Erosa 250 mg (Tablet)

Unit Price: ৳ 4.52 (10 x 10: ৳ 452.00)
Strip Price: ৳ 45.20

Medicine Details

Indications

  • Upper respiratory tract infections: Tonsillitis, Peritonsillar abscess, Pharyngitis, Laryngitis, Sinusitis
  • Lower respiratory tract infections: Tracheitis, Acute and chronic bronchitis
  • Ear infections: Otitis media, Otitis externa, Mastoiditis
  • Eye infections: Blepharitis, Established trachoma
  • Skin and soft tissue infections: Boils and carbuncles, Impetigo, Abscesses, Pustular acne, Paronychia, Cellulitis, Erysipelas
  • Gastrointestinal tract infections: Cholecystitis, Staphylococcal enterocolitis
  • Prophylaxis: Pre and post-operative, Trauma, Burns, Rheumatic fever
  • Other infections: Osteomyelitis, Diphtheria, Scarlet fever, Whooping cough

Description

  • Belongs to the macrolides group of antibiotics
  • Exerts a bacteriostatic or bactericidal action based on specific interference with ribosomal protein synthesis within the bacterial cell
  • Used for the treatment of infections caused by penicillinase producing staphylococci
  • Particularly susceptible to Gram (+)ve : Cocci and bacilli, Gram (-)ve : Neisseria catarhalis, N.meningitis, N.gonorrhoea, Haemophilus influenzae, Brodetella, H. pertussis, Mycoplasma pneumoniae, Legionella pneumophila, Bacteroides fragilis, B.oralis, B.melaninogenicus, Fusobacterium, Chlamydia trachomatis, Treponema pallidum

Pharmacology

  • Inhibits microsomal protein synthesis in susceptible organisms by inhibiting the translocation process
  • Active against many Gram-positive bacteria, some Gram-negative bacteria, mycoplasmas, and chlamydia
  • Destroyed by acid and administered in the form of stable ester
  • Widely distributed throughout body tissue and fluids with some retention in the liver and spleen
  • Enters the cerebrospinal fluid when the meninges are inflamed, crosses the placenta, and excreted in the milk

Dosage & Administration

  • Adult and Children over 8 years: 250-500 mg every six hours for mild to moderate infections, may be increased up to 4 gm. or more daily in severe cases
  • Elderly: No special dosage recommendation, may be administered three times daily or twice daily by giving one-third or half of the total daily requirement 8 hourly or 12 hourly respectively
  • Children aged 2 to 8 years: 250 mg every six hours or 30-50 mg/kg body weight per day divided into four equal dosage
  • Infants and Children up to 2 years: 500 mg in divided doses or 30-50 mg/kg body weight in divided doses

Interaction

  • Use in patients receiving high dosage of theophylline may be associated with an increase of serum theophylline levels and potential theophylline toxicity
  • In such cases, the dose of theophylline should be reduced

Contraindications

  • Known hypersensitivity to Erythromycin

Side Effects

  • Allergic reactions are rare and mild, although anaphylaxis has occurred
  • Occasional abdominal discomfort after oral administration, sometimes with nausea and vomiting

Pregnancy & Lactation

  • No evidence in human of teratogenicity or toxicity in clinical and laboratory studies
  • Caution should be exercised when prescribing this drug to pregnant patients and lactating mothers since erythromycin crosses the placental barrier and is excreted in breast milk

Precautions & Warnings

  • Should be given with care in patients with impaired hepatic function, as it is excreted principally in the bile

Overdose Effects

  • Erythromycin should be discontinued
  • Overdosage should be handled with the prompt elimination of unabsorbed drug and all other appropriate measures should be instituted
  • Not removed by peritoneal dialysis or hemodialysis

Therapeutic Class

  • Anti-diarrheal antimicrobial drugs
  • Macrolides

Reconstitution

  • Direction for reconstitution of suspension: Add 60 ml or 100 ml of boiled and cooled water to the dry powder of the bottle, shake well after each addition until all the powder is in suspension
  • The reconstituted suspension should be stored in a cool and dry place, preferably in the refrigerator and the unused portion should be discarded after 7 days

Storage Conditions

  • Keep below 25°C temperature, away from light and moisture, keep out of the reach of children

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