Acmecilin 250 mg (Capsule)

Unit Price: ৳ 3.34 (10 x 10: ৳ 334.00)
Strip Price: ৳ 33.40

Medicine Details

Indications

  • Treatment of infections of the genitourinary tract including gonorrhea
  • Infections of the respiratory tract
  • Meningitis
  • Bacteriology studies to determine causative organisms
  • Results of susceptibility testing
  • Therapy institution prior to susceptibility testing results

Pharmacology

  • Inhibition of bacterial cell wall synthesis
  • Binding to penicillin-binding proteins
  • Inhibition of the final transpeptidation step of peptidoglycan synthesis
  • Lysis of bacteria
  • Activity of cell wall autolytic enzymes

Dosage

  • Dosage for intra-articular administration
  • Dosage for intraperitoneal administration
  • Dosage for intrapleural administration
  • Dosage for intravenous administration in meningitis
  • Dosage for intrapartum prophylaxis
  • Dosage for oral administration in various infections
  • Dosage for parenteral administration in susceptible infections
  • Dosage for septicaemia

Administration

  • Take on an empty stomach
  • Take 1 hour before or 2 hours after meals

Interaction

  • Reduction of oral contraceptives efficacy
  • Alteration of INR during warfarin and phenindione use
  • Reduction of oral typhoid vaccines efficacy
  • Reduced excretion with probenecid and sulfinpyrazone
  • Increased risk of toxicity with reduced excretion
  • Allopurinol's effect on ampicillin-induced skin reactions
  • Reduced absorption with chloroquine
  • Interference with bactericidal action by bacteriostatic antibacterials

Contraindications

  • Hypersensitivity to ampicillin and other penicillins

Side Effects

  • Nausea
  • Vomiting
  • Diarrhoea
  • Rashes
  • Sore mouth
  • Rash
  • Fever
  • Joint pains
  • Haemolytic anaemia
  • Thrombocytopenia
  • Leucopenia
  • Neutropenia
  • CNS toxicity
  • Paraesthesia
  • Nephropathy
  • Interstitial nephritis
  • Hepatitis
  • Cholestatic jaundice
  • Increased transaminases
  • Anaphylaxis

Pregnancy & Lactation

  • Pregnancy category B
  • Animal-reproduction studies
  • Adverse effects in animal-reproduction studies
  • Decrease in fertility

Precautions & Warnings

  • Beta-lactam allergy history
  • Renal impairment precautions during pregnancy and lactation

Use in Special Populations

  • Renal impairment - CrCl<10: Dose reduction or increase in dose interval

Overdose Effects

  • Symptoms of overdose - nausea, vomiting, diarrhea
  • Management of overdose - symptomatic and supportive treatment, potential use of haemodialysis

Reconstitution

  • Reconstitution for intramuscular administration
  • Reconstitution for intravenous administration
  • Reconstitution for intra-articular administration
  • Reconstitution for intraperitoneal administration
  • Reconstitution for intrapleural administration

Storage Conditions

  • Storage temperature between 20-25°C
  • Reconstituted oral suspension storage temperature between 2-8°C, discard after 14 days

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