Silverzine 1% (Cream)

25 gm tube: ৳ 45.00

Medicine Details

Category Details
Generic Silver sulfadiazine
Company Gaco pharmaceuticals ltd

Indications

  • Prophylaxis against bacterial colonization and infection in burn wounds
  • Antibacterial management of contaminated or infection-prone wounds

Pharmacology

  • Bacterial cell membrane distortion and enlargement
  • Weakening of the cell wall membrane
  • Reduction in viability of sensitive strains
  • Silver sulfadiazine molecule dissociation
  • Binding of silver moiety to bacterial cells
  • Attachment of silver moiety to bacterial DNA
  • Prevention of bacterial cell proliferation
  • Bacteriostatic action of sulfadiazine moiety
  • Absorption and excretion in adults
  • Urinary sulfadiazine concentration in children

Dosage & Administration

  • Cleansing of burn wounds
  • Application of Silver Sulfadiazine over the burn wound
  • Covering burn areas with Silver Sulfadiazine
  • Application once to twice daily
  • Recommended thickness of application
  • Reapplication as necessary
  • Use of dressings if needed
  • Continued treatment until satisfactory healing
  • Immediate reapplication after hydrotherapy
  • Precautions for withdrawal from therapeutic regimen

Interaction

  • Inactivation of enzymatic debriding agents
  • Potentiation of oral hypoglycemic agents and phenytoin action
  • Recommended blood level monitoring for hypoglycemic agents and phenytoin
  • Increased incidence of leukopenia with co-administration of Cimetidine

Contraindications

  • Hypersensitivity to the drug or its ingredients
  • Use on pregnant women approaching or at term
  • Use on premature infants
  • Use on newborn infants during 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
  • Excretion in human milk unknown
  • Consideration for nursing mothers
  • Safety and effectiveness in pediatric patients not established

Precautions & Warnings

  • Impaired hepatic and renal functions
  • Accumulation with decreased drug elimination
  • Possibility of inactivation of proteolytic enzymes
  • Monitoring of serum sulfa concentrations
  • Careful monitoring of renal function
  • Checking urine for sulfa crystals

Therapeutic Class

  • Topical Antibiotic preparations

Storage Conditions

  • Temperature below 30°C
  • Away from light and moisture
  • Keep out of the reach of children

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