Nalidex 250 mg/5 ml (Oral Suspension)

50 ml bottle: ৳ 30.46

Medicine Details

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

Indications

  • Treatment of urinary tract infection
  • Effective against Gram-negative organisms
  • Targets Proteus species, Klebsiella species, Enterobacter species, and Escherichia coli

Pharmacology

  • Synthetic narrow spectrum antibacterial
  • Bacteriostatic or bactericidal depending on concentration
  • Inhibits bacterial DNA synthesis
  • Rapid and complete absorption from GI Tract
  • Distributed to most tissues, especially to the kidney and urine
  • Short half-life during normal renal function, longer half-life with impaired renal function
  • Rapid and complete excretion within 24 hours

Dosage & Administration

  • Adult initial dose: 1g every 6 hours for 7 days, then reducing to 500mg every 6 hours
  • Children's initial dose: 13.75mg/kg body weight every six hours for one or two weeks
  • Children's maintenance dose: 8.25mg/kg body weight every six hours or as prescribed by physician

Interaction

  • Contraindicated with melphalan due to possible severe blood containing diarrhea
  • Probenecid may elevate serum concentration, enhancing toxicity
  • Chlorpromazine and Perphenazine may potentiate the effect of Nalidex

Contraindications

  • Infants under 3 months
  • Epilepsy
  • CNS lesions

Side Effects

  • Gastrointestinal disturbances
  • Nausea
  • Vomiting
  • Diarrhea
  • Haemolysis in G6PD deficiency
  • Allergic reactions including urticaria, rashes, fever
  • Arthralgia
  • Eosinophilia
  • Myalgia
  • Muscle weakness
  • Phototoxicity
  • Jaundice
  • Visual disturbances
  • Convulsions

Pregnancy & Lactation

  • Possibility of causing cartilage and DNA damage
  • Excreted in breast milk
  • Report of hemolytic anemia in breastfed child of azotemic mother

Precautions & Warnings

  • Risk-benefit must be considered during first trimester of pregnancy and breastfeeding
  • Caution in impaired renal or hepatic function

Therapeutic Class

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

Storage Conditions

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

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