Methebac 1 gm (Tablet)

Unit Price: ৳ 25.00 (3 x 10: ৳ 750.00)
Strip Price: ৳ 250.00

Medicine Details

Indications

  • Prophylactic treatment of urinary tract infections
  • Suppressive treatment of urinary tract infections
  • Long-term therapy for recurrent urinary tract infections
  • Use after eradication of infection by other antimicrobial agents
  • Treatment of infections caused by susceptible bacteria
  • Consideration of culture and susceptibility information in therapy selection

Pharmacology

  • Methenamine component hydrolyzes to formaldehyde in acid urine
  • Hippuric acid keeps urine acid
  • Active against E. coli, enterococci, and staphylococci
  • Resistant to Enterobacter aerogenes
  • Requirement of sufficiently acid urine to inhibit urea-splitting organisms

Dosage & Administration

  • 1 tablet twice daily for adults and pediatric patients over 12 years
  • 1/2 to 1 tablet twice daily for pediatric patients 6 to 12 years
  • Greater antibacterial activity in acid urine
  • Monitoring efficacy through repeated urine cultures

Contraindications

  • Contraindicated in patients with renal insufficiency
  • Contraindicated in patients with severe hepatic insufficiency
  • Contraindicated in patients with severe dehydration
  • Not recommended for patients taking sulfonamides

Pregnancy & Lactation

  • Safe use not established in early pregnancy
  • Safety suggested but not definitely proved in the last trimester
  • No adverse effects on fetus in pregnant rats and rabbits
  • Interference with laboratory tests of urine estriol
  • Enzymatic hydrolysis recommended to circumvent interference

Precautions & Warnings

  • Prescription only for proven or strongly suspected bacterial infections
  • Maintenance of acid urine pH in treating infections due to urea-splitting organisms
  • Recommendation for periodic liver function studies during treatment

Use in Special Populations

  • Clinical studies did not include sufficient subjects aged 65 and over
  • No identified differences in responses between elderly and younger patients
  • Cautious dose selection for elderly patients
  • Contraindicated in patients with renal or severe hepatic insufficiency

Therapeutic Class

  • Belongs to genito-urinary preparations

Storage Conditions

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

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