Country: Singapore
Language: English
Source: HSA (Health Sciences Authority)
SULTAMICILLIN TOSYLATE
PFIZER PRIVATE LIMITED
J01CR04
375 mg
TABLET, FILM COATED
SULTAMICILLIN TOSYLATE 375 mg
ORAL
Prescription Only
PFIZER GLOBAL SUPPLY JAPAN INC
ACTIVE
1990-06-29
Pfizer Confidential 1.0 TRADENAME OF MEDICINAL PRODUCT UNASYN 2.0 QUALITATIVE AND QUANTITATIVE COMPOSITION Sultamicillin is a double ester in which ampicillin and the beta-lactamase inhibitor sulbactam are linked via a methylene group. Chemically sultamicillin is the oxymethylpenicillinate sulphone ester of ampicillin and has a molecular weight of 594.7. 3.0 PHARMACEUTICAL FORM Sultamicillin is available as film-coated tablets containing the tosylate salt equivalent to 375 mg sultamicillin which is a mutual prodrug of sulbactam and ampicillin yielding the equivalent of 147 mg sulbactam and 220 mg ampicillin. Sultamicillin is also available as a powder for oral suspension containing sultamicillin base that after reconstitution with water provides 250 mg sultamicillin per 5 ml. 4.0 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Sultamicillin is indicated for infections caused by susceptible micro-organisms. Typical indications are upper respiratory tract infections including sinusitis, otitis media and tonsillitis; lower respiratory tract infections including bacterial pneumonias and bronchitis; urinary tract infections and pyelonephritis; skin and soft tissue infections and gonococcal infections. Sultamicillin may also be indicated in patients requiring sulbactam/ampicillin therapy following initial treatment with sulbactam/ampicillin IM/IV. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION The recommended dose of sultamicillin in adults (including elderly patients) is 375-750 mg orally twice daily. In both adults and children treatment is usually continued until 48 hours after pyrexia and other abnormal signs have resolved. Read the complete document
UNASYN ORAL Sultamicillin 1. NAME OF THE MEDICINAL PRODUCT UNASYN 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Sultamicillin is a double ester in which ampicillin and the beta-lactamase inhibitor sulbactam are linked via a methylene group. Chemically, sultamicillin is the oxymethylpenicillinate sulfone ester of ampicillin and has a molecular weight of 594.7. 3. PHARMACEUTICAL FORM Sultamicillin is available as film-coated tablets containing the tosylate salt equivalent to 375 mg sultamicillin, which is a mutual prodrug of sulbactam and ampicillin, yielding the equivalent of 147 mg sulbactam and 220 mg ampicillin. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Sultamicillin is indicated for infections caused by susceptible micro-organisms. Typical indications are upper respiratory tract infections including sinusitis, otitis media and tonsillitis; lower respiratory tract infections including bacterial pneumonias and bronchitis; urinary tract infections and pyelonephritis; skin and soft tissue infections and gonococcal infections. Sultamicillin may also be indicated in patients requiring sulbactam/ampicillin therapy following initial treatment with sulbactam/ampicillin IM/IV. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION The recommended dose of sultamicillin in adults (including elderly patients) is 375-750 mg orally twice daily. In both adults and children, treatment is usually continued until 48 hours after pyrexia and other abnormal signs have resolved. Treatment is normally given for 5-14 days, but the treatment period may be extended if necessary. In the treatment of uncomplicated gonorrhea, sultamicillin can be given as a single oral dose of 2.25 g (six 375 mg tablets). Concomitant probenecid 1.0 g should be administered in order to prolong plasma concentrations of sulbactam and ampicillin. Cases of gonorrhea with a suspected lesion of syphilis should have dark field examinations before receiving sultamicillin and monthly serological tests for a minimum of four months. It is recommended that there be at least Read the complete document