Trade name:

Hibiotic

Hibiotic

Composition:

Each 5 ml of the prepared suspension contains:

Amoxicillin 600 mg

Clavulanic acid 42.9 mg

Auxiliary components:

Tribazik sodium citrate, citrus acid, aerosil 200, avicel, dimiticone, lemon flavor, sucrose.

Properties:

A combined preparation of amoxicillin and clavulanic acid – a beta-lactamase inhibitor. Acts bactericidal, inhibits the synthesis of the bacterial wall.

Active against aerobic gram-positive bacteria (including strains producing beta-lactamase):

Staphylococcus aureus; aerobic gram-negative bacteria: Enterobacter spp., Escherichia coli, Haemophilus influenzae, Klebsiella spp.,

Moraxella catarrhalis. The following pathogens are sensitive only in vitro: Staphylococcus epidermidis, Streptococcus pyogenes, Streptococcus anthracis, Streptococcus pneumoniae, Streptococcus viridans,

Enterococcus faecalis, Corynebacterium spp., Listeria monocytogenes; anaerobic Clostridium spp., Peptococcus spp., Peptostreptococcus spp .; as well as aerobic gram-negative bacteria (including strains producing betalactamases): Proteus mirabilis, Proteus vulgaris, Salmonella spp., Shigella spp., Bordetella pertussis, Yersinia enterocolitica,

Gardnerella vaginalis, Neisseria meningitidis,

Neisseria gonorrhoeae, Haemophilus ducreyi,

Yersinia multocida (formerly Pasteurella),

Campylobacter jejuni; anaerobic gram-negative bacteria (including strains producing betalactamases): Bacteroides spp., including Bacteroides fragilis.

Clavulanic acid inhibits types Il, Ill, IV and V beta-lactamases, is inactive against type I beta-lactamases produced by Pseudomona aeruginosa, Serratia spp., Acinetobacter sp Clavulanic acid has a high tropism for penicillinases, due to which it forms a stable complex with the enzyme, which prevents the enzymatic degradation of amoxicillin under the influence of beta-lactamases.

Indications:

Treatment of infectious and inflammatory diseases caused by sensitive pathogens: lower respiratory tract infections (bronchitis, pneumonia, pleural empyema, lung abscess); ENT infections (sinusitis, tonsillitis, otitis media); infections of the genitourinary system and pelvic organs (pyelonephritis, pyelitis, cystitis, urethritis, prostatitis, cervicitis, salpingitis, salpingo-oophoritis, tubo-ovarian abscess, endometritis, bacterial vaginitis, septic abortion, postpartum sepsis, pelvioperitonitis, soft chancre); infections of the skin and soft tissues (erysipelas, impetigo, secondarily infected dermatoses, abscess, phlegmon, wound infection); osteomyelitis; postoperative infections. Prevention of infections in surgery.

Method of administration and dosage:

The drug is taken orally.

The dosage regimen is set individually, depending on the age, body weight, renal function of the patient, as well as the severity of the infection.

For optimal absorption and to reduce possible side effects from the digestive system, Hibiotic@ is recommended to be taken at the beginning of a meal.

The minimum course of antibiotic therapy is 5 days.

Treatment should not continue for more than

14 days without revising the clinical situation.

For children 3 months and older:

8 kg 3.0 ml twice a day;

12 kg 4.5 ml twice a day;

16 kg 6.0 ml twice a day;

20 kg 7.5 ml twice a day;

24 kg 9.0 ml twice a day;

28 kg 10.5 ml twice a day;

32 kg 12.0 ml twice a day;

36 kg 13.5 ml twice a day.

Low doses of Hibiotic@ are used to treat infections of the skin and soft tissues, as well as recurrent tonsillitis.

High doses of Hibiotic@ are used to treat diseases such as otitis media, sinusitis, infections of the lower respiratory tract and urinary tract, infections of bones and joints.

Contraindications:

Hypersensitivity to drug components (including cephalosporins and other betalactam antibiotics); infectious mononucleosis (including when a measles-like rash appears); phenylketonuria; episodes of jaundice or liver dysfunction as a result of amoxicillin / clavulanic acid use in history; CC less than 30 ml / min (for tablets 875 mg / 125 mg).

Carefully

Pregnancy, lactation period, severe liver failure, gastrointestinal diseases (including a history of colitis associated with the use of penicillins), chronic renal failure.

Precautions:

During the course of treatment, it is necessary to monitor the state of the function of the hematopoietic organs, liver and kidneys.

In order to reduce the risk of side effects from the gastrointestinal tract, the drug should be taken with meals.

It is possible to develop superinfection due to the growth of microflora insensitive to it, which requires a corresponding change in antibiotic therapy.

May give false positive results for urine glucose. In this case, it is recommended to use the glucose oxidant method for determining the concentration of glucose in urine.

In patients with hypersensitivity to penicilli cross-allergic reactions with cephalosporin antibiotics are possible.

Side effects:

From the digestive system: nausea, vomiting, diarrhea, gastritis, stomatitis, glossitis, increased activity of hepatic transaminases, in isolated cases – cholestatic jaundice, hepatitis, liver failure (more often in the elderly, men, with prolonged therapy), pseudomembranous and hemorrhagic colitis ( can also develop after therapy), enterocolitis, black “hairy” tongue, darkening of tooth enamel.

From the side of hematopoietic organs: a reversible increase in prothrombin time and bleeding time, thrombocytopenia, thrombocytosis, eosinophilia, leukopenia, agranulocytosis, hemolytic anemia.

From the nervous system: dizziness, headache, hyperactivity, anxiety, change in behavior, seizures.

Local reactions: in some cases – phlebitis at the intravenous injection site.

Allergic reactions: urticaria, erythematous r rarely – exudative erythema multiforme, anaphylactic shock, angioedema, extremely

rarely – exfoliative dermatitis, malignant exudative erythema (Stevens-Johnson syndrome), serous allergic vasculitis, pustular syndrome, similar to acute exothermic …

Others: candidiasis, development of superinfection, interstitial nephritis, crystalluria, hematuria.

Storage method:

At a temperature not exceeding 25 degrees. After opening, keep in the refrigerator for 7 days.

Packaging.

The cardboard box contains 53.4 g of powder for preparing 80 ml of suspension.