Silcream 1% (Cream)

5 gm tube: ৳ 14.00

Medicine Details

Indications

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

Pharmacology

  • Antibacterial action on bacterial cell membrane
  • Structural changes in bacterial cell membrane
  • Weakening of bacterial cell wall membrane
  • Binding of silver moiety to bacterial cells
  • Inhibition of bacterial cell proliferation
  • Bacteriostatic action against sensitive organisms
  • Approximately 10% absorption in adults
  • Approximately 60-85% excretion in urine

Dosage & Administration

  • Application over burn wounds
  • Covering burn areas with Silver Sulfadiazine at all times
  • Application once to twice daily
  • Thickness of approximately 1/16 inches or 1.5 mm
  • Reapplication to areas removed by patient activity
  • Use of dressings if necessary
  • Reapplication after hydrotherapy

Interaction

  • Inactivation of enzymatic debriding agents
  • Potentiation of oral hypoglycemic agents and phenytoin
  • Increase in leukopenia incidence with co-administration of Cimetidine

Contraindications

  • Hypersensitivity to the product or its ingredients
  • Use on pregnant women approaching or at term
  • Use on premature or newborn infants within the first 2 months of life

Side Effects

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

Pregnancy & Lactation

  • Pregnancy Category B
  • Justified use during pregnancy
  • Unknown excretion in human milk
  • Consideration for nursing mothers

Precautions & Warnings

  • Impaired hepatic and renal functions
  • Inactivation of topical proteolytic enzymes
  • Monitoring of serum sulfa concentrations
  • Careful monitoring of renal function

Therapeutic Class

  • Topical Antibiotic preparations

Storage Conditions

  • Keep below 30°C temperature
  • Away from light & moisture
  • Keep out of the reach of children

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