Maclar 125 mg/5 ml (Powder for Suspension)

60 ml bottle: ৳ 395.00

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, Chlamydia, some Gram-negative bacteria, and Mycoplasmas
  • More acid-stable than Erythromycin
  • Twice the activity of Erythromycin against H. influenzae

Dosage & Administration

  • Varied dosages for different conditions in adults
  • Combination dosing regimens for H. pylori infection
  • Recommended daily dosage for children
  • Administration guidelines for renal and hepatic impairment

Interaction

  • Contraindicated with specific medications, e.g., HMG-CoA reductase inhibitors, gastroprokinetic agents, ergot alkaloids, antipsychotics, anti-gout agents, and certain antiarrhythmics

Contraindications

  • Hypersensitivity to clarithromycin or any macrolide antibacterial drugs
  • 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

  • Safe use in neonates and children
  • Caution in breastfeeding mothers
  • Not recommended during pregnancy

Precautions & Warnings

  • Discontinue if severe acute hypersensitivity reactions occur
  • Avoid in patients with known QT prolongation or receiving drugs known to prolong the QT interval
  • Discontinuation if signs and symptoms of hepatitis occur
  • Increased risk of all-cause mortality in patients with coronary artery disease
  • Evaluation for Clostridium difficile associated diarrhea if diarrhea occurs

Use in Special Populations

  • Established safety and effectiveness in pediatric patients for various conditions
  • Caution in pediatric patients under 6 months of age

Overdose Effects

  • Gastrointestinal symptoms expected with large amounts
  • Adverse reactions treatment recommendations

Therapeutic Class

  • Macrolides

Storage Conditions

  • Store in a cool and dry place, protected from light & moisture
  • Reconstituted suspension must be used within specific timeframes
  • Keep out of reach of children

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