SELEXID 200 MG — DIN 02456664
PIVMECILLINAM HYDROCHLORIDE : 200 MG · KARO HEALTHCARE AB · TABLET · wholesale supply in Canada
Health Canada status: APPROVED
What is SELEXID?
SELEXID 200 MG contains PIVMECILLINAM HYDROCHLORIDE : 200 MG. It is listed in the Health Canada Drug Product Database under DIN 02456664, held by KARO HEALTHCARE AB, supplied as TABLET for ORAL administration. Health Canada currently lists it as approved, status dated 01-Feb-2024. Nexara Health is a licensed Canadian wholesale distributor (DEL 3-002896-A). This DIN is not currently being marketed in Canada, so it is sourced to order where a compliant route exists rather than held in stock.
What is SELEXID used for?
Treatment of adults and children > 6 years with uncomplicated urinary tract infections caused by sensitive strains of E. coli, Klebsiella species, Enterobacteria species and Proteus species.
Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.
How much does Pivmecillinam cost around the world?
Pivmecillinam is listed on 5 of the national price registers Nexara ingests. Each country publishes on a different basis, so those figures are not comparable with one another — or with a Canadian wholesale price.
What a market publishes matters more than the number it publishes. Austria publishes a KVP (Kassenverkaufspreis); Czechia publishes a max producer price (ex-factory); Greece publishes a producer price (ex-factory). Comparing an ex-factory ceiling against a pharmacy public price tells you nothing about either, and comparing either against a Canadian landed cost tells you less.
| Market | Price basis published there | Brands | Packs listed | Range |
|---|---|---|---|---|
| Sweden | AIP (pharmacy purchase price) | 3 | 17 | SEK███.██ |
| Austria | KVP (Kassenverkaufspreis) | 1 | 1 | EUR███.██ |
| Czechia | max producer price (ex-factory) | 1 | 1 | CZK███.██ |
| United Kingdom | hospital | 1 | 1 | GBP███.██ |
| Greece | producer price (ex-factory) | 1 | 1 | EUR███.██ |
21 pack listings across 7 brand entries and 5 price bases, refreshed 03 Sep 2026. Ranges span every Pivmecillinam pack in that market, so a high figure is usually a larger pack rather than the same product.
Canada publishes no comparable public list price. For a delivered Canadian price on a licensed account, verify your licence — it takes about a minute.
Is there a generic Pivmecillinam in Canada, and who makes it?
Every market authorization holder with a Canadian DIN for this molecule, and how many of their listings Health Canada currently shows as marketed.
2 holders have a Canadian DIN containing Pivmecillinam, across 3 DINs, of which 0 are currently marketed. Marketed count is the number that matters: an approval that is not marketed cannot be bought.
| Market authorization holder | DINs | Marketed | Brand names | Position |
|---|---|---|---|---|
| KARO HEALTHCARE AB | 2 | 0 | SELEXID | No marketed DIN |
| LEO PHARMA INC | 1 | 0 | SELEXID TAB 185MG | No marketed DIN |
Health Canada’s Drug Product Database does not flag which listing is the originator and which are subsequent-entry products, so Nexara does not label them here. Interchangeability is determined provincially, not federally — confirm for your province before a formulary switch. Nexara can confirm which of these is actually obtainable, and on what lead time, per order.
How is it supplied and stored?
Pack configuration, storage class and the handling constraints that drive cold-chain planning. One DIN can cover more than one pack size, and the pack — not the DIN — is what gets priced, shipped and invoiced.
| Strength on the label | 200 MG |
|---|---|
| Dosage form | TABLET |
| Route | ORAL |
| Pack configuration (monograph) | Aluminium/PVC-Aluminium blister packs of 10, 15, 20 tablets. |
| Storage | Not explicitly stated in the provided text (refer to section 11 in full monograph). |
Before an order line is unambiguous Nexara needs the strength, the pack size and the presentation, because this listing covers more than one of them.
Substance and classification
| Active substance | Pivmecillinam |
|---|---|
| ATC code | J01CA08 |
| AHFS class | 08:12.16 |
| Biosimilar biologic | No |
Health Canada record and identifiers
The regulatory facts straight from the Drug Product Database, plus every identifier form Nexara accepts on a purchase order. A DIN written without its leading zeros is the commonest reason an order line fails to match.
| DIN (8-digit, as used in ordering) | 02456664 |
|---|---|
| DIN (unpadded, as printed on some documents) | 2456664 |
| Brand name | SELEXID |
| Generic / active ingredient | PIVMECILLINAM HYDROCHLORIDE : 200 MG |
| Market authorization holder | KARO HEALTHCARE AB |
| Health Canada schedule | Prescription |
| ATC code | J01CA08 |
| ATC anatomical main group | J — Anti-infectives for systemic use |
| ATC therapeutic subgroup | J01CA |
| Current status | APPROVED |
| Status date | 01-Feb-2024 |
| Status source | Live Health Canada DPD sync |
Verify on the primary sources
How is it administered?
Adults: 400 mg TID for 3-7 days (acute) or 200-400 mg TID/QID (chronic). Pediatrics (>6 yrs, >40 kg): 20-40 mg/kg/day in 3 doses (max 1200 mg/day). Take with at least half a glass of liquid.
Included because it drives pack selection and wastage. Consult the monograph.
Contraindications
Hypersensitivity to pivmecillinam, penicillins, or cephalosporins; impaired esophageal transit; genetic metabolism anomalies leading to severe carnitine deficiency (e.g., carnitine transporter defect).
Warnings and precautions
Serious hypersensitivity/anaphylaxis and SCAR reported. Risk of carnitine depletion with long-term use. Risk of esophageal ulceration (take with fluid). Risk of C. difficile-associated disease.
