Penomax
Penomax is an antibiotic that kills bacteria causing urinary tract infections.
Form
tabletti, kalvopäällysteinen
Strength
200 mg
Active Ingredient
Pivmecillinam hydrochloride
Manufacturer
Orion Corporation
How to Use
Dosage
Adults and adolescents should take 200-400 mg three times daily; children over 5 years should take 200 mg three times daily.
Method
Swallow tablets whole with at least half a glass of liquid, while sitting or standing, preferably with food to avoid stomach upset.
Important
Do not exceed the recommended dose of 400 mg three times a day for adults/adolescents, or 200 mg three times a day for children over 5.
Possible Side Effects
COMMON
- •Vaginal yeast infection
- •Nausea
- •Diarrhea
RARE
- •Reduced number of platelets
- •Symptoms due to reduced carnitine levels (fatigue, muscle weakness)
- •Headache
- •Dizziness
- •Vertigo
- •Vomiting
- •Stomach pain
- •Indigestion
- •Mouth or esophageal sores, inflammation of the esophagus
- •Abnormal liver function
- •Rash
- •Hives
- •Itching
- •Fatigue
- •Reduced number of white blood cells (leukocytes)
- •Drug-induced fever
- •Candida superinfection (yeast infection)
Important Warnings
- Do not use if you are allergic to pivmecillinam, penicillin, cephalosporin antibiotics, or any other ingredient in this medicine.
- Do not use if you have a history of severe skin rash, peeling skin, blisters, or mouth sores after using Penomax or other similar antibiotics.
- Do not use if you have a narrowing or blockage in your esophagus or digestive tract.
- Do not use if you have a genetic metabolic disorder that reduces carnitine in your body or causes too much acid in your blood or urine.
- Stop taking Penomax and seek immediate medical help if you develop severe skin reactions like widespread rash, blisters, peeling skin, or mouth sores, sometimes with fever.
Show 4 more warnings
- Stop taking Penomax and seek immediate medical help if you experience severe allergic reactions such as sudden rash, swelling of the face, lips, tongue, or throat, or difficulty breathing/swallowing.
- Contact your doctor immediately if you experience severe diarrhea with stomach pain and fever during Penomax treatment, as this could be a serious bowel inflammation.
- Inform your doctor if you take Penomax just before childbirth, as it might affect newborn screening tests.
- Consult your doctor before taking Penomax if you have porphyria (a rare metabolic disorder), carnitine deficiency, uncontrolled diabetes, or low muscle mass.
Use in Elderly Patients
Category C
Suitable for older adults, with specific precautions. Increase the dosing interval in moderately severe renal impairment. May potentiate the effect of methotrexate. (updated 6.11.2023)