Children's Trimethoprim-Bis-sulfuron Granules
Function and Efficacy
1. Pharmacology: The antibacterial effect of this product on non-enzyme-producing Staphylococcus aureus, Streptococcus pyogenes, Streptococcus pneumoniae, Escherichia coli, Klebsiella, Salmonella, Proteus, Morganella, Shigella and other Enterobacteriaceae, Neisseria gonorrhoeae, Neisseria meningitidis, Haemophilus influenzae, and Staphylococcus aureus is significantly enhanced compared with SMZ alone. In addition, it also has good antimicrobial activity in vitro, against Chlamydia trachomatis, Nocardia asteroides, protozoa, Toxoplasma, etc. The mechanism of action of this product is that SMZ and SD act on dihydrofolate synthase, interfering with the synthesis of folate reductase. The synthesis of the two can double-block the folic acid metabolism of bacteria. The synergistic antibacterial effect of this product is enhanced compared with a single drug, and the number of strains resistant to it is reduced. However, in recent years, bacterial resistance to this product has also shown an increasing trend. 2. Toxicology: Acute toxicity, chronic toxicity and gastrointestinal irritation tests: The oral LD50 for mice is 1.81 mg/g; the intraperitoneal injection LD50 for mice is 2.39 mg/g; it has no irritating effect on the gastrointestinal tract of rabbits and mice.
Ingredients
This product is a compound preparation, its components are: sulfamethoxazole 0.1g, sulfadiazine 0.1g, trimethoprim 40mg.
| Name | Description | Content | CAS NO. | Manufacturer |
|---|---|---|---|---|
| SulfamethoxazoleIngredients |
It acts on dihydrofolate synthase, interferes with the function of folate reductase, and synergizes with trimethoprim to enhance the antibacterial effect against a variety of bacteria. More |
723-46-6 | 33 | |
| SulfadiazineIngredients |
It acts on dihydrofolate synthase, interferes with the function of folate reductase, and synergizes with trimethoprim to enhance the antibacterial effect against a variety of bacteria. More |
68-35-9 | 14 | |
| TrimethoprimIngredients |
Interferes with the function of synthetic folate reductase, synergizes with sulfonamides to fight bacteria, and enhances the antibacterial effect against a variety of bacteria More |
738-70-5 | 44 |
Appearance
This product is white granules.
Indication
It is used for urinary tract infections, intestinal infections, respiratory tract infections, meningitis, otitis media, carbuncles and sepsis caused by sensitive bacteria.
Usage and Dosage
Oral administration: 6-12 months, 0.5 bag at a time; 1-2 years old, 0.5-1 bag a day; 3-5 years old, 1-1.5 bags a day; 6-8 years old, 1.5-2 years old at a time; 9-13 years old, 2-3 bags at a time, twice a day or as directed by a doctor.
Adverse Reactions
1. Allergic reactions are relatively common. It can manifest as drug rash. In severe cases, exudative erythema multiforme, exfoliative dermatitis and bullous epidermolysis atrophic dermatitis may occur; there are also serum sickness-like reactions such as photosensitivity reaction, drug fever, joint and muscle pain, fever, etc. Anaphylactic shock is occasionally seen. 2. Neutropenia or deficiency, thrombocytopenia, and occasionally aplastic anemia. Patients may show symptoms of sore throat, fever and bleeding tendency. 3. Hemolytic anemia and hemoglobinuria. This is easy to occur in patients who lack glucose-6-phosphate dehydrogenase after using sulfonamides, and is more common in newborns and children than in adults. 4. Hyperbilirubinemia and neonatal kernicterus. Because this product competes with bilirubin for protein binding sites, it can cause increased free bilirubin. Newborns have imperfect liver function, so they are more likely to...
Precautions
1. It is contraindicated for patients who are allergic to sulfonamides and trimethoprim. 2. It is contraindicated for patients with megaloblastic anemia. 3. It is contraindicated for patients with severe liver and kidney damage. 4. It is contraindicated for infants under 2 months old.
Special Population Medication
Precautions for children: Not for use in infants under 2 months old. Precautions for pregnancy and lactation: Not yet clear. Precautions for the elderly: Not yet clear.
Drug Interactions
1. The combined use of urine alkalinizing drugs can increase the solubility of this product in alkaline urine and increase excretion. 2. It cannot be used in combination with para-aminobenzoic acid. Para-aminobenzoic acid can replace this product and be taken up by bacteria, and the two are antagonistic to each other. 3. When the following drugs are used together with this product, this product can replace the protein binding sites of these drugs, or inhibit their metabolism, resulting in prolonged drug action time or toxic reactions. Therefore, when these drugs are used at the same time as this product, or when used after the application of this product, their dosages need to be adjusted. Such drugs include oral anticoagulants, oral hypoglycemic drugs, methotrexate, phenytoin sodium and thiopental sodium. 4. The combined use with bone marrow suppressive drugs may enhance the adverse reactions of such drugs on the hematopoietic system. Such as leukopenia, thrombocytopenia, etc. If there is an indication to use the two drugs together, the possible toxic reactions should be closely observed.
Storage
seal.
Packaging Specification
Sulfadiazine 0.1g, sulfadiazine 0.1g, trimethoprim 40mg.
Validity Period
24 months
Manufacturer
Jiangxi Heming Pharmaceutical Co., Ltd.
-
Founded in:
2014-12-04 -
Address:
South District, Yongfeng County Industrial Park, Ji'an City, Jiangxi Province -
Tax NO.:
91360825322502839B -
Registered Funds:
56 million yuan -
Website:
-
Email: