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ZINIMIN

SULBACTAM AND AMOXICILLIN · by WILSHIRE

BETA-LACTAM ANTIBACTERIALS, PENICILLINS Beta-lactamase inhibitor/Broad-spectrum penicillin WILSHIRE

Composition

Susp 250 mg: Per 5 ml: Sulbactam 125 mg, amoxicillin 125 mg; powder for reconstitution. Susp 500 mg: Per 5 ml: Sulbactam 250 mg, amoxicillin 250 mg; powder for reconstitution. Tab 500 mg: Sul

Indications & Dosage

Susceptible infections of upper and lower respiratory tract, genito-urinary tract, skin & soft-tissue, bone and joints, and Gonococcal infections: ORAL Susp: Children below 2 yrs: 250 mg eight hourly; 2-12 yrs: 250-500 mg eight hourly. ORAL TAB: Adults: 1 tabof 500 mg eight hourly. In severe case: 1 g eight hourly BY IM OR IV INJ: Adults: 375mg- 3gm Sulbactam per day, according to severity of infection, in divided doses administered every 8 hr. Children: 50 mg/kg/day sulbactam, in divided doses administered every 8 hr. See literature.

Contraindications

: Hypersensitivity to penicillins, cephalosporins or other beta-lactams.

Precautions

Hepatic and renal impairment, risk of crystalluria with high doses, all should be well hydrated. Monitor renal, hepatic and haematological function in neonates.

Interactions

Anticoagulants, allopurinol, probenecid, disulfiram, probenecid, methotrexate, oral contraceptives

Pregnancy

No evidence of harm

Lactation

Caution advised

Side Effects

GI disturbances, nausea, vomiting, constipation, dyspepsia, headache, hypotension, injection-site reactions, hypersensitivity reaction. Rarely hepatitis, cholestatic jaundice, haematological and CNS ef-fects, pseudomembranous colitis, increased INR.