Nalidex 500 mg (Tablet)

Unit Price: ৳ 4.07 (100's pack: ৳ 407.00)

Medicine Details

Category Details
Generic Nalidixic acid
Company Ambee pharmaceuticals ltd
Also available as

Indications

  • Treatment of urinary tract infection
  • Susceptible Gram-negative organisms
  • Proteus species
  • Klebsiella species
  • Enterobacter species
  • Escherichia coli

Pharmacology

  • Narrow spectrum antibacterial
  • Bacteriostatic or bactericidal
  • Inhibits bacterial DNA synthesis
  • Interferes with DNA polymerization
  • Rapid and complete absorption from the G.I. Tract
  • Distribution to most tissues especially to the kidney and urine
  • Short half-life under normal renal function
  • Extended half-life with impaired renal function
  • Rapid and complete excretion within 24 hours

Dosage & Administration

  • Initial dosage for adults: 1g every 6 hours for 7 days
  • Reduced adult dosage: 500mg every 6 hours
  • Children's dosage: based on body weight
  • Infants and children 3 months of age and over initial dosage: 13.75mg per kg every six hours
  • Maintenance dosage for children: 8.25mg per kg every six hours

Interaction

  • Concomitant use with melphalan may cause severe blood-containing diarrhea
  • Potential elevation of serum concentration with probenecid co-administration
  • Potentiation of effect with chlorpromazine and perphenazine co-administration

Contraindications

  • Infants under 3 months
  • Epilepsy
  • CNS lesions

Side Effects

  • Gastro-intestinal disturbances
  • Nausea
  • Vomiting
  • Diarrhea
  • Haemolysis in G6PD deficiency
  • Allergic reactions
  • Urticaria
  • Rashes
  • Fever
  • Arthralgia
  • Eosinophilia
  • Myalgia
  • Muscle weakness
  • Phototoxicity
  • Jaundice
  • Visual disturbances
  • Convulsions

Pregnancy & Lactation

  • Potential for cartilage damage
  • Potential for DNA damage as a DNA-gyrase inhibitor
  • Excretion in breast milk
  • Reported cases of hemolytic anemia in breastfed children of azotemic mothers

Precautions & Warnings

  • Consideration of risk-benefit during first trimester of pregnancy
  • Consideration of risk-benefit during breastfeeding
  • Caution with impaired renal or hepatic function

Therapeutic Class

  • Anti-diarrhoeal antimicrobial drugs
  • Other anti-protozoals
  • Systemic urinary anti-infective

Storage Conditions

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

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