Ramicol 125 mg/5 ml (Oral Suspension)

60 ml bottle: ৳ 23.00

Medicine Details

Therapeutic Class

  • Macrolides

Indications

  • Treatment of serious infections caused by susceptible organisms

Pharmacology

  • Exerts bacteriostatic effect on a wide range of bacteria
  • Active against rickettsiae, Vibrio cholerae, Salmonella typhi, and Haemophilus influenzae
  • Mode of action through interference or inhibition of protein synthesis
  • Rapid absorption from GI tract
  • Excretion in urine and bile
  • Distribution in various body tissues

Dosage & Administration

  • Prescribed at recommended doses
  • Close observation for adverse reactions
  • Adult dosage: 50 mg/kg/day divided into 4 doses
  • Pediatric dosage: 50 mg/kg/day divided at 6 hour intervals
  • Dosage adjustment for hepatic or renal impairment
  • Newborn infant dosage: 25 mg/kg/day in 4 equal doses

Interaction

  • Retards biotransformation of certain drugs
  • Caution with concomitant use of certain antibiotics
  • Competitive inhibition with erythromycin, lincomycin, and clindamycin
  • Rifampin reduces Ramicol concentrations

Contraindications

  • Hypersensitivity or toxic reaction to the product or its components
  • Not indicated for trivial infections or viral influenza

Precautions & Warnings

  • Closely monitor hematologic functions during treatment
  • Cannot rely on hematologic determinations to detect bone marrow depression

Overdose Effects

  • Levels exceeding 25 mcg/ml are considered toxic
  • Toxicity evidenced by hemopoietic effects, increasing serum iron levels, nausea, vomiting, and diarrhea
  • Charcoal hemoperfusion may be effective for removal from plasma
  • Questionable value of exchange transfusion following massive overdosage, especially in neonates and infants

Storage Conditions

  • Store in a cool dry place
  • Keep bottle securely closed
  • Protect from light

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