Country: Malaysia
Language: English
Source: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
NETILMICIN SULPHATE
DUOPHARMA (M) SDN. BHD.
NETILMICIN SULPHATE
10 Ampoules
DUOPHARMA (M) SDN. BHD.
[DUOPHARMA (M) SDN BHD] Page 1 of 2 [REVISION DATE: 25.01.2022] LOTIFAR 150MG/2ML INJECTION DESCRIPTION: LOTIFAR 150 MG/2 ML INJECTION is a clear, colourless to pale yellow solution. COMPOSITION: Each ml contains Netilmicin 75 mg as Netilmicin Sulphate. Contains: Sodium Metabisulphite 0.24% and Sodium Sulphite 0.08% Preservatives: Methyl Paraben 0.18% and Propyl Paraben 0.02% PHARMACODYNAMICS: Netilmicin is an aminoglycoside antibiotic and has a bactericidal action against many Gram-negative aerobes and against some strains of staphylococci. MECHANISM OF ACTION: Aminoglycosides are taken up into sensitive bacterial cells by an active transport process which is inhibited in anaerobic, acidic, or hyperosmolar environments. Within the cell they bind to the 30S, and to some extent to the 50S sub-units of the bacterial ribosome, inhibiting protein synthesis and generating errors in the transcription of the genetic code. The manner in which cell death is brought about in imperfectly understood, and other mechanisms may contribute, including effects on membrane permeability. PHARMACOKINETICS: ABSORPTION: Netilmicin should be administered only by the intramuscular or intravenous route, the former being the preferred route of administration. INTRAMUSCULAR ADMINISTRATION: In adults with normal renal function, a single intramuscular dose results in peak serum levels which expressed as mg/mL are approximately 3 times in the dose expressed as mg/kg. Peak levels occur 30 to 60 minutes after intramuscular injection. Significant levels are still to be found in serum 12 hours post injection. INTRAVENOUS ADMINISTRATION: Maximum serum levels (7.6, 10.3 and 22.8 mg/mL) were observed one minute after intravenous injection of 0.5, 1 and 2.5 mg/kg respectively. Serum levels were still measurable after 8 hours. More than 70% of administered dose was recovered from 24-hour urine samples. After intravenous infusion (1 mg/kg over one hour), mean serum levels ranged from 2.8 to 7.4 mg/mL. The maximum level was observed within 3 minutes of t Read the complete document