Ampexin 500 mg/vial (Injection)

500 mg vial: ৳ 24.00 (1 x 4: ৳ 96.00)

Medicine Details

Category Details
Generic Ampicillin sodium
Company Opsonin pharma ltd
Also available as

Indications

  • Treatment of infections in genitourinary tract
  • Treatment of infections in respiratory tract
  • Treatment of infections in gastrointestinal tract
  • Treatment of meningitis
  • Bacteriology studies to determine causative organisms
  • Therapy prior to results of susceptibility testing

Pharmacology

  • Inhibition of bacterial cell wall synthesis
  • Binding to penicillin-binding proteins
  • Inhibition of transpeptidation step
  • Lysis of bacteria
  • Inactivation of cell wall autolytic enzymes

Dosage

  • Dosage for intra-articular use in adults
  • Dosage for intra-articular use in children
  • Dosage for intraperitoneal use in adults
  • Dosage for intraperitoneal use in children
  • Dosage for intrapleural use in adults
  • Dosage for intrapleural use in children
  • Dosage for intravenous use in adults for meningitis
  • Dosage for intravenous use in children for meningitis
  • Dosage for intrapartum prophylaxis in adults
  • Dosage for oral use in various infections
  • Dosage for typhoid and paratyphoid fever in adults
  • Dosage for uncomplicated gonorrhoea in adults
  • Dosage for urinary tract infections in adults
  • Dosage for parenteral use in adults
  • Dosage for parenteral use in children
  • Dosage for septicaemia in adults
  • Dosage for septicaemia in children

Administration

Should be taken on an empty stomach

Interaction

  • Reduction of efficacy of oral contraceptives
  • Alteration of INR while on warfarin and phenindione
  • Reduction of efficacy of oral typhoid vaccines
  • Reduced excretion with probenecid and sulfinpyrazone
  • Increased risk of toxicity with probenecid and sulfinpyrazone
  • Increased ampicillin-induced skin reactions with allopurinol
  • 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
  • Black/hairy tongue
  • Skin reactions
  • Systemic symptoms
  • Haematological disorders
  • Coagulation disorders
  • CNS toxicity
  • Renal disorders
  • Hepatic disorders
  • Anaphylaxis
  • Clostridium difficile-associated diarrhoea

Pregnancy & Lactation

Category B: No fetal risk demonstrated in animals

Precautions & Warnings

  • History of β-lactam allergy
  • Renal impairment
  • Pregnancy
  • Lactation

Use in Special Populations

Dose adjustment for renal impairment

Overdose Effects

  • Symptoms of nausea, vomiting, and diarrhoea
  • Symptomatic and supportive treatment
  • Potential removal by haemodialysis

Reconstitution

  • Intramuscular: Addition of water for injection to vial contents
  • Intravenous: Dissolution in water for injection or infusion fluids
  • Intra-articular: Dissolution in water for injection or sterile procaine HCl solution
  • Intraperitoneal: Dissolution in water for injection
  • Intrapleural: Dissolution in water for injection

Storage Conditions

Store between 20-25°C. Reconstituted oral suspension to be stored between 2-8°C and discarded after 14 days

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