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| Biaxin
is manufactured by : Abbott Laboratories |
| Available
forms : Tablets, Suspension |
| Generic
name : clarithromycin (kla-rith-roe-mye-sin) |
| Classification
: Therapeutic - agents for atypical mycobacterium, anti-infectives, antiulcer agents |
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Biaxin available forms : |
Tablets (film-coated) : 250 mg, 500 mg |
Tablets (extended-release) : 500 mg |
Suspension : 125 mg / 5 ml, 250 mg / 5 ml |
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Biaxin indications : |
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Biaxin (Clarithromycin) is used to treat respiratory tract infections including streptococcal pharyngitis, sinusitis, bronchitis and pneumonia.Also Biaxin is used in the treatment and prevention of disseminated mycobacterium avium complex (MAC) and in the treatment of the following pediatric infections : otitis media, sinusitis, pharyngitis, skin structure infections.A part of a combination regimen is used for ulcer disease due to helicobacter pylori.
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Biaxin action : |
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Biaxin inhibits protein synthesis at the level of the 50S bacterial ribosome.
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Therapeutic effects of Biaxin : bacteriostatic action.
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Biaxin is active against these gram-positive aerobic bacteria : staphylococcus aureus, streptococcus pneumoniae, streptococcus pyogenes.Also Biaxin is active against these gram-negative aerobic bacteria : haemophilus influenzae, moraxella catarrhalis and also is active against mycoplasma, legionella, helicobacter pylory, mycobacterium avium.
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Pharmacokinetics for Biaxin : |
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Biaxin contraindications and precautions : |
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Biaxin (Clarithromycin) is contraindicated in : hypersensitivity to clarithromycin, erythromycin or other macrolide anti-infectives; concurrent used of pimozide; pregnancy and lactation.
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Use Biaxin cautiously in : severe liver or renal impairment (dosage adjustment required if CCr is under 30 ml / min).
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Biaxin adverse reactions and side effects : |
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Biaxin side effects and adverse reactions can be : headache, pseudomembranous colitis, diarrhea, nausea, taste perversion, abdominal pain or discomfort, vomiting (in children), leukopenia, coagulation abnormalities, rash (in children).
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Biaxin dosage : |
Oral administration (adults) :
- Pharyngitis / tonsillitis : 250 mg of Biaxin every 12 hours for 10 days.
- Acute maxillary sinusitis : 500 mg every 12 hours for 14 days or 1000 mg once daily for 14 days as Biaxin XL tablets.
- Acute exacerbation of chronic bronchitis : 250 - 500 mg every 12 hours for 7 - 14 days or 1000 mg once daily for 7 days as Biaxin XL tablets.
- Community acquired pneumonia : 250 mg every 12 hours for 7 - 14 days or 1000 mg once daily for 7 days as Biaxin XL tablets.
- Skin / skin structure infections : 250 mg every 12 hours for 7 - 14 days.
- Helicobacter pylori : 500 mg of Biaxin 2 - 3 times daily with a proton pump inhibitor (Prevacid or Prilosec) or Zantac with or without amoxicillin for 10 -14 days.
- Endocarditis prophylaxis : 500 mg of Biaxin, 1 hour before the procedure.
- MAC prophylaxis / treatment : 500 mg twice daily, for active infection another antimycobacterial is required.
Oral administration (children) :
- Most infections : 7.5 mg / kg every 12 hours for 10 days (up to 500 mg / dose for MAC).
- Endocarditis prophylaxis : 15 mg / kg, 1 hour before procedure.
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Biaxin renal impairment : |
Oral administration (adults) :
Oral administration (children) :
- CCr < 30 ml / min - decrease dose by 50% or double dosing interval.
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How to administer Biaxin : |
- Administer Biaxin (Clarithromycin) around the clock, without regard to meals.Food slows but does not decrease the extent of absorption.
- Administer Biaxin XL tablets with food; don't crush, break or chew.
- Shake Biaxin suspension well before administration.Store suspension at room temperature; do not referigerate.
- Do not administer Biaxin within 4 hours of Retrovir.
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Useful advices on Biaxin : |
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Take Biaxin (Clarithromycin) around the clock and finish drug completely as directed, even if feeling beter.Take missed doses as soon as possible, unless almost time for next dose.Don't double doses.Sharing of this medication may be dangerous.
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Report signs of superinfection (black, furry overgrowth on the tongue; vaginal itching).
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Notify health care expert if fever and diarrhea develop, especially if stool contains blood, pus or mucus.Don't treat diarrhea without consulting health care professional.
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If you're taking Retrovir (Zidovudine) you MUST know that you can take Biaxin only 4 hours within Retrovir.
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Notify health care expert if pregnancy is planned or suspected.
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Notify health care expert if symptoms don't improve within a few days.
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Biaxin may be taken with or without food.
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Don't refrigerate the suspension form; you should discard the unused portion after 14 days.
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