Moxifloxacin (EENT)
Kelas obat: Agen Antineoplastik
Panganggone Moxifloxacin (EENT)
Infeksi Ophthalmic Bakteri
Pengobatan topikal konjungtivitis bakteri sing disebabake dening bakteri gram-positif sing rentan, kalebu Staphylococcus (S. aureus, S. arlettae, S. capitis, S. epidermidis, S. haemolyticus, S. . hominis, S. saprophyticus, S. warneri ), Streptococcus (S. mitis, S. parasanguinis, S. pneumoniae, viridans streptococci), Enterococcus faecalis, Aerococcus viridans, Corynebacterium (C. macginleyi), Micrococcus luteus, utawa Propionibacte acnes
Pengobatan topikal konjungtivitis bakteri sing disebabake dening bakteri gram-negatif sing rentan, kalebu Acinetobacter lwoffii, Escherichia coli, Haemophilus influenzae, H. parainfluenzae, utawa Klebsiella pneumoniae.
Akeh kasus ringan, konjungtivitis bakterial akut mutusake kanthi spontan tanpa terapi anti-infeksi. Senajan anti-infèksi ophthalmic topikal bisa nyepetake wektu kanggo resolusi lan nyuda keruwetan lan risiko komplikasi, supaya ora nggunakake anti-infèksi topikal kanthi sembarangan.
Pengobatan konjungtivitis bakteri akut umume empiris; nggunakake antibakteri topikal spektrum sing amba biasane dianjurake. Pewarnaan in vitro lan / utawa kultur bahan konjungtiva bisa dituduhake ing diagnosis lan manajemen konjungtivitis purulen sing berulang, abot, utawa kronis utawa nalika konjungtivitis akut ora nanggapi perawatan topikal empiris awal.
Infeksi Ophthalmic Chlamydial
Wis digunakake kanggo perawatan topikal konjungtivitis disebabake Chlamydia trachomatis.
Anti-infèksi sistemik dianjurake kanggo perawatan konjungtivitis sing disebabake C. trachomatis. Senajan anti-infèksi topikal wis digunakake bebarengan, nggunakake bebarengan anti-infèksi topikal ora dianggep perlu.
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Carane nggunakake Moxifloxacin (EENT)
Administrasi
Administrasi Oftalmik
Olesake solusi ophthalmic 0,5% ing mripat.
Mung kanggo panggunaan ophthalmic topikal; aja nyuntikake suBConjunctivaly lan ora ngenalake langsung menyang kamar anterior mripat.
Supaya ujung aplikator ora kena kontaminasi karo materi saka mripat, driji, utawa sumber liyane.
Dosis
Kasedhiya minangka moxifloxacin hydrochloride; dosis ditulis ing syarat-syarat moxifloxacin.
Pasien Anak
Infeksi Bakteri Ophthalmic Konjungtivitis OphthalmicMoxeza 0,5% larutan ophthalmic ing pasien pediatrik ≥4 sasi: Pasang 1 tetes ing mripat sing kena pengaruh 2 kali dina kanggo 7 dina.
Vigamox 0,5% larutan ophthalmic ing pasien pediatrik ≥1 taun: Lebokake 1 tetes ing mripat sing kena pengaruh 3 kaping saben dina suwene 7 dina.
Infeksi Ophthalmic Chlamydial Conjunctivitis OphthalmicMoxeza 0,5% larutan ophthalmic ing pasien pediatrik ≥4 sasi: Tetesake 1 tetes ing mripat sing kena pengaruh 2 kali saben dina suwene 7 dina.
Vigamox 0,5% larutan ophthalmic ing pasien pediatrik ≥1 taun: Intake 1 tetes ing mripat sing kena pengaruh 3 kaping saben dina suwene 7 dina.
Dewasa
Infeksi Ophthalmic Bakteri Konjungtivitis OphthalmicMoxeza 0,5% larutan ophthalmic: Instill 1 tetes ing mripat sing kena 2 kaping saben dina suwene 7 dina.
