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  • Active ingredient: Cefixime
  • Medical form: Pill
  • Category: ,
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Suprax is a broad-spectrum antibiotic used to treat infections of respiratory and urinary systems.

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Medical Conditions

Generic Suprax is used to treat or prevent the following medical conditions or diceases:

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Generic Suprax Information

Introduction

Suprax is an oral antibacterial medication whose active ingredient is cefixime, a third‑generation cephalosporin. It is primarily prescribed for a range of community‑acquired bacterial infections in adults across the United Kingdom. Suprax is manufactured by Takeda Pharmaceutical Company and is classified within the antibiotics and antibacterial drug groups. In addition to its main indications for respiratory, urinary and gastrointestinal infections, cefixime is also an accepted single‑dose therapy for uncomplicated gonorrhoea.

What is Suprax?

Suprax contains 400 mg of cefixime per tablet. Cefixime is a synthetic β‑lactam antibiotic that shares the same chemical structure as the original brand‑name products Omnicef (USA) and Ceporex (EU). Suprax is the marketed name for this specific formulation, produced by Takeda. The tablet is film‑coated, white, and bears the imprint “SUPRAX 400”. It is supplied in blister packs of 10, 14 or 28 tablets, depending on the prescribing regimen.

How Suprax Works

Cefixime interferes with bacterial cell‑wall synthesis by binding irreversibly to penicillin‑binding proteins (PBPs). This binding blocks the final transpeptidation step that cross‑links peptidoglycan strands, resulting in a weakened cell wall that bursts under osmotic pressure. The drug is bactericidal against a broad spectrum of Gram‑negative organisms (e.g., Escherichia coli, Klebsiella pneumoniae, Neisseria gonorrhoeae) and several Gram‑positive species (Streptococcus pneumoniae, Streptococcus pyogenes). After oral ingestion, cefixime is absorbed rapidly (≈40 % bioavailability) and reaches peak plasma concentrations within 2–3 hours. It is minimally metabolised and is eliminated unchanged mainly via the kidneys, giving a half‑life of 3–4 hours in adults with normal renal function.

Conditions Treated with Suprax

  • Acute bacterial otitis media – Common in adults with middle‑ear infection; cefixime covers the typical pathogens Haemophilus influenzae and Streptococcus pneumoniae.
  • Uncomplicated urinary tract infection (UTI) – Effective against E. coli and other Enterobacteriaceae that are susceptible to third‑generation cephalosporins.
  • Acute uncomplicated cystitis – Provides a short‑course oral alternative to nitrofurantoin when resistance patterns favour cefixime.
  • Community‑acquired lower respiratory tract infection (LRTI) – Targets S. pneumoniae and H. influenzae in adult bronchitis or mild pneumonia.
  • Pharyngitis/tonsillitis – Used when streptococcal infection is confirmed and penicillin allergy precludes β‑lactam alternatives.
  • Uncomplicated gonorrhoea – Recommended by British Association for Sexual Health and HIV (BASHH) as a single 400 mg dose when susceptibility is documented.

In the UK, bacterial respiratory infections account for approximately 1 million primary‑care consultations each year, while uncomplicated UTIs affect up to 12 % of adult women annually. Suprax offers a convenient once‑daily oral regimen that aligns with NHS stewardship goals to limit intravenous antibiotic use.

Who is Suprax For?

Suprax is indicated for adult patients (≥18 years) with confirmed or strongly suspected infections caused by cefixime‑susceptible bacteria. It is particularly useful when:

  • A β‑lactam allergy exists that precludes use of amoxicillin or amoxicillin‑clavulanate but does not involve a severe‐type I hypersensitivity to cephalosporins.
  • An oral, once‑daily regimen is preferred over multiple daily dosing (e.g., in working adults or travellers).
  • Local antimicrobial‑resistance data show low prevalence of extended‑spectrum β‑lactamase (ESBL) producing organisms.

