following an overdose of cinoxacin may include anorexia, nausea, vomiting, epigastric distress, and diarrhea. The severity of the epigastric distress and the diarrhea are dose related. Headache, dizziness, insomnia, photophobia, tinnitus, and a tingling sensation have been reported in some patients. If other symptoms are present, they are probably secondary to an underlying disease state, an allergic reaction, or the ingestion of a second medication with toxicity.

Treatment

In all cases of suspected overdosage, call your regional Poison Control Center to obtain the most up-to-date information about the treatment of overdose. This recommendation is made because, in general, information regarding the treatment of overdosage may change more rapidly than do package inserts.

In managing overdosage, consider the possibility of multiple drug overdoses, interaction among drugs, and unusual drug kinetics in your patient.

Patients who have ingested an overdose of cinoxacin should be kept well hydrated to prevent crystalluria.

Protect the patient's airway and support ventilation and perfusion. Meticulously monitor and maintain, within acceptable limits, the patient's vital signs, blood gases, serum electrolytes, etc. Absorption of drugs from the gastrointestinal tract may be decreased by giving activated charcoal, which in many cases, is more effective than emesis or lavage; consider charcoal instead of, or in addition to, gastric emptying. Repeated doses of charcoal over time may hasten elimination of some drugs that have been absorbed. Safeguard the patient's airway when employing gastric emptying or charcoal.

Forced diuresis, peritoneal dialysis, hemodialysis, or charcoal hemoperfusion have not been established as beneficial for an overdose of cinoxacin.

CONTRAINDICATIONS

Cinobac is contraindicated in patients with a history of hypersensitivity to cinoxacin or other quinolones.

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