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Azithromycin for injection

Function and Efficacy

Azithromycin is a 15-membered macrolide antibiotic. In vitro tests have shown that azithromycin has antibacterial effects on a variety of common clinical pathogens, including: Gram-positive aerobic bacteria, Staphylococcus aureus, Streptococcus pyogenes (group A beta; hemolytic streptococci), pneumonia (streptococci), a-hemolytic streptococci (grass-green streptococci) and other streptococci, diphtheria (rod-shaped) bacilli. This product shows cross-resistance to erythromycin-resistant Gram-positive bacteria, including fecal streptococci (enterococci) and methicillin-resistant Staphylococcus aureus strains. Gram-negative aerobic bacteria: Haemophilus influenzae, Haemophilus parainfluenzae, Moraxella catarrhalis, Acinetobacter, Yersinia, Legionella pneumophila, Bordetella pertussis, Bordetella parapertussis, Shigella, Pasteurella, Vibrio cholerae, Parahaemolyticus, Shigella-like Pseudomonas. The activity of this product against the following Gram-negative bacteria depends on the strain, and sensitivity testing is required: Escherichia coli, Salmonella typhi, Enterobacter, Hydrophila, Klebsiella. Anaerobic bacteria: Bacteroides fragilis, Bacteroides, Clostridium perfringens, Peptostreptococcus, Fusobacterium necroticum, Propionibacterium acnes. Sexually transmitted disease microorganisms: Treponema pallidum, Neisseria gonorrhoeae, Haemophilus dukei. Other microorganisms: including Borrelia tenens (Lyme disease body), Mycoplasma pneumoniae, Mycoplasma hominis, Ureaplasma urealyticum, Chlamydia trachomatis, Pneumocystis carinii, Mycobacterium avium, Campylobacter, Listeria monocytogenes. The following Gram-negative bacteria are usually resistant: Proteus, Serratia, Morganella, Pseudomonas. The mechanism of action is the same as erythromycin, mainly binding to the 50S subunit of the bacterial ribosome, inhibiting RNA-dependent protein synthesis.

Ingredients

This product is a sterile lyophilized product of azithromycin lactobionate.

Name Description Content CAS NO. Manufacturer
ERYTHROMYCIN LACTOBIONATE (200 MG)Ingredients

Azithromycin is a 15-membered macrolide antibiotic that has antibacterial effects on a variety of Gram-positive aerobic bacteria, Gram-negative aerobic bacteria, anaerobic bacteria, sexually transmitted disease microorganisms and other microorganisms. It mainly binds to the 50S subunit of the bacterial ribosome and inhibits RNA-dependent protein synthesis.

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3847-29-8 17

Appearance

This product is white or off-white loose block

Indication

This product is suitable for the following infections caused by sensitive pathogenic strains: 1. Community-acquired pneumonia caused by Chlamydia pneumoniae, Haemophilus influenzae, Legionella pneumophila, Moraxella catarrhalis, Mycoplasma pneumoniae, Staphylococcus aureus or Streptococcus pneumoniae, which requires intravenous drip treatment first. 2. Pelvic inflammatory disease caused by Chlamydia trachomatis, Neisseria gonorrhoeae, and Mycoplasma hominis, which requires intravenous drip treatment first.

Usage and Dosage

Dissolve this product in an appropriate amount of water for injection to prepare 0.1g/ml, then add it to 250ml or 500ml of sodium chloride injection or 5% glucose injection. The final azithromycin concentration is 1.0-2.0mg/ml, and then drip it intravenously. The concentration is 1.0mg/ml, and the drip time is 3 hours; the concentration is 2.0mg/ml, and the drip time is 1 hour. 1. Treatment of community-acquired pneumonia: 0.5g for adults once a day, once a day, for at least 2 consecutive days, followed by azithromycin oral preparations 0.5g a day, 7 to 10 days as a course of treatment. The time to switch to oral treatment should be determined by the physician based on the clinical treatment response. 2. Treatment of pelvic inflammatory disease: 0.5g for adults once a day, once a day, after 1 or 2 days of medication, switch to azithromycin oral preparations 0.25g a day, 7 days as a course of treatment. The time to switch to oral treatment should be determined by the physician based on the clinical treatment response.

Adverse Reactions

1. Common adverse reactions of this product include: (1) Gastrointestinal reactions: diarrhea, abdominal pain, loose stools, nausea, vomiting, etc. (2) Local reactions: pain at the injection site, local inflammation, etc. (3) Skin reactions: rash, itching. (4) Other reactions: such as loss of appetite, vaginitis, stomatitis, dizziness or dyspnea, etc. 2. This product may also cause the following reactions: (1) Digestive system: indigestion, flatulence, mucositis, oral candidiasis, gastritis, etc. (2) Nervous system: headache, drowsiness, etc. (3) Allergic reactions: bronchospasm, etc. (4) Other reactions: abnormal taste, etc. (5) Laboratory tests: increased serum aminotransferase, creatinine, lactate dehydrogenase, bilirubin and alkaline phosphatase, decreased white blood cell, neutrophil and platelet counts.

Precautions

It is contraindicated in patients who are allergic to azithromycin, erythromycin, or any other macrolide drugs.

Special Population Medication

Precautions for children: The safety of this product for patients under 16 years old is not clear. Precautions for pregnancy and lactation: Animal experiments show that this product has no effect on the fetus, but there is still a lack of experience in its use in pregnant women, so the pros and cons must be fully weighed before using it in pregnant women. There is no data to show whether this product can be secreted into breast milk, so the use of this product in lactating women must be considered with caution. Precautions for the elderly: It is not yet clear.

Drug Interactions

1. When used in combination with theophylline, the latter's concentration in plasma can be increased, and attention should be paid to detecting plasma theophylline levels. 2. When used in combination with warfarin, attention should be paid to checking the prothrombin time. 3. When used simultaneously with the following drugs, it is recommended to closely observe the patient: Digoxin increases digoxin levels. Ergotamine or dihydroergotamine causes acute ergot toxicity, with symptoms of severe peripheral vasospasm and dysesthesia (pain when touching objects). Triazolam enhances the pharmacological effects of triazolam by reducing its degradation. Cytochrome P450 system metabolites increase the levels of carbamazepine, terfenadine, cyclosporine, cyclohexylbarbital, and phenytoin in serum. 4. When used in combination with rifabutin, the latter's toxicity will be increased.

Storage

Keep away from light, tightly closed and in a dry place.

Packaging Specification

0.25g (250,000 units)

Validity Period

24 months

Manufacturer

Hunan Kelun Pharmaceutical Co., Ltd.

  • Founded in:

    2001-05-15
  • Address:

    Rongxin Road, Chengguan Town, Yueyang County (No. 3, County Ecological Industrial Park)
  • Tax NO.:

    914306217459296826
  • Registered Funds:

    82 million yuan
  • Website:

  • Email:

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