Spiramycin used to treat toxoplasmosis, including in pregnant women. Frequently adverse reactions - dyspeptic phenomena. and staphylococci, which produce and do not produce penicillinase, including costs forecasts strains of Providencia strains yaeyaki spr., Acinetobacter spr. The main effect of pharmaco-therapeutic effects of drugs: bactericidal action, mechanism of action of which is the oppression costs forecasts normal protein synthesis m / s; manifests its activity in low concentrations, affects costs forecasts wide range of pathogenic bacteria, including E. Method of production of drugs: Mr injection of 2 here (25mh/ml) vial.; Mr injection of 2 ml 100 mg / ml (200 mg) vial. Contraindications to the use of drugs: hypersensitivity, auditory nerve neuritis, liver and kidneys, bowel obstruction, the infant period, premature children. Create high tissue and intracellular concentrations. pneumoniae, most other strains of streptococci, particularly group D, and anaerobic organisms, such as Bacteriodes sp. In renal failure dose correction is not conducted (exception - clarithromycin). Indications for use drugs: purulent-septic disease (sepsis, meningitis, peritonitis, bacterial endocarditis), No Added Salt infectious-inflammatory respiratory diseases (pneumonia, empyema, lung costs forecasts infections of kidney and urinary tract, purulent complications costs forecasts the postoperative period, infected burns tuberculosis (in the case of mycobacterial resistance to streptomycin and ftyvazydu). coli, Klebsiella spr., Enterobacter spr., Serratia spr., Citrobacter spr., Proteus spr. Dosing and Administration of drugs: put in / m in the treatment of tuberculosis infections etiology dose for adults is 0.5 g every 8 - 12 hours, the daily dose is 1 - 1,5 g, costs forecasts maximum single dose - 1,0 g at intervals between the introduction 12 years, the maximum daily dose - 2 grams, the duration of treatment - 5 - 7 days; multiplicity no more than 2 - 3 g / day, for treatment of tuberculosis in adults 1.0 g 1 g / day; lasts 1 month or more (injected daily for 6 days, 7 day - a break). Among macrolides H.influenzae moderate activity against clarithromycin and azithromycin have. (Indole-positive and indole-negative), including Proteus mirabilis, P.morganii, P.rettgeri, P.vulgaris, Pseudomonas aeruginosa and Neisseria gonorrhoeae; also acts in vitro against strains of Hemophilus influenzae, Salmonella spr., Shigella spr. AR are rare. Satisfactory absorbed by oral administration (food reduces bioavailability) and distributed in many tissues and secretions (poorly penetrate the blood-brain barrier). The main pharmaco-therapeutic Chest Pain bactericidal costs forecasts active against most gram (+) and Gram (-) m / s, as well as acid bacteria; acts against strains of mycobacterium tuberculosis, including resistant to streptomycin, Easter, isoniazid; violates protein synthesis in microbial cell; effective against IKT resistant to tetracycline, erythromycin, levomitsetina. Apply with infections of the upper and lower respiratory tract, skin and soft tissues, urogenital infections and infections of the mouth. When the / in box, type. Side effects and complications in the use of drugs: nausea, vomiting, diarrhea, AR, neuromuscular blockade, paresthesia, overgrowth, possible irritation at the injection site, with prolonged use - the development of the auditory nerve neuritis, nephrotoxic reactions (microhematuria, albuminuria, cylindruria). Indications for use drugs: bacteremia, septicemia (including neonatal sepsis), severe infectious diseases of respiratory tract infection kidney and urinary tract costs forecasts of skin and soft tissue, infection and bone joints, burns, wounds, approach for perioperative infection, intraperitoneal infection ( including peritonitis), gastrointestinal tract infections, in perioperative period, the drug can be started before surgery and continue after surgery for treatment of suspected or proven infection sensitive IKT; g uncomplicated gonorrheal infection in men (urethra, rectum) and women (urethra, cervix, rectum) with unchanged renal function. Pharmacotherapeutic group: J01GB07 - Antibacterial agents for systemic use. Advantages spiromitsynu, clarithromycin, Therapeutic Abortion roksytromitsynu, midekamitsynu gosamycine before and erythromycin are improved pharmacokinetics, tolerability and lower multiplicity of applications costs forecasts . faecalis (enterococcus) combining netylmitsynu and Carbenicillin or tykartsylinu leads to synergic action against many strains of Pseudomonas aeruginosa. and he was Aeromonas; revealed strains resistant to amikacin Percussion and Postural Drainage sensitive to netylmitsynu: Str. Metabolised in the liver, derived mainly through the alimentary canal. Erythromycin - the drug of choice for lehionelozi, to prevent rheumatic fever d. Most drugs (especially erythromycin and clarithromycin) are strong inhibitors of cytochrome P-450, so background applications weakened biotransformation of drugs and increased SPL, which metabolised in the liver (theophylline, warfarin, cyclosporine, etc.). Have a bacteriostatic effect and mainly active against Gram (+) cocci (except MRSA and enterococcus) and intracellular pathogens (Chlamydia, mycoplasma, legionella, Campylobacter). Claritromicine used for treatment and prophylaxis of opportunistic infections in AIDS, caused by some atypical mycobacteria, and for H.pylori eradication in ulcer duodenum.
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