Suprax should be avoided or used with caution in patients with:

  • Severe renal impairment (creatinine clearance < 30 mL/min) without dose adjustment.
  • Known hypersensitivity to cefixime, other cephalosporins, or any β‑lactam antibiotic.
  • History of Clostridioides difficile infection, as broad‑spectrum antibiotics can increase recurrence risk.

Risks, Side Effects, and Interactions

Common

  • Gastro‑intestinal disturbances – Diarrhoea, nausea, abdominal pain, and flatulence occur in up to 10 % of users.
  • Headache – Reported in 5‑8 % of patients, usually mild and transient.
  • Rash – Maculopapular or urticarial eruptions affect 2‑4 % of individuals.

Rare

  • Hypersensitivity reactions – Including serum sickness‑like presentations and Stevens‑Johnson syndrome (<.1 %).
  • Hepatobiliary effects – Transient elevation of liver enzymes (ALT/AST) reported in <.5 % of cases.
  • Hematologic changes – Mild neutropenia or eosinophilia observed rarely, typically reversible after discontinuation.

Serious

  • Clostridioides difficile‑associated diarrhoea – May develop several weeks after therapy; requires immediate medical evaluation.
  • Anaphylaxis – Rapid onset of airway obstruction, hypotension, and urticaria; emergency treatment is essential.
  • Severe renal toxicity – Uncommon but possible in patients with pre‑existing kidney disease; monitor serum creatinine.
Drug–Drug Interactions
  • Anticoagulants (warfarin) – Cefixime may potentiate anticoagulant effect; INR should be monitored.
  • Probenecid – Decreases renal excretion of cefixime, raising plasma concentrations and potentially increasing toxicity.
  • Oral contraceptives – No clinically significant interaction has been demonstrated, but patients should be advised to use additional contraception if gastrointestinal upset occurs.

Patients should disclose all current medications, including over‑the‑counter products and herbal supplements, before initiating Suprax.

Practical Use: Dosing, Missed Dose, Overdose

  • Standard adult dosing – 400 mg once daily for 5‑10 days for most infections; a single 400 mg dose for uncomplicated gonorrhoea.
  • Renal adjustment – If creatinine clearance is 30‑50 mL/min, reduce to 200 mg once daily; avoid use when clearance is <30 mL/min unless benefits outweigh risks and the dose is further reduced.
  • Missed dose – Take the forgotten tablet as soon as remembered unless it is near the time of the next scheduled dose; do not double‑dose.
  • Overdose – Symptoms may include nausea, vomiting, and diarrhoea. Ingested excess should be managed with supportive care and, if severe, gastric lavage or activated charcoal under medical supervision.
  • Food and alcohol – Suprax can be taken with or without food; high‑fat meals may delay absorption but do not affect overall exposure. Alcohol does not interact directly but excessive intake can worsen GI side‑effects.

Patients with hepatic impairment need no dose change, but those with severe hepatic disease should be monitored for rare liver enzyme elevations.

Buying Suprax from Our Online Pharmacy

Suprax is available for purchase from our online pharmacy in the UK. Our service offers:

  • Affordability – Prices are close to the manufacturer’s wholesale cost, providing a cost‑effective alternative to retail pharmacy pricing.
  • Verified quality – All stock is sourced from licensed, GMP‑certified suppliers; each batch undergoes authenticity verification before dispatch.
  • Discrete, reliable delivery – Orders are packaged in unmarked parcels and dispatched via express (≤ 7 days) or standard (≈ 3 weeks) shipping options, with tracking available for every shipment.
  • International access – As a pharmacy broker service, we collaborate with overseas licensed pharmacies to secure medicines that may have limited availability in local stores, while maintaining strict compliance with UK import regulations.

Our platform respects patient privacy and ensures that the medication reaches you securely, making Suprax an accessible choice for adults who need reliable antibacterial therapy but face barriers to traditional pharmacy access.

FAQ

  • Is Suprax available in both brand‑name and generic forms in the UK?
    Yes. Suprax is the brand‑name product produced by Takeda, while generic cefixime tablets containing the same 400 mg dose are marketed under various names such as Omnicef and Ceporex. Generic versions are typically less expensive but contain identical active ingredients.

