XO-Penam 1gm Injection is an antibiotic that is used to treat severe infections of the skin, lungs, stomach, urinary tract, blood, and brain (eg. meningitis). It works by killing the bacteria that cause these problems. However, it will not treat a viral infection. XO-Penam 1gm Injection is commonly used to treat critically ill patients admitted to the hospital. This medicine is given by drip/infusion or by direct injection into a vein, under the supervision of a doctor or a nurse. The dose will depend on what type of infection you have, where it is in the body, and how serious it is. You should keep on taking the injection for as long as you have been prescribed, even if your symptoms quickly improve. If you stop taking it too early the infection may return or worsen. Some people may develop side effects like headache, nausea, constipation, diarrhea, anemia, vomiting, and rash. These side effects are usually temporary and go away as your body adjusts to the medicine. Consult your doctor if these side effects bother you or do not go away. Before starting treatment with this medicine, you should tell your doctor if you have epilepsy (seizures), liver or kidney problems or if you are allergic to any antibiotic. While using it, you may be advised blood tests to monitor your blood cell count and kidney function. This medicine is generally regarded as safe to use in pregnancy and breastfeeding if prescribed by the doctor.

• Vomiting
• Headache
• Rash
• Diarrhea
• Anemia (low number of red blood cells)
• Constipation

If you miss a dose of XO-Penam 1gm Injection, please consult your doctor.

• Q. Q. My friend has a history of epilepsy and she was on valproic acid while receiving treatment with XO-Penam 1gm Injection, still, she had an episode of seizure. Why??
  Ans: Any previous history with any other medication should be informed to the doctor before starting your treatment with XO-Penam 1gm Injection. Medicines like XO-Penam 1gm Injection can interfere with valproic acid which is used for the treatment of epilepsy, making it less effective. So, the reason for the recent episode of seizure could be the result of such drug interaction. Generally, in cases like these, the doctor prescribes a different medicine.
• Q. Q. Even though XO-Penam 1gm Injection is used for skin infections, can it cause any skin-related problems??
  Ans: Serious skin reactions are rare, but some have been reported with the use of XO-Penam 1gm Injection. Therefore, before starting the treatment inform your doctor if you are allergic to any medicine or antibiotic. Serious skin reactions are a type of allergic reaction. But, if not properly managed then they can endanger life. So, if you notice any rash along with fever or peeling of the skin, discontinue the medication and inform your doctor.
• Q. Q. Is XO-Penam 1gm Injection a strong antibiotic? Which infections does it treat??
  Ans: XO-Penam 1gm Injection is a broad-spectrum antibiotic which means it can treat a variety of bacterial infections. It is used to treat infections affecting the lungs (pneumonia) and complicated infections of the urinary tract, abdomen, and skin and soft tissue infections. Along with that, it is also helpful in treating bacterial infection of the membranes that surround the brain and spinal cord (meningitis) and infections that occur during or after delivery.
• Q. Q. Is XO-Penam 1gm Injection effective against bacteria only? Can it be used for any type of bacterial infection??
  Ans: Yes, XO-Penam 1gm Injection is effective only against bacteria. It is not effective against virus or fungal infections. XO-Penam 1gm Injection is effective against some bacteria which include Staphylococcus aureus, Streptococcus pneumoniae, S. pyogenes, S. viridans group, etc. Therefore, its use against any other type of bacteria should be avoided.
• Q. Q. My cousin was receiving XO-Penam 1gm Injection for severe skin infection, but the medicine was stopped when she had a fit. Was the fit due to XO-Penam 1gm Injection??
  Ans: There are reports which suggest the occurrence of seizures or fits with the use of XO-Penam 1gm Injection. However, fits are more likely to occur in patients with a history of seizures or a brain lesion (wound, ulcer, abscess or tumor) or patients having bacterial meningitis or compromised kidney function. Consult your doctor to understand the exact reason.
• Q. Q. For how long will I need to take XO-Penam 1gm Injection??
  Ans: The length of the treatment will be decided by your doctor. The doctor will decide the dose depending on your general health, the type of infection you have, and how well you respond to XO-Penam 1gm Injection. Consult your doctor if you are not sure.
• Q. Q. What if XO-Penam 1gm Injection does not suit me??
  Ans: It is common to have minor side effects such as nausea, vomiting, diarrhea, and headache with the use of XO-Penam 1gm Injection. However, these symptoms generally settle down with continued medication as the body adapts to the medicine. If the side effects bother you, inform your doctor. The doctor will suggest an alternative medicine if required. Serious side effects with XO-Penam 1gm Injection are very rare. In case you develop serious side effects, seek immediate medical advice.
• Q. Q. Does it matter if I miss or stop XO-Penam 1gm Injection??
  Ans: You mustn't stop the treatment without consulting your doctor. Stopping the treatment may bring back the infection or you may develop resistance to XO-Penam 1gm Injection. Similar results may be seen if you skip any dose or are forgetful in taking the suggested doses. Therefore, it is recommended that you do not miss doses. If you do, take the missed dose as soon as you can and take the next dose as planned so that you stick to the same overall daily dose.

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