Each tablet contains:
Composition:
Erythromycin............................................................….250
mg
Erythromycin........................................................…….500
mg
Indications:
Acute bacterial pharyngitis,
tonsillitis, sinusitis, otitis,
mastoiditis, epiglottitis,
bronchitis, pneumonia,
erysipelas, whooping cough,
cellulitis, carbuncle, pyoderma,
diphtheria, Legionnaire’s
disease, urogenital.
Description:
Erythromycin prevents
bacteriafrom growing
by interfering with their
protein synthesis.
Erythromycin binds to the 23s
rRNA molecule in the 50S of the
bacterial
ribosome, blocking
the exit of the growing peptide
chain thus inhibiting the
translocation of
peptides.
Side-effects
Gastrointestinal disturbances
such as
diarrhea,
nausea,
abdominal pain and
vomiting are fairly
common so it tends not to be
prescribed as a first-line drug.
However, erythromycin may be
useful in treating
gastroparesis due to
this pro-motility effect.
Intravenous erythromycin may
also be used in
endoscopy as an
adjunct to clear
gastric contents.
More serious side-effects, such
as reversible
deafness are rare.
Allergic reactions, while
uncommon, may occur, ranging
from
urticaria to
anaphylaxis.
Cholestasis,
Stevens-Johnson syndrome
and
toxic epidermal necrolysis
are some other rare side effects
that may occur.
Erythromycin has been shown to
increase the probability of
pyloric stenosis in
children whose mothers took the
drug during the late stages of
pregnancy or while nursing.
Contraindications
Earlier case reports on sudden
death prompted a study on a
large cohort that confirmed a
link between erythromycin,
ventricular tachycardia
and sudden cardiac death in
patients also taking drugs that
prolong the metabolism of
erythromycin (like
verapamil or
diltiazem) by
interfering with
CYP3A4 (Ray et al
2004). Hence, erythromycin
should not be administered in
patients using these drugs, or
drugs that also prolong the
QT time. Other
examples include
terfenadine (Seldane,
Seldane-D),
astemizole
(Hismanal),
cisapride (Propulsid,
withdrawn in many countries for
prolonging the QT time) and
pimozide (Orap).
Dosage :
As per the physician’s advice.
Presentations :
10 tablets
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