Expiration date: 10/2025
Composition
Clarithromycin tablets:
1 tablet contains 0.25 g of clarithromycin
14 PCs per pack.
Pharmacological properties
Clarithromycin - antibiotic group macrolides - suppresses microbial cell protein synthesis by interacting with the 50S ribosomal subunit of bacteria. Active against Streptococcus agalactiae (pyogenes, viridans, pneumoniae), Haemophilus influenzae (parainfluenzae), Neisseria gonorrhoeae, Listeria monocytogenes, Legionella pneumophilia, Mycoplasma pneumoniae, Helicobacter pylori, Campilobacter jejuni, Chlamydia pneumoniae (trachomatis), Moraxella (Branhamella) catarrhalis, Bordetella pertussis, Propionibacterium acnes, Mycobacterium avium, Mycobacterium leprae, Staphylococcus aureus, Ureaplasma urealyticum, Toxoplasma gondii. The ingestion of clarithromycin is metabolized to the primary metabolite 14 hydroxyclarithromycin, which has the same or 1-2 orders of magnitude smaller (depending on the type of microorganism) microbial activity than the unmodified substance.
Indications
Infections, caused by susceptible to clarithromycin microorganisms the infections of the upper respiratory tract (laryngitis, pharyngitis, tonsillitis and sinusitis), infections of the lower respiratory tract (bronchitis, bacterial pneumonia), infections of skin and soft tissues (folliculitis, furunculosis, impetigo, wound infection), infections caused by Mycobacterium avium, Chlamydia trachomatis, Helicobacter pylori, Ureaplasma urealyticum.
Method of application and doses
Dosing regimen and duration of treatment are determined individually, taking into account the indications, the severity of the infection, the sensitivity of the pathogen.
For adults and children over 12 Leksredstva dose is 250 mg 2 times a day. If necessary, clarithromycin can be prescribed 500 mg twice a day. The duration of the course of treatment — 5-14 days.
In the treatment of infections caused by Mycobacterium avium, sinusitis, severe infections, including those caused by Haemophilus influenzae, - 500-1000 mg 2 times a day, the maximum daily dose of 2 g. Children under 12 years-at the rate of 7, 5 mg / kg body weight every 12 hours, the maximum daily dose of 500 mg. in patients with renal insufficiency (at Cl creatinine less than 30 ml / min or serum creatinine concentration, more than 3 mg/kg).) dose should be reduced by 2 times. The maximum duration of treatment in patients of this group — no more than 14 days.
Contraindications
Hypersensitivity to macrolides.
Side effect
Possible nausea, vomiting, pain in the epigastric region, diarrhea, transient increase in liver transaminases, skin rash, headache.
Special instruction
With caution, patients with impaired liver and/or kidney function are prescribed. In the first trimester of pregnancy is prescribed only for absolute reasons.
Interaction with other drugs
With simultaneous administration of clarithromycin with theophylline and carbamazepine, an increase in the content of the latter in blood plasma was noted.
Overdose:
Symptoms: nausea, vomiting, diarrhea.
Treatment: as quickly as possible to wash out the stomach, prescribe symptomatic therapy.
Storage conditions
Store in a dry, dark place out of reach of children at temperatures up to 25°C.
Shelf life: 2 years