  • What should I do if I travel abroad with Suprax?
    Carry the medication in its original packaging with a copy of the prescription label. Keep it in carry‑on luggage to avoid temperature extremes in the hold, and be aware that some countries restrict the import of antibiotics without a local prescription.

  • Does Suprax require refrigeration?
    No. Suprax tablets are stable at room temperature (15‑30 °C). Store them in a dry place away from direct sunlight and moisture, and keep them out of reach of children.

  • How does the tablet appearance differ between regions?
    In the UK, Suprax tablets are white, film‑coated, and marked “SUPRAX 400”. Generic cefixime tablets sold in other EU countries may have different colours, shapes, or imprint codes depending on the manufacturer, but the strength and composition remain the same.

  • Can Suprax affect drug testing for employment?
    Cefixime is not a controlled substance and does not appear on standard drug‑screen panels. However, a severe allergic reaction could trigger elevated white blood cell counts, which might be noted in a complete blood count if such testing is performed.

  • Are there specific warnings for patients of Asian descent?
    Some studies have reported a slightly higher incidence of gastrointestinal upset in East‑Asian populations, possibly related to differences in gut microbiota. Nonetheless, no dosage adjustment is required solely based on ethnicity.

  • What is the history of cefixime’s development?
    Cefixime was first synthesised in the early 198s by the Japanese pharmaceutical firm Shionogi. It received FDA approval in 1989 and later European Union approval, becoming a widely used oral third‑generation cephalosporin for community infections.

  • How does cefixime compare with amoxicillin‑clavulanate for sinusitis?
    Cefixime offers broader Gram‑negative coverage and is less likely to cause liver enzyme elevations than amoxicillin‑clavulanate. However, amoxicillin‑clavulanate remains first‑line for many sinusitis cases due to its efficacy against typical pathogens and lower cost.

  • Is there a risk of cross‑reactivity with penicillin allergy?
    While structural differences reduce the likelihood, cross‑reactivity can occur in up to 5 % of patients with a true IgE‑mediated penicillin allergy. A detailed allergy history and, if necessary, skin testing should guide the decision to use cefixime.

  • What are the environmental considerations for disposing of unused Suprax?
    Unused tablets should not be flushed down the toilet. Return them to a pharmacy take‑back programme or follow local hazardous‑waste guidelines to minimise environmental impact.

Glossary

Cephalosporin
A class of β‑lactam antibiotics that inhibit bacterial cell‑wall synthesis; cefixime belongs to the third generation, offering enhanced activity against Gram‑negative organisms.
Penicillin‑Binding Protein (PBP)
Membrane proteins involved in the final stages of peptidoglycan cross‑linking; binding of cefixime to PBPs disrupts cell‑wall assembly, leading to bacterial death.
Creatinine Clearance (CrCl)
A measure of kidney function used to adjust dosages of renally excreted drugs; calculated from serum creatinine, age, weight, and sex.
Clostridioides difficile‑Associated Diarrhoea (CDAD)
A potentially severe colon infection that can arise after disruption of normal gut flora by broad‑spectrum antibiotics such as cefixime.

⚠️ Disclaimer

The information provided about Suprax is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Suprax for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.

Alternative names or trademarks of Generic Suprax

Suprax may be marketed under different names in various countries. All of them contain Cefixime as main ingredient. Some of them are the following:

Novacef, Vixcef, Aerocef, Enzine, Exciol, Tricef, Xefotil, Cefnax, Neo Cefix, Tricef, Urotricef, Oroken, Cefixdura, Cephoral, Infectoopticef, Uro-cephoral, Covocef-n, Biotax-o, Cefocef-lb, Fixx, Xim, Ziprax, Supran, Unixime, Cefspan, Fixim, Tergecef, Ultraxime, Zefral, Bonocef, Denvar, Cephoral;, Zimaks, Longacef

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