Silburn 1% (Cream)

20 gm tube: ৳ 45.00

Medicine Details

Indications

  • Topical prophylaxis against bacterial colonization and infection in burn wounds
  • Topical antibacterial management of contaminated or infection-prone wounds

Pharmacology

  • Mechanism of Silver Sulfadiazine's antibacterial action
  • Structural changes in bacterial cell membrane
  • Binding of silver moiety to bacterial cells
  • Prevention of bacterial cell proliferation
  • Bacteriostatic action against sensitive organisms
  • Absorption and excretion in adults and children

Dosage & Administration

  • Application process for burn wounds
  • Frequency and thickness of application
  • Use of dressings if necessary
  • Continuation of treatment until healing or grafting

Interaction

  • Inactivation of enzymatic debriding agents
  • Potentiation of oral hypoglycemic agents and phenytoin
  • Increased incidence of leukopenia with cimetidine co-administration

Contraindications

  • Hypersensitivity to the drug or its ingredients
  • Use on pregnant women, premature infants, or newborns within the first 2 months of life

Side Effects

  • Transient leukopenia
  • Skin necrosis
  • Erythema multiform
  • Skin discoloration
  • Burning sensation
  • Rashes
  • Interstitial nephritis

Pregnancy & Lactation

  • Category B pregnancy classification
  • Consideration for use during pregnancy and lactation
  • Safety and effectiveness in pediatric patients not established

Precautions & Warnings

  • Consideration in cases of hepatic and renal impairment
  • Possible inactivation of topical proteolytic enzymes
  • Monitoring of serum sulfa concentrations in extensive burn wounds
  • Monitoring of renal function and urine for sulfa crystals

Therapeutic Class

  • Topical Antibiotic preparations

Storage Conditions

  • Temperature, light, and moisture considerations
  • Safety protocol for keeping out of reach of children

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