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Techno Drugs Ltd.

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Techno Drugs Ltd.
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Maclar 250mg

Size: 6 Price: 180.00
Tablet Tablet
Clarithromycin
Macrolides
0.00 (0)





Generic for Diseases
  • Pneumonia

Generic Indications
  • Acne
  • Acute Exacerbations of Chronic bronchitis
  • Acute bacterial sinusitis
  • Acute otitis media
  • Atypical pneumonia
  • Bacteraemic pneumonia
  • Bacterial infections
  • Bronchiectasis
  • Bronchitis
  • Bronchopneumonia
  • Cat scratch disease
  • Cellulitis
  • Community-acquired pneumonia
  • Gram-positive infection
  • Group A Strep. infections
  • Leprosy
  • Lyme disease
  • Mastitis
  • Middle ear infections (otitis media)
  • Mycoplasma pneumonia
  • Peptic ulcer disease
  • Pharyngitis
  • Pharyngitis and Tonsillitis
  • Pneumonia
  • Respiratory tract infections
  • Rosacea
  • Sinusitis
  • Skin and soft tissue infections
  • Streptococcal pharyngitis/tonsillitis
  • Tonsillitis
  • Upper and lower respiratory tract infections

Generic Description

Clarithromycin acts by inhibiting microsomal protein synthesis in susceptible organisms mainly by binding to the donor site on the 50S subunit of the bacterial ribosome and preventing translocation to that site. Clarithromycin is active against most Gram-positive bacteria and Chlamydia, some Gram-negative bacteria and Mycoplasmas. Clarithromycin's activity is the same as, or greater than, that of Erythromycin in vitro against most Gram-positive bacteria. Clarithromycin is more acid-stable than Erythromycin and therefore, is better tolerated. Clarithromycin has twice the activity of Erythromycin against H. influenzae. Most species of Gram-negative bacteria are resistant to Clarithromycin because of failure to penetrate the target.


Component

Drug Indication

Clarithromycin is indicated in-

  • Streptococcal pharyngitis
  • Sinusitis
  • Infective exacerbations of chronic bronchitis
  • Community-acquired pneumonia
  • Atypical pneumonia
  • Skin and soft tissue infection
  • Adjunct in the treatment of duodenal ulcers by eradication of H.pylori.

Dosage Administration

Adults:

  • Pharyngitis / Tonsillitis 250 mg every 12 hours for 10 days.
  • Acute maxillary sinusitis 500 mg every 12 hours for 14 days.
  • Chronic bronchitis 250-500 mg every 12 hours for 7-14 days.
  • Pneumonia 250 mg every 12 hours for 7-14 days.
  • Uncomplicated skin & skin structure infections 250 mg every 12 hours for 7-14 days.
  • Community-acquired upper and lower respiratory tract infections 250-500 mg every 12 hours for 5-14 days.

Children:

  • Bodyweight under 8 kg: 7.5 mg/kg twice daily.
  • Bodyweight of 8-11 kg (1-2 years): 2.5 ml (Half teaspoonful) twice daily.
  • Bodyweight of 12-19 kg (3-6 years): 5 ml (One teaspoonful) twice daily.
  • Bodyweight of 20-29 kg (7-9 years): 7.5 ml (One & half teaspoonfuls) twice daily.
  • Bodyweight of 30-40 kg (10-12 years): 10 ml (Two teaspoonfuls) twice daily.

Administration

Clarithromycin may be given with or without meals.


Contraindication

Hypersensitivity to Clarithromycin, Erythromycin, or any of the macrolide antibiotics. Patients receiving Terfenadine who have pre-existing cardiac abnormalities or electrolyte disturbances.


Side Effect

Clarithromycin is generally well tolerated. Side effects include nausea, vomiting, diarrhoea and abdominal pain. Stomatitis and glossitis have also been reported. Other side effects include headache, allergic reactions ranging from urticaria and mild skin reactions to anaphylaxis. Taste perversion may occur. There have been reports of transient central nervous system side effects including anxiety, dizziness, insomnia and hallucination.


Precaution Warning

Clarithromycin is principally excreted by the liver and kidney. Caution should be taken in administering this antibiotic to patients with impaired hepatic and renal function. Prolonged or repeated use of Clarithromycin may result in an overgrowth of non-susceptible bacteria or fungi. If superinfection occurs, Clarithromycin should be discontinued and appropriate therapy should be instituted.

Pregnancy & Lactation

The drug may be used in neonates and children in appropriate doses. Breast milk from mothers receiving Clarithromycin should not be given to infants until treatment is completed. There is as yet little experience in the treatment of pregnant patients and Clarithromycin is not recommended.





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