Silvec 1% (Cream)

30 gm tube: ৳ 50.00

Medicine Details

Category Details
Generic Silver sulfadiazine
Company Drug international ltd

Indications

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

Pharmacology

  • Structural changes in bacterial cell membrane
  • Weakening of cell wall membrane
  • Reduction of bacterial viability
  • Prevention of bacterial cell proliferation
  • Bacteriostatic action against sensitive organisms
  • Approximately 10% absorption in adults
  • 31.8 mg/L urinary sulfadiazine concentration in children with 13% body surface area burns

Dosage & Administration

  • Cleansing of burn wounds
  • Application once to twice daily
  • Thickness of approximately 1/16 inches (1.5 mm)
  • Reapplication as necessary
  • Use of dressings if required
  • Continued treatment until satisfactory healing or grafting readiness

Interaction

  • Inactivation of enzymatic debriding agents
  • Potentiation of oral hypoglycemic agents and phenytoin in large area burns
  • Possible increase in leukopenia incidence 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 or newborns during 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 in pregnancy
  • Use only if clearly justified in pregnant women approaching or at term
  • Unknown excretion in human milk
  • Consideration of discontinuing nursing or drug based on importance to mother

Precautions & Warnings

  • Impaired hepatic and renal functions leading to drug accumulation
  • Inactivation possibility of topical proteolytic enzymes
  • Monitoring of serum sulfa concentrations in extensive burn wounds
  • Careful monitoring of renal function and urine for sulfa crystals

Therapeutic Class

  • Topical Antibiotic preparations

Storage Conditions

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

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