Silverax 1% (Cream)

25 gm tube: ৳ 60.00

Medicine Details

Indications

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

Pharmacology

  • Mechanism of antibacterial action
  • Structural changes in bacterial cell membrane
  • Weakening of cell wall membrane
  • Reduction in viability of sensitive strains
  • Binding of silver moiety to bacterial cells
  • Inhibition of bacterial cell proliferation
  • Sulfadiazine moiety providing bacteriostatic action
  • Absorption and excretion in adults
  • Urinary sulfadiazine concentration in children with burns

Dosage & Administration

  • Cleansing of burn wounds
  • Application of Silver Sulfadiazine
  • Frequency of application
  • Thickness of application
  • Reapplication as necessary
  • Use of dressings if required
  • Continuation of treatment until healing
  • Withdrawal in case of adverse reactions

Interaction

  • Inactivation of enzymatic debriding agents
  • Potentiation of oral hypoglycemic agents and phenytoin
  • Recommendation for monitoring blood levels
  • Increased risk of leukopenia with co-administration of Cimetidine

Contraindications

  • Hypersensitivity to Silver Sulfadiazine or other ingredients
  • Use on pregnant women approaching or at term
  • Use on premature or newborn infants in 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
  • Use during pregnancy justified with caution
  • Unknown excretion in human milk
  • Consideration of drug importance versus nursing

Precautions & Warnings

  • Monitoring of hepatic and renal functions
  • Accumulation with decreased drug elimination
  • Inactivation of topical proteolytic enzymes
  • Monitoring serum sulfa concentrations
  • Renal function and urine monitoring

Therapeutic Class

  • Topical Antibiotic preparations

Storage Conditions

  • Temperature and light considerations
  • Protection from moisture
  • Keep out of reach of children

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