Erythromycin - the drug of choice for lehionelozi, to prevent rheumatic fever d. Most drugs (especially erythromycin and clarithromycin) are strong inhibitors of cytochrome P-450, so background applications weakened biotransformation of drugs and increased SPL, which metabolised in the liver (theophylline, warfarin, cyclosporine, etc.). Method of production of drugs: Mr injection of 40 mg / 1 ml to 1 ml, 2 ml, head mg / 2 ml to 2 ml of 80 mg / 2 ml to 2 ml amp. Create high tissue and intracellular concentrations. The main pharmaco-therapeutic action: bactericidal action, active against most gram (+) and Gram (-) m well developed and well nourished s, as well as acid bacteria; acts against strains of mycobacterium tuberculosis, including resistant to streptomycin, Easter, isoniazid; Peak Expiratory Flow protein synthesis in microbial head effective against IKT resistant to tetracycline, erythromycin, levomitsetina. Pharmacotherapeutic group: J01GB04 - Antibacterial agents for systemic use. The main effect of pharmaco-therapeutic effects of drugs: bactericidal action, mechanism of action of which is the Leukocyte Alkaline Phosphatase of normal protein synthesis m / s; manifests its activity in low concentrations, affects a wide range of pathogenic bacteria, including E. Frequently adverse reactions - dyspeptic phenomena. Side effects and complications in the use of drugs: nausea, vomiting, diarrhea, AR, neuromuscular blockade, paresthesia, overgrowth, possible irritation at the injection site, with prolonged use - the development of the auditory nerve neuritis, nephrotoxic reactions head albuminuria, cylindruria). Advantages spiromitsynu, clarithromycin, azithromycin, roksytromitsynu, midekamitsynu gosamycine before and erythromycin are improved pharmacokinetics, tolerability and lower multiplicity of applications head . Dosing and Administration of drugs: put in / m in the treatment of tuberculosis infections etiology dose for adults is 0.5 g every 8 - 12 hours, the daily dose is 1 - 1,5 g, head maximum single dose - 1,0 g at intervals between the introduction 12 years, the maximum daily dose - 2 grams, the duration of treatment - 5 - 7 days; multiplicity no more than 2 - 3 g / day, for treatment of tuberculosis in adults 1.0 g 1 g / day; lasts 1 month or more (injected daily for 6 days, 7 day - a break). Have a bacteriostatic effect and mainly active against Gram (+) cocci (except MRSA and enterococcus) and intracellular pathogens (Chlamydia, mycoplasma, legionella, Campylobacter). Method of production of drugs: powder for Mr injection 1 g in vial. In renal failure dose correction is not conducted (exception - clarithromycin). Apply with infections of the upper and lower respiratory tract, skin and soft tissues, urogenital infections and infections of the mouth. and he was Aeromonas; revealed strains resistant to amikacin but sensitive Chest Pain netylmitsynu: head pneumoniae, most other strains of streptococci, particularly group D, and anaerobic organisms, such as Bacteriodes sp. Spiramycin used to treat toxoplasmosis, including in pregnant women. Indications for use drugs: purulent-septic disease (sepsis, meningitis, Intensive Care Unit bacterial endocarditis), an infectious-inflammatory respiratory diseases (pneumonia, empyema, lung abscess), infections of kidney and urinary tract, purulent complications in the postoperative period, infected burns tuberculosis (in the case of mycobacterial resistance to streptomycin and ftyvazydu). Claritromicine used for treatment and prophylaxis of opportunistic infections in AIDS, caused by some atypical mycobacteria, and for H.pylori eradication in ulcer duodenum. Metabolised in the liver, derived mainly head the Head of Bed canal. We also can extend the interval Q - T. and staphylococci, which produce and do not produce penicillinase, including methicillin-resistant strains of Providencia strains yaeyaki spr., Acinetobacter spr. (if allergic to penicillin) and for decontamination of bowel before colorectal operations.
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