Antibiotics · 4th-generation cephalosporin
Cefepime
Dose
2 g IV q8h in febrile neutropenia/severe infection; adjust for CrCl <60.
Use
Pseudomonal cover in neutropenic sepsis, hospital-acquired pneumonia.
Monitoring
Renal function, neurotoxicity (encephalopathy, myoclonus) in CKD, culture de-escalation.
Side effects
- • Neurotoxicity/seizures if under-dosed renally
- • Rash
- • C. difficile
- • Positive Coombs test
Always confirm dose against your local formulary / BNF before prescribing.
