Open 250 mg (Tablet)

Unit Price: ৳ 2.80 (10 x 10: ৳ 280.00)
Strip Price: ৳ 28.00

Medicine Details

Indications

  • Treatment of bacterial infections in ear, nose, and throat regions
  • Treatment of lower respiratory tract infections
  • Treatment of infections due to beta-hemolytic streptococci
  • Treatment of skin infections
  • Prophylaxis of scarlet fever
  • Prevention of recurrences of rheumatic fever
  • Prophylaxis of infection after dental and oral surgical procedures
  • Combination with other appropriate antibiotics may be indicated

Pharmacology

  • Absorption from upper part of small intestine
  • Best absorbed form is potassium salt
  • Convenient for treating Gram-positive infections
  • Advantage over penicillin G in resistance to gastric acid inactivation

Dosage

  • Dosage determined by sensitivity of causative micro-organism and infection severity
  • Adult dosage: 250-500 mg 6 hourly
  • Children dosage: 125-250 mg 6 hourly
  • Infants dosage: 62.5-125 mg 6 hourly

Administration

  • Best taken on an empty stomach
  • Tablets swallowed without chewing, with liquid
  • Syrup shaken vigorously before each use

Interaction

  • Reduced absorption rate with concurrent food intake
  • Potential drug interactions with methotrexate, bacteriostatic antibiotics
  • Inhibition of renal excretion with concurrent probenecid use
  • Possible interference with oral contraceptives effectiveness

Contraindications

  • Hypersensitivity to penicillins or excipients
  • Severe gastrointestinal disorders with vomiting and diarrhea

Side Effects

  • Hypersensitivity reactions involving the skin
  • Serious allergic reactions like drug fever, vasculitis
  • Anaphylactic or anaphylactoid reactions
  • Skin rashes, mucous membrane inflammation, dryness of the mouth
  • Gastrointestinal disturbances, diarrhoea, enterocolitis
  • Reduction in blood cell counts, myelosuppression
  • Drug-induced aseptic meningitis, encephalopathy risk

Pregnancy & Lactation

  • Crosses the placenta, can be used during pregnancy
  • Passes into breast milk in small amounts, may be used during lactation

Precautions & Warnings

  • Consider cross-allergy with cephalosporins
  • Consider potassium content in patients with heart diseases or electrolyte disturbances
  • Check patient's condition at regular intervals
  • Consider sugar content in patients with diabetes

Overdose Effects

  • Low toxicity, broad therapeutic range
  • Risk of encephalopathy in case of overdose or renal impairment

Therapeutic Class

  • Benzylpenicillin & Phenoxymethyl penicillin

Storage Conditions

  • Store in a cool and dry place
  • Protect from light

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