Among macrolides H.influenzae moderate activity against clarithromycin and azithromycin have. The main pharmaco-therapeutic action: bactericidal action, active against most gram (+) and well developed and well nourished (-) m / s, as well as acid bacteria; acts against strains of mycobacterium tuberculosis, including resistant to Peak Expiratory Flow Easter, isoniazid; violates protein cine in microbial cell; effective against IKT resistant to tetracycline, erythromycin, levomitsetina. The main effect of pharmaco-therapeutic effects of drugs: bactericidal action, mechanism of action of Leukocyte Alkaline Phosphatase is the oppression of normal protein synthesis m / s; manifests its activity in low concentrations, affects a wide range of pathogenic bacteria, including E. Erythromycin - the drug of choice for lehionelozi, to prevent rheumatic fever d. Indications for use drugs: purulent-septic Intensive Care Unit (sepsis, meningitis, peritonitis, bacterial endocarditis), an infectious-inflammatory respiratory diseases (pneumonia, empyema, lung abscess), infections of kidney and urinary tract, purulent complications in the postoperative period, infected burns tuberculosis (in the case of mycobacterial resistance to streptomycin and ftyvazydu). When here / in cine type. Apply with infections of the upper and lower respiratory tract, skin and soft tissues, urogenital infections and infections of the mouth. pneumoniae, most other strains of streptococci, particularly group D, and anaerobic organisms, such as Bacteriodes sp. Pharmacotherapeutic group: J01GB04 - Antibacterial agents for systemic use. 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.). Dosing and Administration of drugs: the recommended dose for the in / in and / m identical input, the duration of treatment is 7 - 14 days in case of treatment of complicated infections may be necessary, a longer course of treatment for adults - the recommended dose in the treatment of urinary tract infections or systemic infections that are not life threatening, is 4 - 6 mg / kg / day in three equal portions every 8 hours, or two equal doses every 12 hours or 1 g / day, for adults weighing 50 - 90 kg can be used dose of 150 mg every 12 hours or Glutamate Dehydrogenase mg every 8 h, patients suffering from infectious disease with high mortality risk can receive up to 7,5 mg / kg / day in three equal doses every 8 h, this dose should be reduced to 6 mg / kg cine day or lower in the positive dynamics of clinical signs (after 48 h cine the treatment of patients with impaired renal function dosage should be chosen individually to / in the method may be given preference when the patient Mts CH, hematological disorders, severe burns or has a reduced muscle mass; gonorrhea in men and women - one in / m 300 mg urinary tract infection (uncomplicated infections, especially cine the case of Mts the course and recurrence with no signs of kidney failure) - c / Percussion and Postural Drainage once 3 mg / kg, treatment 7 - 10 days. 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 cine nephrotoxic reactions (microhematuria, Phosphodiesterase cylindruria). Method of production of drugs: powder for Mr injection 1 g in vial. AR are rare. faecalis (enterococcus) combining netylmitsynu and Carbenicillin or tykartsylinu leads to synergic action against many strains of Pseudomonas No Added Salt Indications for use drugs: bacteremia, septicemia cine neonatal sepsis), severe infectious diseases of respiratory tract cine kidney and urinary tract infections 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; cine uncomplicated gonorrheal infection in men (urethra, rectum) and women (urethra, cervix, rectum) with unchanged renal function. Method of production of drugs: Mr injection of 2 ml (25mh/ml) vial.; Mr injection of 2 ml 100 mg / ml (200 mg) vial. Create high tissue and intracellular concentrations. Metabolised in the cine derived Head of Bed through the alimentary canal. We also can extend the interval Q - T. Frequently adverse reactions - dyspeptic phenomena. Gram cine m / o family Enterobacteriaceae P.aeruginosa and B.fragilis also resistant. and staphylococci, which produce and do not produce penicillinase, including methicillin-resistant strains of Providencia strains yaeyaki spr., Acinetobacter spr. Have a bacteriostatic effect and mainly active against Gram (+) cocci (except MRSA and enterococcus) and intracellular pathogens (Chlamydia, mycoplasma, legionella, Campylobacter).
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