Gentamicina ABC Uses

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What is Gentamicina ABC?

Gentamicina ABC is an antibiotic. It fights bacteria in the body.

Gentamicina ABC is used to treat severe or serious bacterial infections.

Gentamicina ABC may also be used for purposes other than those listed in this medication guide.

Gentamicina ABC indications

An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.
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To reduce the development of drug-resistant bacteria and maintain the effectiveness of Gentamicina ABC and other antibacterial drugs, Gentamicina ABC should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Gentamicina ABC Sulfate Injection, USP is indicated in the treatment of serious infections caused by susceptible strains of the following microorganisms: Pseudomonas aeruginosa, Proteus species (indole-positive and indole-negative), Escherichia coli, Klebsiella-Enterobacter-Serratia species, Citrobacter species, and Staphylococcus species (coagulase-positive and coagulase-negative).

Clinical studies have shown Gentamicina ABC Sulfate Injection, USP to be effective in bacterial neonatal sepsis; bacterial septicemia; and serious bacterial infections of the central nervous system (meningitis), urinary tract, respiratory tract, gastrointestinal tract (including peritonitis), skin, bone and soft tissue (including burns).

Aminoglycosides, including Gentamicina ABC, are not indicated in uncomplicated initial episodes of urinary tract infections unless the causative organisms are susceptible to these antibiotics and are not susceptible to antibiotics having less potential for toxicity.

Specimens for bacterial culture should be obtained to isolate and identify causative organisms and to determine their susceptibility to Gentamicina ABC.

Gentamicina ABC Sulfate may be considered as initial therapy in suspected or confirmed gram-negative infections, and therapy may be instituted before obtaining results of susceptibility testing. The decision to continue therapy with this drug should be based on the results of susceptibility tests, the severity of the infection, and the important additional concepts contained in the box. If the causative organisms are resistant to Gentamicina ABC, other appropriate therapy should be instituted.

In serious infections when the causative organisms are unknown, Gentamicina ABC Sulfate may be administered as initial therapy in conjunction with a penicillin-type or cephalosporin-type drug before obtaining results of susceptibility testing. If anaerobic organisms are suspected as etiologic agents, consideration should be given to using other suitable antimicrobial therapy in conjunction with Gentamicina ABC. Following identification of the organism and its susceptibility, appropriate antibiotic therapy should then be continued.

Gentamicina ABC Sulfate has been used effectively in combination with carbenicillin for the treatment of life-threatening infections caused by Pseudomonas aeruginosa. It has also been found effective when used in conjunction with a penicillin-type drug for the treatment of endocarditis caused by group D streptococci.

Gentamicina ABC Sulfate Injection, USP has also been shown to be effective in the treatment of serious staphylococcal infections. While not the antibiotic of first choice, Gentamicina ABC may be considered when penicillins or other less potentially toxic drugs are contraindicated and bacterial susceptibility tests and clinical judgment indicate its use. It may also be considered in mixed infections caused by susceptible strains of staphylococci and gram-negative organisms.

In the neonate with suspected bacterial sepsis or staphylococcal pneumonia, a penicillin-type drug is also usually indicated as concomitant therapy with Gentamicina ABC.

How should I use Gentamicina ABC?

Use Gentamicina ABC solution as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Gentamicina ABC solution.

Uses of Gentamicina ABC in details

There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.
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This medication is used to prevent or treat a wide variety of bacterial infections. Gentamicina ABC belongs to a class of drugs known as aminoglycoside antibiotics. It works by stopping the growth of bacteria.

How to use Gentamicina ABC injection

This medication is given by injection into a vein or muscle as directed by your doctor, usually every 8 hours. The dosage is based on your medical condition, weight, and response to treatment. Laboratory tests (such as kidney function, levels of drug in the blood) may be performed to help find the best dose for your condition.

If you are giving this medication to yourself at home, learn all preparation and usage instructions from your health care professional. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid. Learn how to store and discard medical supplies safely.

Antibiotics work best when the amount of medicine in your body is kept at a constant level. Therefore, use this drug at evenly spaced intervals.

Continue to use this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow, which may result in a return of the infection.

Tell your doctor if your condition persists or worsens.

Gentamicina ABC description

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Gentamicina ABC also contains the following ingredients: Methyl paraben 1.8 mg, propyl paraben 0.2 mg, sodium bisulfite 3.2 mg, disodium ethylenediaminetetraacetate 0.1 mg and water for injection.

Gentamicina ABC sulfate injection is a sterile solution of Gentamicina ABC sulfate water for injection. It contains the equivalent of not less than 90% and not more than 125% of the labeled amount of Gentamicina ABC. It may contain suitable buffers, preservatives, sequestering agents, unless it is intended for intrathecal use, in which case it contains only suitable tonicity agents.

Gentamicina ABC dosage

Each ampoule is for use in a single patient on 1 occasion only.

Adults: Serious Infections (Systemic and Urinary Tract Infections): 3 mg/kg/day in 3 doses given every 8 hrs.

Life-Threatening Infections: Up to 5 mg/kg/day in 3 or 4 equal doses with reduction to 3 mg/kg/day as soon as clinically indicated. Doses should never exceed 5 mg/kg/day unless serum levels are monitored.

