Clarimax 500 mg (Tablet)

Unit Price: ৳ 40.00 (1 x 7: ৳ 280.00)
Strip Price: ৳ 280.00

Medicine Details

Indications

  • Acute bacterial exacerbation of chronic bronchitis in adults
  • Acute maxillary sinusitis
  • Community-acquired pneumonia
  • Pharyngitis or tonsillitis
  • Uncomplicated skin and skin structure infections
  • Acute otitis media in pediatric patients
  • Treatment and prophylaxis of disseminated mycobacterial infections
  • Helicobacter pylori infection and duodenal ulcer disease in adults

Pharmacology

  • Inhibits microsomal protein synthesis in susceptible organisms
  • Binds to the donor site on the 50S subunit of the bacterial ribosome
  • Active against most Gram-positive bacteria and Chlamydia
  • More acid-stable than Erythromycin
  • Twice the activity of Erythromycin against H. influenzae

Dosage & Administration

  • Dosage varies for different conditions and age groups
  • Adult dosage for different bacterial infections
  • Combination dosing regimens for H. pylori infection
  • Recommended daily dosage for children
  • Information on dosage adjustment for renal and hepatic impairment

Interaction

  • Contraindications with specific medications
  • Drug interactions with HMG-CoA reductase inhibitors, gastroprokinetic agents, ergot alkaloids, antipsychotics, anti-gout agents, and antiarrhythmics

Contraindications

  • Contraindicated in patients with known hypersensitivity to clarithromycin or macrolide antibacterial drugs
  • Contraindicated in patients with history of cholestatic jaundice or hepatic dysfunction associated with prior use of clarithromycin

Side Effects

  • Nausea, vomiting, diarrhoea, and abdominal pain
  • Stomatitis and glossitis
  • Headache and allergic reactions
  • Reports of transient central nervous system side effects

Pregnancy & Lactation

  • Appropriate use in neonates and children
  • Precautions for breastfeeding mothers receiving Clarithromycin
  • Not recommended for pregnant patients

Precautions & Warnings

  • Discontinuation in case of severe acute hypersensitivity reactions
  • Avoidance in patients with known QT prolongation or receiving drugs known to prolong the QT interval
  • Consideration of the risk of all-cause mortality in patients with coronary artery disease
  • Evaluation for Clostridium difficile associated diarrhea if diarrhea occurs

Use in Special Populations

  • Safety and effectiveness in pediatric patients for various conditions
  • No established safety and effectiveness for MAC patients under the age of 20 months

Overdose Effects

  • Gastro-intestinal symptoms with large amounts
  • Reported case of altered mental status, paranoid behavior, hypokalemia, and hypoxemia with 8 grams ingestion
  • Treatment of adverse reactions accompanying overdosage

Therapeutic Class

  • Macrolides

Storage Conditions

  • Storage in cool and dry place, protected from light & moisture
  • Reconstituted suspension use within specified timeframes
  • Safety precaution: Keep out of reach of children

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