Kanamycin Sulfate Injection

Kanamycin sulfate is an aminoglycoside antibiotic. It has good antibacterial effects on most Enterobacteriaceae such as Escherichia coli, Klebsiella, Enterobacter, Proteus, Shigella, Salmonella, Citrobacter, Providencia, Yersinia, etc.; influenza bacillus, Brucella, meningococci, gonococci, etc. are also mostly sensitive to this product. Kanamycin also has a certain effect on Staphylococcus (methicillin-sensitive strains) and Mycobacterium tuberculosis, but is ineffective against Pseudomonas aeruginosa. Other Gram-positive bacteria such as hemolytic streptococci, Streptococcus pneumoniae, Enterococcus and anaerobic bacteria are mostly resistant to this product. This product mainly binds to the 30S subunit of the bacterial ribosome and inhibits bacterial protein synthesis. In recent years, the number of resistant strains has increased significantly, because some bacteria produce aminoglycoside inactivating enzymes, which make them lose their antibacterial activity. Kanamycin has complete cross-resistance with streptomycin and neomycin, and may have partial cross-resistance with other aminoglycosides.

Main ingredients: Kanamycin sulfate.

This product is a colorless to slightly yellow or yellow-green clear liquid.

This product is suitable for the treatment of serious infections such as pneumonia, sepsis, abdominal infection, etc. caused by sensitive Enterobacteriaceae such as Escherichia coli, Klebsiella, Proteus, Enterobacter aerogenes, Shigella, etc. The latter two often need to be used in combination with other antibacterial drugs.

1 The common dose for adults is intramuscular injection or intravenous drip, 0.5g at a time, once every 12 hours; or 7.5mg/kg per day according to body weight, once every 12 hours. The daily dose for adults should not exceed 1.5g, and the course of treatment should not exceed 14 days. The dose should be appropriately reduced for patients over 50 years old. 2 The common dose for children is intramuscular injection or intravenous drip, 15-25mg/kg per day according to body weight, administered in 2 doses. 3 Dosage for renal impairment: When creatinine clearance is 50-90mg/min, use 60-90% of the normal dose, once every 12 hours (normal dose is 7.5mg/kg each time, once every 12 hours); when creatinine clearance is 10-50ml/min, use 30-70% of the normal dose, once every 12-18 hours;

1. Hearing loss, tinnitus or a feeling of fullness in the ears may occur during the treatment, which affects the cochlear nerve. A small number of patients, especially those with renal impairment, may develop these symptoms after stopping the medication, so attention must be paid. Dizziness and unsteady gait may occur when the vestibular nerve function is affected, but they are rare. 2. Nephrotoxic reactions such as hematuria, decreased urination frequency or urine volume, loss of appetite, nausea, vomiting, and extreme thirst may occur. 3. Neuromuscular blockade such as dyspnea, drowsiness or weakness may occasionally occur. 4. Other adverse reactions include: headache, rash, drug fever, numbness around the mouth, leukopenia, eosinophilia, local pain after intramuscular injection, etc.

Patients with a history of allergy to this product or other aminoglycoside drugs are contraindicated.

Precautions for children: This product belongs to the aminoglycoside class and should be used with caution in pediatrics, especially in premature infants and newborns, because their renal tissue is not fully developed, which prolongs the half-life of this type of drug and may accumulate in the body and produce toxic reactions. Precautions for pregnancy and lactation: This product belongs to Class D in pregnant women, which means it is harmful to humans, but the benefits may outweigh the disadvantages after use. Kanamycin can cross the placental barrier and enter the fetal tissue, which may cause hearing damage to the fetus. Pregnant women must fully weigh the pros and cons before using this product. The secretion of this product in breast milk is very low, but breastfeeding women should usually suspend breastfeeding during the medication period. Precautions for the elderly: Elderly patients are prone to various toxic reactions after using this product, so blood drug concentrations should be monitored during treatment if conditions permit. In addition, the renal function of elderly patients has a certain degree of physiological decline, and even if their renal function test values are within the normal range, a smaller therapeutic dose should still be used.

1. When used in combination with other aminoglycosides or applied topically or systemically one after the other, it may increase ototoxicity, nephrotoxicity and neuromuscular blocking effects. 2. When used in combination with neuromuscular blockers, it may aggravate neuromuscular blocking effects, leading to muscle weakness, respiratory depression, etc. 3. When used in combination with capreomycin, cisplatin, ethacrynic acid, furosemide or vancomycin (or norvancomycin), or applied topically or systemically one after the other, it may increase ototoxicity and nephrotoxicity. 4. When used topically or systemically with cephalothin or cefazolin, it may increase nephrotoxicity. 5. When used in combination with polymyxin injections, or applied topically or systemically one after the other, it may increase nephrotoxicity and neuromuscular blocking effects. 6. Other nephrotoxic and ototoxic drugs should not be used in combination with this product or applied one after the other, so as not to aggravate nephrotoxicity or ototoxicity. 7. When aminoglycosides and beta-lactams (cephalosporins and penicillins) are mixed, they may lead to mutual inactivation. When this product is used in combination with the above-mentioned antibiotics, it must be dripped in separate bottles. It is also not suitable to be infused in the same bottle with other drugs.

Keep tightly closed in a cool, dark and dry place.

30 months

Nanyang Pukang Pharmaceutical Co., Ltd.

• Founded in:

  2008-02-22

• Address:

  No. 143, Gongye Road, Nanyang City, Henan Province

• Tax NO.:

  91411300176354654C

• Registered Funds:

  132 million yuan

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