País: Estados Unidos
Idioma: inglés
Fuente: NLM (National Library of Medicine)
TOBRAMYCIN SULFATE (UNII: HJT0RXD7JK) (TOBRAMYCIN - UNII:VZ8RRZ51VK)
Xellia Pharmaceuticals ApS
TOBRAMYCIN SULFATE
TOBRAMYCIN 1200 mg in 30 mL
INTRAVENOUS
PRESCRIPTION DRUG
Tobramycin for Injection, USP is indicated for the treatment of serious bacterial infections caused by susceptible strains of the designated microorganisms in the diseases listed below: Septicemia in the pediatric patient and adult caused by P. aeruginosa, E. coli, and Klebsiella spp Lower respiratory tract infections caused by P. aeruginosa, Klebsiella spp, Enterobacter spp, Serratia spp, E. coli , and S. aureus (penicillinase- and non-penicillinase-producing strains) Serious central-nervous-system infections (meningitis) caused by susceptible organisms Intra-abdominal infections, including peritonitis, caused by E. coli, Klebsiella spp, and Enterobacter spp Skin, bone, and skin structure infections caused by P. aeruginosa , Proteus spp, E. coli , Klebsiella spp, Enterobacter s pp, and S. aureus Complicated and recurrent urinary tract infections caused by P. aeruginosa , Proteus spp (indole-positive and indole-negative), E. coli , Klebsiella spp, Enterobacter spp, Serratia spp, S. aureus , P
Tobramycin for Injection, USP Pharmacy Bulk Package, contains tobramycin sulfate equivalent to 1200 mg of tobramycin and supplied as follows: 45932-0027-1 1 bottle per carton 45932-0027-2 6 bottles per carton Storage Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature].
Abbreviated New Drug Application
TOBRAMYCIN - TOBRAMYCIN INJECTION XELLIA PHARMACEUTICALS APS ---------- RX ONLY THIS BOTTLE IS INTENDED FOR USE BY THE HOSPITAL PHARMACIST IN THE EXTEMPORANEOUS PREPARATION OF INTRAVENOUS SOLUTIONS. PHARMACY BULK PACKAGE NOT FOR DIRECT INFUSION TO REDUCE THE DEVELOPMENT OF DRUG-RESISTANT BACTERIA AND MAINTAIN THE EFFECTIVENESS OF TOBRAMYCIN FOR INJECTION, AND OTHER ANTIBACTERIAL DRUGS, TOBRAMYCIN SHOULD BE USED ONLY TO TREAT OR PREVENT INFECTIONS THAT ARE PROVEN OR STRONGLY SUSPECTED TO BE CAUSED BY BACTERIA. WARNING Patients treated with Tobramycin for Injection and other aminoglycosides should be under close clinical observation, because these drugs have an inherent potential for causing ototoxicity and nephrotoxicity. Neurotoxicity, manifested as both auditory and vestibular ototoxicity, can occur. The auditory changes are irreversible, are usually bilateral, and may be partial or total. Eighth-nerve impairment and nephrotoxicity may develop, primarily in patients having preexisting renal damage and in those with normal renal function to whom aminoglycosides are administered for longer periods or in higher doses than those recommended. Other manifestations of neurotoxicity may include numbness, skin tingling, muscle twitching, and convulsions. The risk of aminoglycoside-induced hearing loss increases with the degree of exposure to either high peak or high trough serum concentrations. Patients who develop cochlear damage may not have symptoms during therapy to warn them of eighth-nerve toxicity, and partial or total irreversible bilateral deafness may continue to develop after the drug has been discontinued. Rarely, nephrotoxicity may become apparent until the first few days after cessation of therapy. Aminoglycoside-induced nephrotoxicity usually is reversible. Renal and eighth-nerve function should be closely monitored in patients with known or suspected renal impairment and also in those whose renal function is initially normal but who develop signs of renal dysfunction during therapy. Peak and trough serum Leer el documento completo