Azimete 200 mg/5 ml (Powder for Suspension)

15 ml bottle: ৳ 85.00

Medicine Details

Title and Categories

  • Azimete 200 mg/5 ml Suspension
  • Antibiotic
  • Macrolide Antibiotic

Indications

  • Lower respiratory tract infections
  • Upper respiratory tract infections
  • Sinusitis
  • Pharyngitis
  • Tonsillitis
  • Otitis media
  • Skin infections
  • Soft tissue infections
  • Non-gonococcal urethritis
  • Cervicitis

Pharmacology

  • Orally absorbed
  • Greater absorption on empty stomach
  • Time to peak concentration: 2.1 to 3.2 hours
  • High concentration in phagocytes
  • Active transport to site of infection
  • Release of high concentrations in active phagocytosis
  • High tissue concentration
  • Half-life allows large single dose administration
  • Bacteriostatic levels maintained for several days
  • Plasma clearance: 630 mL/min
  • Terminal elimination half-life: 68 hours
  • Biliary excretion
  • 6% unchanged drug in urine
  • Binds to 50S ribosomal subunit
  • Interferes with microbial protein synthesis
  • Active against various microorganisms

Dosage

  • Adult oral dose: 500 mg once daily for 3 days
  • Pediatric oral dose: Varies with body weight and indication
  • Azithromycin injection for IV infusion in adults
  • Dose for community-acquired pneumonia & pelvic inflammatory disease

Administration

  • Reconstitution procedure for suspension
  • Timing of administration with respect to meals

Interaction

  • Interaction with antacids
  • Carbamazepine pharmacokinetic interaction
  • Cyclosporin metabolism interference
  • Digoxin metabolism impairment
  • Ergot derivatives co-administration contraindicated
  • Methylprednisolone pharmacokinetic interaction
  • Theophylline co-administration
  • Warfarin pharmacodynamic interaction
  • Terfenadine pharmacokinetics

Contraindications

  • Hypersensitivity to Azithromycin or macrolide antibiotic
  • Co-administration with ergot derivatives
  • Hepatic diseases

Side Effects

  • Mild to moderate gastrointestinal side-effects
  • Allergic reactions
  • Hypersensitivity reactions
  • Reversible liver transaminase elevations
  • Rare cases of serious hypersensitivity reactions
  • Cholestatic jaundice
  • Mild reductions in neutrophil counts
  • Reversible hearing impairment with higher doses

Pregnancy & Lactation

  • Pregnancy Category B
  • No evidence of harm to the fetus (animal studies)
  • Caution during pregnancy
  • Unknown secretion in breast milk
  • Caution during lactation

Precautions & Warnings

  • Rare serious allergic reactions reported
  • Caution with angioneurotic oedema and anaphylaxis

Use in Special Populations

  • No dose adjustment in mild renal impairment
  • Caution in severe renal impairment
  • Not to be used in hepatic impairment
  • No effect on driving or machinery operation

Overdose Effects

  • Typical symptoms of macrolide antibiotic overdosage
  • General supportive measures indicated

Storage Conditions

  • Dry place away from light and heat
  • Keep out of reach of children

Chemical Structure

  • Molecular Formula: C38H72N2O12
  • Chemical Structure Image

Common Questions

  • Description of syrup
  • Uses of syrup
  • Side effects of syrup
  • Storage and disposal instructions
  • Potential diarrhea as a side effect
  • Safety of syrup
  • Classification as antibiotic
  • Monitoring symptoms and treatment completion instructions

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