Metoxa Merap small solution for ear infections (10ml)

Dosage form Box
Specifications Rifamycin

Ingredient

Composition information	Content
Rifamycin	200000iu

Uses

Indications

Small solution of Metoxa ear, indicated on -site treatment of ear infections in adults and children:

Local treatment in some types of pus ears:

Membrane aura ventilation.

Note: There is no research used in the treatment of external ear infections.

Consider official recommendations on the use of reasonable antibiotics.

Pharmacology

Group of Pharmacological Therapy: Tai Tai, antibacterial

ATC code: S02AA12

Rifamycin is an antibiotic group with the same chemical structure, isolated from streptomyces mediancanei.

Local antibacterial drugs, impact on the majority of Gram -positive and Gram -negative pathogens common in infections in the middle ear.

Rifamycin inhibits the RNA synthetic enzyme activity depending on the bacteria by forming a sustainable complex of drugs - enzymes that inhibit the growth of bacteria.

The important concentrations of highly sensitive sensitive sensitivity and average sensitive sensitive strains with resistance.

Staphylococcus spp.

Other bacteria: sensitive concentration ≤ 4 mg/l and drug resistance> 16 mg/l.

The ratio of resistance may vary depending on the geographical location and the time to change with some species.

Therefore, it is necessary to have information on local resistance ratios, especially during the treatment of severe infections. These data can only give the orientation of the sensitivity of a bacterial strain with this antibiotic that replaces the drug resistance ratio in France to be known in some bacterial species, it is indicated as follows:

Sensitive species:

Gram -positive aerobic bacteria: Bacillus anthracls, Listeria monocytogenes, Rhodococcus Equi, Staphylococcus aureus sensitive Methicillin, Staphylococcus anti -methicillin, Staphylococcus coagulase negative, streptococcus group A, B, C, C, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, G, C Streptococcus Pneumoniae, Streptococcus Viridans or bacteria cannot be divided.

Gram -negative aerobic bacteria: Branhamella Catnrhalis, Brucella, Haemophilus Ducreyi, Haemophilus Influenzae, Neisseria Gonorrhoeae, Neisseria Meningitidis, Pasteurella.

Anaerobic bacteria: Bacteroides, Clostridium difficile, Clostridium perfringens, fusobacterium, peptostreptoccus, propionibacterium acnés.

Other species: Chlamydia trachomatis, Chlamydia Psittaci, Coxiella Burnetii, Legionella, Mycobacterium Africanum, Mycobacterium Bovis, Mycobacterium Bovis BCG, Mycobacterium Kansasii, Mycobacterium tuberculosis.

Moderate sensitive species (studying sensitivity in in vitro): Enterococci.

Anti-resistant species: Entobacteria, Pseudomonas, Mycobacteria is not typical (except Mycobacterium kansaii), Staphylococcus resistant methicillin (2-30%), Staphylococcus coagulase negative (0-25%).

Dynamic pharmacokinetics

Rifamycin pharmacokinetics research has not been conducted.

Before taking Metoxa Merap small solution for ear infections (10ml)

How to use

Warming Metoxa small solution near the body temperature by holding the bottle for a few minutes in the palm of the hand.

Remove the drip tube lid.

Tilting your head through the painless ear to make the ear pain upwards.

Small exactly the number of drops in the ear.

Pull gently on the ear to the ear deeply into the ear canal.

Hold your head in about 5 minutes.

When tilting your head again, a few drugs can flow out, wiping it with dry paper.

Cover the drip tube after use.

Remove the vial after the end of the treatment, do not hold the remaining medicine for the following treatment.

Avoid exposure to clothes because of the fabric color.

Dosage

Adults: 5 drops 2 times/day, session and evening.

Children: 3 drops x 2 times/day, morning and evening.

Treatment time

The treatment time is usually 7 days.

For effective, the drug should be used in accordance with the prescribed dosage and the time the doctor prescribed.

The disappearance of symptoms does not mean that you have completely recovered. The feeling of fatigue is not due to antibiotic treatment but due to the infection itself. Reducing the dose or temporary treatment will not work on these sensations and only make the disease recover for a long time.

Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.What do

do when overdose? However, with small lines, the overdose of the Rifamycin Tai Tai is unlikely.

In an emergency, call the 115 emergency center immediately or go to the nearest local health station.

What to do when you forget 1 dose? However, if the time to relax with the next dose is too short, skip the dose and continue the calendar of the drug. Do not use double dose to compensate for missed dose.

Side Effects

When using small solution of Metoxa ear, unwanted effects (ADR) such as: pink -colored ears (visible during ear canh).

Due to the sulfit formula, the risk of allergic reactions includes anaphylactic reaction and bronchospasm.

Instructions on how to handle ADR:

Notify the physician the unwanted effects when using the drug.

Warnings

Before using the drug you need to read the instructions carefully and refer to the information below.

Contraindicated

Small solution of Metoxa contraindicating in the following cases:

Patients with a history of allergies to Rifamycin or any ingredients of medicine.

Caution when using

no injection, no drink.

Using antibiotics on the spot contributes to the sensitive appearance of these active ingredients, which is likely to appear systemic reactions.

Stop treatment at the appearance of symptoms of skin rash or bowls of hypersensitivity signs on the spot or body and consult a doctor.

Do not encourage use simultaneously with other ear drops.

During use, limiting the exposure of small drugs with ears or fingers, to limit the risk of contamination.

If after 10 days of non -mutual symptoms, patients need to see a doctor to re -evaluate symptoms and have appropriate treatment.

Nipagin -containing drugs can cause allergic reactions (late allergic reactions).

The effect of the drug on the ability to drive and operate machinery

unknown effects of the drug.

Use drugs for women during pregnancy and lactation

Pregnant women:

Due to negligible overall circulation and clinical data guaranteed for substances in the group of rifamycin antibiotics, rifamycin can be used in all periods during pregnancy.

breastfeeding women:

Due to the negligible amount of rifamycin, breastfeeding can be breastfed when using small sugar rifamycin.

Drug interaction

There has been no research on drug interactions.

Storage

Leave a cool place, avoid light, temperature below 30⁰C.

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