Clarin 250 mg (Tablet)

Unit Price: ৳ 25.00 (1 x 10: ৳ 250.00)
Strip Price: ৳ 250.00

Medicine Details

Category Details
Generic Clarithromycin
Company Drug international ltd
Also available as

Indications

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

Pharmacology

  • Inhibition of microsomal protein synthesis
  • Binding to the donor site on the 50S subunit
  • Prevention of translocation on the bacterial ribosome
  • Activity against most Gram-positive bacteria
  • Activity against Chlamydia and some Gram-negative bacteria
  • More acid-stable than Erythromycin
  • Twice the activity against H. influenzae compared to Erythromycin

Dosage & Administration

  • Dosage for acute bacterial exacerbation of chronic bronchitis in adults
  • Dosage for acute maxillary sinusitis in adults
  • Dosage for community-acquired pneumonia in adults
  • Dosage for pharyngitis or tonsillitis in adults
  • Dosage for uncomplicated skin and skin structure infections in adults
  • Dosage for Treatment and prophylaxis of disseminated Mycobacterium avium disease in adults
  • Dosage for H. pylori infection in adults
  • Dosage for pediatric patients
  • Dosage for renal and hepatic impairment

Interaction

  • Contraindication with HMG-CoA reductase inhibitors
  • Contraindication with gastroprokinetic agents
  • Contraindication with ergot alkaloids
  • Contraindication with antipsychotics
  • Contraindication with anti-gout agents
  • Not recommended with certain antiarrhythmics drugs

Contraindications

  • Known hypersensitivity to clarithromycin
  • History of cholestatic jaundice or hepatic dysfunction associated with prior use of clarithromycin

Side Effects

  • Nausea
  • Vomiting
  • Diarrhoea
  • Abdominal pain
  • Stomatitis
  • Glossitis
  • Headache
  • Allergic reactions
  • Taste perversion
  • Transient central nervous system side effects

Pregnancy & Lactation

  • Use in neonates and children in appropriate doses
  • Avoidance of breast milk from mothers receiving Clarithromycin
  • Not recommended for pregnant patients

Precautions & Warnings

  • Discontinuation if severe acute hypersensitivity reactions occur
  • Avoidance in patients with known QT prolongation
  • Avoidance with drugs known to prolong the QT interval
  • Avoidance in cases of ventricular arrhythmia, hypokalemia, hypomagnesemia, or significant bradycardia
  • Discontinuation if signs and symptoms of hepatitis occur
  • Balancing potential risk with treatment benefits in patients with coronary artery disease
  • Evaluation for Clostridium difficile associated diarrhea if diarrhea occurs
  • Exacerbation of myasthenia gravis reported

Use in Special Populations

  • Safety and effectiveness in pediatric patients 6 months and older
  • Safety and effectiveness in prevention of disseminated Mycobacterium avium complex (MAC) disease in pediatric patients 20 months and older
  • No safety study in MAC patients under 20 months
  • Safety and effectiveness not established in pediatric patients under 6 months

Overdose Effects

  • Gastro-intestinal symptoms from large amounts
  • Altered mental status
  • Paranoid behavior
  • Hypokalemia
  • Hypoxemia

Therapeutic Class

  • Macrolides

Storage Conditions

  • Storage in a cool and dry place
  • Protection from light & moisture
  • Reconstituted suspension must be used within 7 days at room temperature
  • Reconstituted suspension must be used within 14 days when refrigerated
  • Keep out of reach of children

Related Brands