What can be used instead?
Alternatives on every axis a buyer actually considers — the same molecule in another presentation, the same class, an adjacent class, or a fixed-dose combination. Every row is led by the marketed DIN count, because that is what can be bought this week.
1 · Same molecule, other Canadian presentations
0 of 3 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.
| Product | Strength | Form | Holder | Health Canada status | DIN |
|---|---|---|---|---|---|
| SELEXID | 400 MG | TABLET | KARO HEALTHCARE AB | APPROVED | 02456672 |
| SELEXID TAB 185MG | 185 MG | TABLET | LEO PHARMA INC | CANCELLED POST MARKET | 00657212 |
2 · Same class — other molecules in ATC J01CA
| Molecule | Canadian brands | DINs | Marketed | Sourceable |
|---|---|---|---|---|
| Amoxicillin | AG-AMOXICILLIN · AMOX 250 CAP 250MG · AMOX 500 CAP 500MG · AMOX S 125 SUS 125MG/5ML · +54 more | 121 | 30 | Yes |
| Ampicillin | AMPICILLIN FOR INJECTION · AMPICILLIN FOR INJECTION, USP · AMPICILLIN SODIUM FOR INJECTION BP · AMPICILLIN SODIUM FOR INJECTION, USP · +33 more | 56 | 17 | Yes |
| Piperacillin | PIPERACILLIN FOR INJECTION · PIPRACIL INJ 2GM/VIAL · PIPRACIL INJ 3GM/VIAL · PIPRACIL INJ 4GM/VIAL · +5 more | 14 | 0 | Not in Canada |
| Pivmecillinam | SELEXID · SELEXID TAB 185MG | 3 | 0 | Not in Canada |
| Bacampicillin | PENGLOBE TAB 400 MG · PENGLOBE TAB 800 MG | 2 | 0 | Not in Canada |
| Pivampicillin | PONDOCILLIN PWS 175MG/5ML · PONDOCILLIN TAB 500MG | 2 | 0 | Not in Canada |
| Ticarcillin | TICAR INJ PWS 1GM/VIAL · TICAR INJ PWS 3GM/VIAL | 2 | 0 | Not in Canada |
| Ampicillin, Combinations | PRO BIOSAN KIT | 1 | 0 | Not in Canada |
A molecule with zero marketed DINs cannot be sourced domestically, however many approvals it holds — if one of these sits on a formulary or in an older protocol, that is the line to check.
3 · Adjacent classes in ATC J01C
| ATC subgroup | Molecules | DINs | Marketed |
|---|---|---|---|
| J01CR | Amoxicillin And Beta-Lactamase Inhibitor · Piperacillin And Beta-Lactamase Inhibitor · Ticarcillin And Beta-Lactamase Inhibitor | 113 | 44 |
| J01CF | Beta-Lactamase Resistant Penicillins · Cloxacillin · Flucloxacillin | 42 | 9 |
| J01CE | Benzathine Benzylpenicillin · Benzathine Phenoxymethylpenicillin · Benzylpenicillin · Combinations · Phenoxymethylpenicillin · +1 more | 69 | 4 |
Not clinical advice. These tables describe what can be supplied in Canada, not what should be prescribed. Substitution within or across classes is a prescriber and pharmacist decision, and interchangeability is determined provincially.
What else is SELEXID called?
Also recorded in Canada as: PIVMECILLINAM HYDROCHLORIDE (GLOBAL), PIVMECILLINAM HYDROCHLORIDE (US), PIVMECILLINAM HYDROCHLORIDE (UK), PIVMYCILLINAM (GLOBAL), PIVMECILLINAMUM (GLOBAL), PIVMECILLINAM HYDROCHLORIDE (IN), PIVMECILLINAM HYDROCHLORIDE (EU), PIVMECILLINAM HYDROCHLORIDE (JP), PIVMECILLINAM HYDROCHLORIDE (CN), PIVMECILLINAM HYDROCHLORIDE (BR).
The same molecule, Pivmecillinam, is registered under other names elsewhere. Buyers and prescribers searching from outside Canada — or working from a foreign prescription or tender document — often know it by one of these:
| Name | Script | Registered in |
|---|---|---|
| Selexid® | Latin | Sweden |
| Penomax® | Latin | Sweden |
| Penomax | Latin | Sweden |
| PIVINORM | Latin | Czechia |
Names are taken from national medicine registers and published price lists. A product registered abroad is not authorized for sale in Canada unless it holds its own DIN; import is possible only through the routes Health Canada permits.
How can I get it?
This product is approved by Health Canada but not yet marketed in Canada, so there is no Canadian supply to draw on today. Nexara can tell you whether it has been launched, and can look at supply from other markets where a Canadian pack is not required or where importation is permitted.
Ordering questions
Who can buy this from Nexara?
Licensed entities only. Nexara holds Health Canada establishment licence DEL 3-002896-A and ships only to a licensed address. Patients and unlicensed buyers are routed to a partner pharmacy.
Is there a minimum order?
Yes, set per product line and per pack multiple rather than on the order total, so you are never asked to buy a part-pack. The minimum for this line is confirmed with your quote.
What is the lead time?
Confirmed per order at quotation, and it depends on current stock position and whether the product is in shortage.
Why is there no price on this page?
Nexara quotes a delivered Canadian price per order, against a verified licence. Foreign list prices are published on incompatible bases and are not a guide to what any buyer can obtain here, so this page shows which markets list the molecule and on what basis, and nothing more.
Can Nexara supply this for a clinical trial?
Yes — comparator and background-therapy supply, including sourcing from other markets where a Canadian pack will not satisfy the protocol. Clinical trial supply.