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What Is Ceftriaxone?

Ceftriaxone is a prescription broad-spectrum cephalosporin antibacterial given by intravenous or intramuscular injection. It is used for selected bacterial infections involving the respiratory tract, ears, skin, urinary tract, blood, bones, joints, abdomen, and central nervous system. It also has labeled uses for selected gonococcal infections and surgical infection prevention.

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What Is Ceftriaxone?

Ceftriaxone is a prescription broad-spectrum cephalosporin antibacterial given by intravenous or intramuscular injection. It is used for selected bacterial infections involving the respiratory tract, ears, skin, urinary tract, blood, bones, joints, abdomen, and central nervous system. It also has labeled uses for selected gonococcal infections and surgical infection prevention.

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How Does Ceftriaxone Kill Susceptible Bacteria?

Ceftriaxone is bactericidal and inhibits bacterial cell wall synthesis. It binds penicillin-binding proteins and disrupts formation of peptidoglycan needed for bacterial cell wall strength. Ceftriaxone retains activity against some bacteria that produce beta-lactamases, though resistance can arise through beta-lactamase activity, altered binding proteins, or reduced permeability.

Which Infections Are Treated With Ceftriaxone?

Ceftriaxone is labeled for selected lower respiratory tract infections, acute bacterial otitis media, skin infections, complicated or uncomplicated urinary tract infections, gonorrhea, pelvic inflammatory disease, septicemia, bone and joint infections, intra-abdominal infections, and bacterial meningitis. It is also used before selected surgical procedures to reduce postoperative infection risk.

How Is Ceftriaxone Dosed?

Adults commonly receive 1 g to 2 g daily by intravenous or intramuscular administration, given once daily or in two divided doses according to infection severity. The total adult daily dose should not exceed 4 g. Pediatric dosing is weight based and differs for skin infections, otitis media, serious infections, and meningitis.

What Safety Problems Need Attention With Ceftriaxone?

Serious risks include anaphylaxis, Clostridioides difficile-associated diarrhea, neurologic reactions such as encephalopathy or seizures, severe skin reactions, and ceftriaxone-calcium precipitation. Premature or hyperbilirubinemic neonates should not receive ceftriaxone. It is contraindicated in neonates age 28 days or younger who require intravenous calcium-containing fluids.

Frequently Asked Questions About Ceftriaxone

How is ceftriaxone administered?

Ceftriaxone is given by intravenous or intramuscular injection.

What is a usual adult ceftriaxone dose?

The usual adult daily dose is 1 g to 2 g, with a maximum of 4 g daily.

Why is ceftriaxone restricted in some newborns?

Ceftriaxone can displace bilirubin and can form dangerous precipitates with intravenous calcium in susceptible neonates.

Does ceftriaxone treat bacterial meningitis?

Yes. Ceftriaxone is labeled for meningitis caused by selected susceptible bacteria.

References

Ceftriaxone Injection. MedlinePlus. https://medlineplus.gov/druginfo/meds/a685032.html. Date Accessed September 21, 2026.

Ceftriaxone. PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/Ceftriaxone. Date Accessed September 21, 2026.

Cephalosporins. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK551517/. Date Accessed September 21, 2026.

DailyMed - CEFTRIAXONE injection, powder, for solution. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=86ec0a92-a552-4a6d-9125-a54f95e43392. Date Accessed September 21, 2026.

DailyMed - CEFTRIAXONE injection, powder, for solution. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=96f3fc1e-84f4-4e9b-91ac-19a1692f227a. Date Accessed September 21, 2026.