Ozenoxacin Cream (Xepi) is a quinolone antibiotic that is used as a topical cream for the treatment of impetigo in children and adults.
Ozenoxacin Cream Uses:
-
Impetigo:
- It is approved for the treatment of adult and paediatric patients 2 months of age and older with impetigo brought on by Staphylococcus aureus or Streptococcus pyogenes.
Ozenoxacin Cream (Xepi) Dose in Adults
Ozenoxacin Cream (Xepi) Dose in the treatment of Impetigo:
- Two times daily for five days, it is topically administered in a thin layer to the afflicted area.
- There should be no more than 100 cm2 in total.
Ozenoxacin Cream (Xepi) Dose in Children
Dosage of oznoxacin cream (Xepi) for impetigo in children older than 2 months:
- For five days, the affected area receives two applications of a thin coating each time.
- Note: For patients under the age of 12, the total afflicted area may be up to 2% of the total BSA, but it should not exceed 100 cm2.
Pregnancy Category: N (not assigned)
- Topical application is not a means of exposing fetal to systemic or systemic radiation.
Use during breastfeeding:
- It is unknown if the drug will be excreted into breast milk. The drug cannot be absorbed topically so it is unlikely that the drug will get into breastmilk.
- It is recommended that pregnant women use it with caution, considering the possible risks to the baby and the benefits for the mother.
Dose in Kidney Disease:
There are no dosage adjustments provided in the manufacturer's labeling. However, dosage adjustment is unlikely due to low systemic absorption.
Dose in Liver Disease:
The manufacturer's labelling does not mention dosage modifications. However, due to limited systemic absorption, dosage modification is improbable.
Side effects of Ozenoxacin Cream (Xepi):
- Skin itching
- Dryness
- peeling of the skin
- redness
- flaking of the skin
Contraindications to Ozenoxacin Cream (Xepi):
The manufacturer's labeling does not list any contraindications. Patients with allergies to any ingredient or medicine should stay away, according to Canadian labelling.
Warnings and precautions
-
Superinfection
- Long-term use can result in superinfections with bacteria and fungi that may not cure. If superinfections develop, the treatment should be stopped immediately.
Monitoring Parameters:
Monitor the response to treatment.
How to administer Ozenoxacin Cream (Xepi)?
- It is intended for topical use only.
- Oral, intranasal, rectal, ophthalmic, or intravaginal use should be avoided.
- The impacted area is covered with a thin covering.
- A sterile bandage or a gauze dressing may be used to cover the treated region.
- After application, hands should be washed with soap water.
Mechanism of action of Ozenoxacin Cream (Xepi):
It is part of the quinolone antibiotic class that acts by inhibiting DNA replication enzymes in bacteria, topoisomerase I, and DNA gyrase B.
Absorption:
- It cannot be absorbed through the skin.
International Brand Names of Ozenoxacin Cream:
- Xepi
- Ozadub
- Ozanex
- Zebiax
Ozenoxacin Brand Names in Pakistan:
No Brands Available in Pakistan.