Biseptol (co trimoxazol), comprimate

Prospect

Compozitie
Comprimate 120, 480. Compozitia chimica: Trimetoprim 20 mg, 80 mg; Sulfametoxazol 100 mg, 400 mg.

Actiune terapeutica
medicament cu actiune bacteriostatica. Este o asociere de trimetoprim si sulfametoxazol, ambele componente actionand sinergic si prezentand o inhibare a cresterii bacteriilor atat in vitro cat si in vivo. Actiunea lor duce in final la inhibarea sintezei compusilor purinici din celulele bacteriilor, prin influenta asupra diferitelor faze din formarea si transformarea acidului folic (sulfametoxazolul impiedica intercalarea acidului p-aminobenzoic in ciclul metabolic al acidului folic, iar trimetoprimul inhiba in schimb reductaza acidului dihidrofolic). Astfel ambele componente inhiba sinteza acidului dezoxiribonucleic al bacteriilor. Pe baza acestui dublu atac, preparatul devine foarte activ si numai rareori apar surse de microbirezistenti fata de acesta. Biseptol inhiba dezvoltarea agentilor gram pozitivi si gram negativi. Este ineficace fata de microbacterii, virusuri si fungi. Preparatul se preteaza mai ales la tratamentul infectiilor microbiene ale rinichilor si ale cailor urinare, provocate mai ales de escherichia coli si proteus vulgaris. Este bine resorbit din traiectul gastrointestinal si atinge concentratia bacteriostatica dupa 1 ora de la administrare (concentratia maxima dupa 2-4 ore) care se mentine circa 12 ore. Concentratiile cele mai mari apar in rinichi si in plamani. Se elimina nemodificat prin rinichi in interval de 24 ore.

Indicatii
Infectii ale cailor respiratorii, bronsita cronica, sinuzita, infectii ale rinichilor si ale cailor urinare, pielonefrita cronica, infectii ale traiectului digestiv provocat de Salmonella, Shigella si Escherichia coli. Infectii genitale, inclusiv uretrita gonococica, alte infectii bacteriene sistemice, infectii cutanate, septicemii.

Mod de administrare

Adulti: Doza initiala 1-3 comprimate Biseptol 480, de 2 ori pe zi. Doza de intretinere: 1 comprimat de 2 ori pe zi.
Copii de la 1-3 ani: 1-2 comprimate Biseptol 480, de 2 ori pe zi. Peste 14 ani ca la 1-2 com-primate Biseptol 120, de 2 ori pe zi.
De la 12-14 ani: adulti.

Contraindicatii

Hipersensibilitate, fata de sulfamide sau fata de trimetoprim, sarcina si perioada de alaptare. La modificari importante ale tabloului sanguin se recomanda precautii in caz de insuficienta hepatica sau renala, precum si la predispozitie marcanta la alergii, la astmul bronsic. Sa nu se administreze la nou-nascuti si la prematuri.

Reactii adverse
Modificari ale tabloului sanguin: agranulocitoza, anemii, leucopenii. infectii cutanate alergice, Erythema multiforme, urticarii, prurit, dermatita exfoliativa. tulburari digestive. Inflamatii ale parenchimului hepatic, cefalee, tulburari temporare ale sistemului nervos central.

eficienta

31 voturi
efecte secundare

15 voturi
pret medicament

78 voturi

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AMVC Error

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File /usr/share/pear/AS/SMARTY/Smarty.class.php at 1092


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