Spiramycin is considered to be the second choice drug for treating respiratory, skin, and genital infections caused by drug-sensitive bacteria. Prophylactic treatment of meningitis caused by Meningococcus, when there are contraindications to rifampicin. Prevention of congenital Toxoplasma infection during pregnancy. Prevention of recurrent acute rheumatoid arthritis in penicillin allergic patients.
RECIPE:
Spiramycin ... ................... 750,000 IU
Excipients q.s ... .......................... 1 package
(Orange flavor, tutti frutti, PVP K30, sunett sugar, white sugar).
DOSAGE FORM: Powder mixed with oral suspension.
PRESENTATION: Box of 24 sachets x 3 g.
PHARMACOKINETICS: Rovas with the main active ingredient is spiramycin, macrolide antibiotic. At serum concentrations, the drug has a bacteriostatic effect but when reaching the concentration in the drug tissue can kill bacteria. The mechanism of action of spiramycin is to act on 50S subunits of bacterial ribosome and prevent bacteria from synthesizing proteins.
Spiramycin is effective against Gram-positive strains, Coccus strains such as Staphylococcus, Pneumococcus, Meningococcus ...
PHARMACOKINETICS: Spiramycin is not fully absorbed from the gastrointestinal tract. Oral absorption is about 20 - 50% of the dose. Peak plasma concentrations are reached within 2-4 hours after ingestion. Peak blood levels after a single dose can be maintained for 4 to 6 hours. Taking spiramycin with food in the stomach greatly reduces the bioavailability of the drug. Food reduces about 70% of the maximum concentration of the drug in the blood serum and makes the time to peak slowly 2 hours. Spiramycin is widely distributed throughout the body. The drug reaches high concentrations in the lungs, tonsils, bronchi and sinuses. Spiramycin has less penetration into the cerebrospinal fluid. The average elimination half-life is 5 - 8 hours. Drugs mainly excreted in bile. After 36 hours only about 2% of the total oral dose found in urine.
INDICATIONS: Spiramycin is considered as the second choice drug for the treatment of infections in the respiratory tract, skin, and genitals caused by drug-sensitive bacteria. Prophylactic treatment of meningitis caused by Meningococcus, when there are contraindications to rifampicin. Prevention of congenital Toxoplasma infection during pregnancy. Prevention of recurrent acute rheumatoid arthritis in penicillin allergic patients.
CONTRAINDICATIONS: People with a history of hypersensitivity to spiramycin, erythromycin.
PRECAUTIONS: Be cautious when used for patients with liver dysfunction, because the drug can cause liver toxicity.
PREGNANT WOMEN AND LACTATION:
Spiramycin crosses the placenta, but the concentration of drug in the fetal blood is lower than in the mother's blood. Spiramycin does not cause complications when used in pregnancy. Spiramycin is excreted in human milk in high concentrations. Should stop breastfeeding while taking the drug.
DRIVING AND OPERATION OF MACHINERY: Rarely has an impact on the ability to drive and operate machines.
INTERACTIONS: Concurrent use of spiramycin with concomitant oral contraceptives reduces conception prevention.
UNWANTED EFFECTS:
Common: Nausea, vomiting, diarrhea, indigestion (when taken orally).
Uncommon: Body: Fatigue, nosebleeds, sweating, feeling of chest pressure; Temporary paresthesia, paresthesia, unsteadiness, pain, stiffness in the muscles and joints, burning sensation, flushing (when intravenous); Gastrointestinal: Acute colitis; Skin: Skin rash, rash, urticaria.
Rarely: Anaphylactic reactions, superinfection due to prolonged use of spiramycin oral medication.
Inform your doctor unwanted effects encountered when using the drug.
OVERDOSE AND TREATMENT: No documents found. In case of overdose indicated should immediately notify the doctor.
DOSAGE AND ADMINISTRATION: Treatment dose:
Children and children: Take 150,000 IU / kg body weight / 24 hours, divided into 2-3 times.
Or: Infants and children under 10 kg: Take 1-2 packs / 24 hours, divided into 2-3 times.
Children from 10 - 20 kg: Take 2-4 packs / 24 hours, divided into 2-3 times.
Preventive treatment of meningococcal meningitis:
Children: Take 75,000 IU / kg body weight. Orally taken every 12 hours, for 5 days.
Prophylaxis of congenital Toxoplasma infection during pregnancy: 9,000,000 IU / day in divided doses over 3 weeks, every 2 weeks for repeated doses.
Combined or alternating with pyrimethamine / sulfonamid regimen may achieve better results.
Stomach food reduces the bioavailability of spiramycin, so it is necessary to take the drug before meals at least 2 hours or after meals 3 hours.
Patients taking spiramycin must follow the full course of treatment.
Or as directed by a physician.
Read the directions carefully before use.
Expiry date: 36 months from date of manufacture.
If you need further information, please consult your doctor.
Storage conditions: Store in dry places, not exceeding 30oC, protect from light.
This drug is for a doctor's prescription.
Standard: TCCS.
Short-term treatment of upper and lower respiratory tract infections, urinary tract, skin and soft tissue, bones and joints. Klamentin has bactericidal properties against many types of bacteria including beta-lactamase-producing strains resistant to ampicillin and amoxicillin.
Spiramycin is considered to be the second choice drug for treating respiratory, skin, and genital infections caused by drug-sensitive bacteria.
Acute, chronic or recurrent oral infections especially tooth abscess, gingivitis, stomatitis, periodontitis, parotid gland inflammation, inflammation of the lower jaw. Prevention of postoperative dental infections.
Ofcin is used in diseases: Pneumonia. Chlamydia infection in the cervix or urethra with or without gonorrhea, uncomplicated gonorrhea, prostatitis. Skin and soft tissue infections. Bacterial colitis
