Country: Malaysia
Language: English
Source: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
NETILMICIN SULPHATE
DUOPHARMA (M) SDN. BHD.
NETILMICIN SULPHATE
1ml10Units mL; 1ml30Units mL; 1ml50Units mL; 1ml100Units mL
DUOPHARMA (M) SDN. BHD.
Page 1 of 2 [REVISION DATE: 18.02.2022] [DUOPHARMA (M) SDN BHD] LOTIFAR 50 MG / ML INJECTION DESCRIPTION: LOTIFAR 50 MG / ML INJECTION: A clear, pale straw-coloured liquid. COMPOSITION: LOTIFAR 50 MG/ ML INJECTION contains Netilmicin 50 mg / ml as Netilmicin Sulphate. Contains: Sodium Metabisulphite 0.24% and Sodium Sulphite 0.08% Preservative: Methyl Paraben 0.18%; 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. Netilmicin is an aminoglycoside antibiotic which is active against many strains of Gram-negative bacteria as well as some other bacteria including some strains of staphylococci. It exhibits synergy with beta lactams against many organisms. It is not absorbed by mouth and is usually given intramuscularly or intravenously in the treatment of severe infections, often in combination with another agent such as beta lactam. Netilmicin is not susceptible to some of the enzymes produced by organisms with acquired resistance to other aminoglycosides. PHARMACOKINETICS: Following intramuscular injection of netilmicin, peak plasma concentrations are achieved within half to 1 hour, and concentrations of about 7 µg per ml have been reported following doses of 2 mg per kg body-weight: similar concentrations are obtained after intravenous infusion of the same dose over 1 hour. Administration of standard, once-daily doses may produce transient peak conce Read the complete document