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Dosage form: & nbspear drops
Composition:

Per 100 ml:

active ingredients: dexamethasone sodium metasulfobenzoate 0.100 g, neomycin sulfate 1 g, corresponding to 650,000 units, polymyxin B sulfate 1 000 000 units;

Excipients: thiomersal 0,003 g, citric acid monohydrate 0.282 g, 1 M sodium hydroxide solution 2.5 mL, macrogol 400 10 g Polysorbate 80 2 g, Water to 100 ml.

Description:Transparent liquid of light yellow color, foaming with stirring.
Pharmacotherapeutic group:glucocorticosteroid for topical use + antibiotics (aminoglycoside and cyclic polypeptide)
ATX: & nbsp
  • Dexamethasone in combination with antimicrobials
  • Pharmacodynamics:

    Combination drug for topical application in otolaryngology. The therapeutic effect of the drug due Polydex inflammatory effects of dexamethasone and antibacterial antibiotics neomycin and polymyxin B. In a combination of said antibiotic is expanded spectrum of antibacterial action for most Gram-positive and Gram-negative microorganisms causing infectious and inflammatory diseases of the outer and middle ear.

    Neomycin active with respect to Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, Haemophilus influenzae.

    Polymyxin B is active against gram-negative bacteria: Escherichia coli, Klebsiella pneumoniae, Haemophilus influenzae, Pseudomonas aeruginosa.

    To the action of these antibiotics are stable Streptococcus spp. (in t.h. Streptococcus pneumoniae).

    Indications:

    External otitis without damage to the tympanic membrane; infected eczema of the external auditory canal.

    Contraindications:

    Hypersensitivity, viral and fungal infections of the ears, infectious or traumatic injuries (perforation) of the tympanic membrane.

    Pregnancy and the period of breastfeeding.

    Pregnancy and lactation:

    Contraindicated for use during pregnancy and breastfeeding.

    Dosing and Administration:

    Adults: Bury 1-5 drops in each ear 2 times a day for 6-10 days.

    For children: Bury 1-2 drops in each ear 2 times a day for 6-10 days. Duration of treatment - should not exceed 7-10 days.

    Side effects:

    Local allergic reactions are possible.

    In violation of the integrity of the tympanic membrane - the risk of toxic effects on the auditory and vestibular apparatus.

    In case of unusual reactions, consult a doctor about the advisability of further use of the drug.

    Overdose:Due to the low degree of absorption in the systemic blood flow, an overdose is unlikely.
    Interaction:

    Incompatible with monomycin, streptomycin, gentamicin, amikacin,Netilmicin (increased ototoxic effect).

    Clinically significant drug interactions with other drugs have not been identified.

    Special instructions:

    Before using ear drops, it is recommended to warm the bottle holding it in your hand, in order to avoid the unpleasant sensations associated with the ingress of cold liquid into the ear.

    After instillation of the drug in one ear, you should tilt your head in the opposite direction for several minutes, and then drip into the other ear.

    Do not inject under pressure.

    The simultaneous use of other aminoglycosides is not allowed.

    With topical application of neomycin or polymyxin In the development of an allergic reaction, it may be impossible to systemically administer other antibiotics close in structure to neomycin and polymyxin B.

    When allergic to neomycin possible cross-allergy antibiotics - aminoglycosides.
    Effect on the ability to drive transp. cf. and fur:

    There is no evidence of a negative effect of the drug on the ability to drive and other vehicles.

    Form release / dosage:Ear drops.
    Packaging:

    To 10.5 ml in a bottle of dark glass with a rubber stopper and crimped with an aluminum lid.

    Each bottle, along with a pipette and instructions for use, is placed in a cardboard box.

    Storage conditions:

    Store at a temperature not higher than 25 ° C, out of the reach of children.

    Shelf life:

    3 years.

    Do not use after the expiration date printed on the package.

    Terms of leave from pharmacies:On prescription
    Registration number:П N015455 / 01
    Date of registration:15.12.2008 / 30.03.2015
    The owner of the registration certificate:Bouchard-Recordati LaboratoriesBouchard-Recordati Laboratories France
    Manufacturer: & nbsp
    Representation: & nbspRUSFIK LLC RUSFIK LLC Russia
    Information update date: & nbsp07.01.2016
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