Country: মাল্যাশিয়া
ভাষা: ইংরেজি
সূত্র: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
SULPHAMETHOXAZOLE; TRIMETHOPRIM
HOVID BERHAD
SULPHAMETHOXAZOLE; TRIMETHOPRIM
60 ml; 100 ml; 3.6 L
HOVID BERHAD
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ SUPRIM SUSPENSION Sulphamethoxazole, Trimethoprim 1 WHAT IS IN THIS LEAFLET 1. What Suprim suspension is used for 2. How Suprim suspension works 3. Before you use Suprim suspension 4. How to use Suprim suspension 5. While you are using Suprim suspension 6. Side effects 7. Storage and Disposal of Suprim suspension 8. Product description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT SUPRIM SUSPENSION IS USED FOR Suprim suspension is a type of antibacterial medicine, which works by killing bacteria. It is used for treatment of: • Urinary tract infections caused by E. coli, Klebsiella, Enterobacter, P. mirabilis, P. vulgaris and Morganella morganii. • Acute otitis media in children caused by H. influenzae and Streptococcus pneumoniae. • Acute exacerbations of chronic bronchitis in adults caused by H. influenzae and Streptococcus pneumoniae. • Enteritis caused by Shigella flexneri and S. sonnei. • Pneumonitis caused by Pneumocystis carinii. HOW SUPRIM SUSPENSION WORKS Sulphamethoxazole and trimethoprim, both broad-spectrum bacteriostatic anti- infectives, inhibit the bacterial enzymes, dihydropteroate synthetase and dihydrofolic acid reductase respectively. Their synergistic effect is attributed to the inhibition of tetrahydrofolic acid production, a cofactor for the synthesis of purines, thymidine and DNA, at two sequential steps in the folic acid biosynthesis. Sulphamethoxazole and trimethoprim, both undergo hepatic metabolism and renal excretion. BEFORE YOU USE SUPRIM SUSPENSION _- When you must not use it _ _ _ Do not take this medicine if: • you are known to be hypersensitive to sulphonamides, frusemide, sulfones, thiazide diuretics, sulfonylureas or carbonic anhydrase inhibitors. • you are a patient with megaloblastic anaemia. • you are a patient with glucose-6- phosphate dehydrogenase (G6PD) deficiency, porphyria, renal and hepatic function impairment. Do not take this medicine after the expiry date printed on the pac সম্পূর্ণ নথি পড়ুন
DESCRIPTION White, viscous suspension with raspberry flavour. COMPOSITION Sulphamethoxazole 200 mg and trimethoprim 40 mg/5 ml suspension. PHARMACODYNAMICS AND PHARMACOKINETICS Sulphamethoxazole and trimethoprim, both broad-spectrum bacteriostatic anti-infectives, inhibit the bacterial enzymes, dihydropteroate synthetase and dihydrofolic acid reductase respectively. Their synergistic effect is attributed to the inhibition of tetrahydrofolic acid production, a cofactor for the synthesis of purines, thymidine and DNA, at two sequential steps in the folic acid biosynthesis. Sulphamethoxazole and trimethoprim, both undergo hepatic metabolism and renal excretion. INDICATIONS For treatment of : • Urinary tract infections caused by _E. _ _coli, _ _Klebsiella, _ _Enterobacter, _ _P. _ _mirabilis, _ _P. _ _vulgaris_ and _Morganella _ _morganii._ • Acute otitis media in children caused by _H. influenzae_ and _Streptococcus pneumoniae._ • Acute exacerbations of chronic bronchitis in adults caused by _H. influenzae_ and _Streptococcus pneumoniae_. • Enteritis caused by _Shigella flexneri_ and _S. sonnei._ • Pneumonitis caused by _Pneumocystis carinii._ CONTRAINDICATIONS • Avoid in patients known to be hypersensitive to sulphonamides, frusemide, sulfones, thiazide diuretics, sulfonylureas or carbonic anhydrase inhibitors. • Not recommended in patients with megaloblastic anaemia. • Not recommended during pregnancy and lactation. PRECAUTIONS • Caution in patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency, porphyria, renal and hepatic function impairment and in nursing mothers. • All patients receiving prolonged treatment should be given regular blood examinations. • Adequate fluid intake will help to prevent risk of crystalluria. • There is an increased risk of adverse reactions in elderly patients in particular blood disorders and adverse renal/hepatic reactions. WARNING RESPIRATORY TOXICITY Very rare, severe cases of respiratory toxicity, sometimes progressing to Acute Respiratory Distre সম্পূর্ণ নথি পড়ুন