Vigamox 0,5% larutan ophthalmic: Lebokake 1 tetes ing mripat sing kena pengaruh 3 kali dina suwene 7 dina.
Chlamydial Ophthalmic Infeksi Konjungtivitis OftalmikSolusi ophthalmic 0,5% Moxeza: Tetesake 1 tetes ing mripat sing kena pengaruh 2 kaping saben dina suwene 7 dina.
Vigamox 0,5% larutan ophthalmic: Pasang 1 tetes ing mripat sing kena pengaruh 3 kaping saben dina kanggo 7 dina.
Pènget
Kontraindikasi
Pènget / PancegahanReaksi Sensitivitas
Hipersensitivitas
Hipersensitivitas serius lan sok-sok fatal lan/utawa reaksi anafilaksis sing dilapurake ing pasien sing nampa fluoroquinolones sistemik, kalebu moxifloxacin sistemik; reaksi kasebut bisa kedadeyan kanthi dosis pisanan. Sawetara reaksi hipersensitivitas sing dilapurake karo fluoroquinolones sistemik wis diiringi ambruk jantung, mundhut eling, tingling, angioedema (contone, laring, pharyngeal, rai), obstruksi saluran napas, dyspnea, urtikaria, lan gatel.
Enggal-enggal mungkasi solusi ophthalmic moxifloxacin ing tandha pisanan ruam utawa reaksi hipersensitivitas.
Reaksi hipersensitivitas akut sing serius mbutuhake perawatan darurat langsung; ngatur oksigen lan manajemen saluran napas kaya sing dituduhake sacara klinis.
Superinfeksi
Panganggone sing suwe bisa nyebabake kakehan organisme sing ora rentan, kalebu jamur.
Yen ana superinfeksi, mandhegake solusi ophthalmic moxifloxacin lan miwiti terapi sing cocog.
Pemantauan Pasien
Nalika keputusan klinis ndhikte, priksa pasien kanthi bantuan pembesaran (umpamane, biomikroskopi lampu celah) lan, yen cocog, pewarnaan fluorescein.
Lensa Kontak
Aja nganggo lensa kontak yen ana tandha utawa gejala konjungtivitis bakteri.
Populasi Tertentu
KandhutanKategori C.
Data ora kasedhiya babagan panggunaan solusi ophthalmic moxifloxacin 0,5% ing wanita ngandhut; Gunakake mung yen keuntungan potensial kanggo wanita mbenerake risiko potensial kanggo janin.
LaktasiDistribusi menyang susu manungsa sawise aplikasi topikal menyang mripat sing durung diteliti; dianggep disebarake menyang susu manungsa.
Gunakake kanthi ati-ati ing wanita sing nyusoni.
Panggunaan PediatrikSolusi mata Moxeza 0,5%: Keamanan lan khasiat ora ditetepake ing pasien pediatrik <4 sasi.
Vigamox 0,5% solusi ophthalmic: Keamanan lan khasiat ora ditetepake ing pasien pediatrik <1 taun.
Panggunaan GeriatrikOra ana beda sakabèhé ing safety lan khasiat relatif kanggo wong diwasa enom.
Efek Samsaya Awon
Moxeza 0,5% larutan oftalmik: Iritasi mata, pireksia, konjungtivitis.
Vigamox 0,5% larutan oftalmik: Konjungtivitis, penurunan ketajaman penglihatan, kekeringan mata, keratitis, rasa ora nyaman / nyeri / pruritus, hiperemia okular, pendarahan subconjunctival, sobek, demam, batuk tambah, infeksi, otitis media, faringitis, ruam, rhinitis.
Apa obatan liyane bakal mengaruhi Moxifloxacin (EENT)
Ora ana studi interaksi obat formal sing nggunakake solusi ophthalmic moxifloxacin 0,5%.
Ora nyandhet isoenzim CYP 1A2, 2C9, C19, 2D6, utawa 3A4; ora bisa ngowahi farmakokinetik obat sing dimetabolisme dening isoenzim CYP iki.
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