Ceftran Forte Injection is a prescription-only antibiotic medication approved by NAFDAC in Nigeria. It combines two active ingredients: Ceftriaxone Sodium (1,000 mg) and Sulbactam Sodium (500 mg), formulated as a dry powder for reconstitution. This combination enhances efficacy against certain bacterial infections by inhibiting beta-lactamase enzymes that would otherwise deactivate ceftriaxone.

Indications

Ceftran Forte is used to treat a variety of moderate to severe bacterial infections, including:

• Respiratory tract infections
• Urinary tract infections
• Skin and soft tissue infections
• Bone and joint infections
• Intra-abdominal infections
• Meningitis
• Septicemia
• Pelvic inflammatory disease
• Gonococcal infections

It is administered via intravenous (IV) or intramuscular (IM) injection.

💊 Dosage Guidelines

Adults:

• Total daily dose ranges from 1.5 g to 3 g, corresponding to combinations of ceftriaxone and sulbactam (e.g., 1 g ceftriaxone / 0.5 g sulbactam to 2 g ceftriaxone / 1 g sulbactam).
• The total dose of sulbactam should not exceed 4 g per day

Pediatric Patients:

• Neonates (up to 14 days): 20–50 mg/kg once daily.
• Infants and children (15 days to 12 years): 20–80 mg/kg once daily.
• For children weighing 50 kg or more, the usual adult dosage applies.
• Intravenous doses of at least 50 mg/kg bodyweight should be administered by infusion over at least 30 minutes.

⚠️ Warnings & Precautions

• Allergy Alert: Contraindicated in patients with known hypersensitivity to cephalosporins or penicillins.
• Neonatal Use: Not recommended for hyperbilirubinemic neonates, especially premature infants.
• Drug Interactions: Avoid mixing with calcium-containing solutions (e.g., Ringer’s lactate) due to the risk of ceftriaxone-calcium salt precipitation.
• Renal and Hepatic Impairment: Use with caution; dosage adjustments may be necessary.
• Pregnancy & Breastfeeding: Generally considered safe, but should be used under medical supervision.

⚠️ Potential Side Effects

• Common: Injection site reactions (swelling, redness, pain), nausea, vomiting, diarrhea, headache.
• Serious: Severe allergic reactions (e.g., anaphylaxis), liver dysfunction, blood disorders (e.g., anemia, leukopenia), renal dysfunction.
• Gastrointestinal: May lead to antibiotic-associated diarrhea, including Clostridium difficile-associated diarrhea.
• Other: Potential for oral or vaginal yeast infections with prolonged use.

🏥 Administration & Storage

• Preparation: Reconstitute the powder with sterile water for injection.
• Administration: For IV use, administer over at least 30 minutes.
• Storage: Store below 25°C; use reconstituted solution immediately.

📌 Summary

Ceftran Forte Injection is a potent combination antibiotic effective against a broad spectrum of bacterial infections. It is essential to use this medication under the supervision of a healthcare professional to ensure appropriate dosing and to monitor for potential side effects. Always inform your doctor of any allergies or concurrent medications to avoid adverse reactions.