Active substanceAmpicillinAmpicillin
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  • Dosage form: & nbsppills
    Composition:

    Ampicillin trihydrate (in terms of active substance) - 0.25 g.

    Excipients: starch, magnesium stearate, talc.

    Description:Tablets of white color, flat-cylindrical with a risk and a facet.
    Pharmacotherapeutic group:Antibiotic, penicillin semisynthetic
    ATX: & nbsp

    J.01.C.A   Penicillins of a wide spectrum of action

    J.01.C.A.01   Ampicillin

    Pharmacodynamics:

    Ampicillin trihydrate is active against gram-positive and most gram-negative (Escherichia coli, Friedlander and Pfeiffer sticks, Shigella, Salmonella, Proteus) microorganisms. The drug is destroyed by penicillinase and therefore does not affect the penicillinase-forming strains of microbes.

    Pharmacokinetics:

    Absorption after oral administration - fast, high, bioavailability - 40%; TCam for oral administration of 500 mg - 2 h, Cmah - 3-4 ng / ml. Connection with plasma proteins - 20%.

    Evenly distributed in the organs and tissues of the body,is found in therapeutic concentrations in pleural, peritoneal, amniotic and synovial fluids, cerebrospinal fluid, contents of blisters, urine (high concentrations), intestinal mucosa, bones, gall bladder, lungs, female genital tract, bile, bronchial secretion (in purulent bronchial secret accumulation is weak), paranasal sinuses, middle ear fluid, saliva, fetal tissues. Poor penetration through the BBB (permeability increases with inflammation).

    It is excreted mainly by the kidneys (70-80%), and in the urine very high concentrations of the unchanged antibiotic are created; partially with bile, in nursing mothers - with milk. Do not cumulate. Removed during hemodialysis.

    Indications:

    Ampicillin trihydrate is prescribed for pneumonia, bronchitis, bronchopneumonia, lung abscess, peritonitis, sepsis, angina; infections of ENT organs, urine and bile ducts (pyelitis, pyelonephritis, cholecystitis), gastrointestinal tract, including salmonella-carrying, soft tissue infections and other diseases caused by antibiotic-susceptible microorganisms. Effective in the treatment of gonorrhea.

    Contraindications:

    The use of ampicillin trihydrate is contraindicated in cases of hypersensitivity to penicillin and other beta-lactam antibiotics.

    Carefully:

    With bronchial asthma, hay fever and other allergic diseases and conditions, the drug is used with caution, if necessary, prescribe desensitizing agents.

    Pregnancy and lactation:

    It is possible to use ampicillin during pregnancy if the benefit to the mother exceeds the potential risk to the fetus. Ampicillin is excreted in breast milk in low concentrations. If you need to use ampicillin during lactation, you should decide whether to stop breastfeeding.

    Dosing and Administration:

    The dosage regimen is set individually, depending on the severity of the course and localization of the infection, the sensitivity of the pathogen to the drug.

    Ampicillin trihydrate is taken orally regardless of food intake. A single dose for adults is 0.25-0.5 g, daily - 1-3 grams. The drug is prescribed in children

    daily dose of 50-100 mg / kg body weight. Children with a body weight of up to 20 kg are prescribed 12.5-25 mg / kg. The daily dose is divided into 3-4 doses.

    Duration of therapy Ampicillin trihydrate is set individually, depending on the severity of the form of the disease and the effectiveness of treatment.

    Side effects:

    When applying Ampicillin trihydrate, allergic reactions are possible (anaphylactic shock, skin rashes, urticaria, Quincke's edema, pruritus, exfoliative dermatitis, erythema multiforme), dyspeptic disorders (nausea, vomiting, diarrhea), glossitis, stomatitis, pseudomembranous colitis, increased hepatic transaminase activity, anemia, leukopenia, thrombocytopenia, agranulocytosis. At the first signs of an allergy the drug is canceled and desensitizing therapy is carried out. Weakened patients with prolonged treatment may develop superinfection caused by drug-resistant microorganisms.

    Interaction:

    When combined with allopurinol increases the likelihood of skin rashes, the effect of oral contraceptives decreases, the effect of indirect anticoagulants and antibiotics of the aminoglycoside series increases.

    Special instructions:

    In the process of ampicillin treatment, systematic monitoring of the kidneys, liver and peripheral blood picture is necessary.Patients with impaired renal function require correction of the dosing regimen in accordance with the values ​​of creatinine clearance.

    When using high doses in patients with renal insufficiency, a toxic effect on the central nervous system is possible.

    With the use of ampicillin in patients with bacteremia (sepsis), a bacteriolysis reaction (the Yarisch-Gerxheimer reaction) is possible.

    Form release / dosage:Tablets of 0.25 g.
    Packaging:10 tablets per contour cell pack. For 2 and 1 contour packs along with the instruction is put in a pack of cardboard.
    Storage conditions:In a dry, dark place at a temperature of not more than 25 FROM. Keep out of the reach of children.
    Shelf life:

    2 years. Do not use the drug after the expiration date.

    Terms of leave from pharmacies:On prescription
    Registration number:P N002228 / 01-2003
    Date of registration:27.01.2009
    Expiration Date:Unlimited
    The owner of the registration certificate:BIOCHEMIST, OJSC BIOCHEMIST, OJSC Russia
    Manufacturer: & nbsp
    Information update date: & nbsp22.08.2017
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