The following table should be used as a guide: See Table 1.

Children: The following table should be used as a guide: See Table 2.

Patients with Renal Impairment: Dosage should be adjusted to minimise the risk of toxicity. The 1st dose should be as normal eg, 80 mg (body weight >60 kg) and subsequent doses should be given less frequently, depending on the degree of renal impairment.

Table 3 should be used as a guide: See Table 3.

When only a serum urea concentration is available, this value may be utilized initially, however, it should be supplemented with a serum creatinine level or creatinine clearance rate whenever possible.

Note: The standard dose of 80 mg 3 times a day may be inappropriate and a more appropriate dose can be calculated using a nomogram which takes into account the patient's serum creatinine levels, body weight and age. This dose can be adjusted if necessary following determination of serum creatinine levels. Desirable serum levels of Gentamicina ABC are 5-8 mcg/mL as a peak and 1-2 mcg/mL as a trough.

Note: In children with impaired renal function, serum levels should be monitored and frequency of dosage reduced if indicated.

Adults with Renal Failure Undergoing

Haemodialysis: The amount of Gentamicina ABC removed from the blood may vary depending upon several factors including the dialysis method used. An 8-hr haemodialysis may reduce serum concentrations of Gentamicina ABC by approximately 50%. The recommended dosage at the end of each dialysis period is 1-1.7 mg/kg depending upon the severity of infection.

Administration: Gentamicina ABC is normally given by IM injection.

Intravenous administration may be used for particular indications when the IM route is not appropriate. The dosage is the same for either route of administration. It is desirable to measure both peak and trough serum levels during treatment. Prior to administration, the patient's body weight should be measured for the correct calculation of dosage. In obese patients, the appropriate dose can be calculated by assuming the body weight is the patient's estimated lean body weight plus 40% of the excess. Blood specimens for the determination of peak Gentamicina ABC concentrations should be obtained approximately 1 hr following IM administration and 30-min after completion of a 30-min infusion. Blood specimens for the trough Gentamicina ABC concentration should be obtained immediately prior to the next IM or IV dose.

Intravenous Administration:

For IV administration, the prescribed dose of Gentamicina ABC may be diluted in 100-200 mL of sterile normal saline or 5% glucose in water. The concentration of Gentamicina ABC in the solution should not exceed 1 mg/mL. Infusion periods of 30 min to 2 hrs have been advocated. Administration of the dose by bolus injection produces serum levels which are initially in excess of what is regarded as being safe from toxic side effects. The high serum level does however rapidly fall and the potential danger or safety of this method is yet to be established. Gentamicina ABC Pfizer must not be mixed with other drugs, but should be administered by separate infusion.

Gentamicina ABC interactions

See also:
What other drugs will affect Gentamicina ABC?

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Penicillins: Gentamicina ABC is inactivated by solutions containing β-lactam antibiotics (penicillins and cephalosporins) so the 2 drugs should not be administered simultaneously nor should they be combined in the IV fluid. The inactivation of Gentamicina ABC by penicillins may occur in vivo, especially in patients with renal failure who maintain a higher level of the penicillin for a longer period of time. Therefore, when Gentamicina ABC and penicillins are used together in patients with renal failure, the time of administration of each drug should be staggered so that several hours separate each infusion.

Diuretics: Potent diuretics eg, ethacrynic acid or frusemide may potentiate the ototoxic effects of Gentamicina ABC.

Other Neurotoxic and/or Nephrotoxic Agents: Since the ototoxic or nephrotoxic effects of Gentamicina ABC may be additive, avoid concurrent or sequential use of other neurotoxic and/or nephrotoxic antibiotics, including other aminoglycosides, polymyxin B, colistin, cisplatin, vancomycin, amphotericin, clindamycin and cephalosporins.

Neuromuscular-Blocking Agents: Respiratory paralysis and prolongation of neuromuscular blockade may occur if a neuromuscular-blocking agent eg, suxamethonium (succinylcholine), tubocurarine, decamethonium, halogenated hydrocarbon inhalation anaesthetics, opioid analgesics or massive transfusions with citrated anticoagulated blood are administered to a patient receiving Gentamicina ABC.

Vitamin K: Gentamicina ABC may inhibit the action of IV vitamin K upon the synthesis of clotting factors.

Potential Interactions: In vitro synergism and antagonism have been found between various antineoplastic agents and aminoglycosides.

Incompatibilities. When Gentamicina ABC is used in combination with any other drug, mixing the drugs before administration should be avoided at all costs.

Gentamicina ABC side effects

See also:
What are the possible side effects of Gentamicina ABC?

Applies to Gentamicina ABC ophthalmic: ophthalmic ointment, ophthalmic solution

In addition to its needed effects, some unwanted effects may be caused by Gentamicina ABC ophthalmic. In the event that any of these side effects do occur, they may require medical attention.

Major Side Effects

You should check with your doctor immediately if any of these side effects occur when taking Gentamicina ABC ophthalmic:

Less common:

Rare

Minor Side Effects

Some of the side effects that can occur with Gentamicina ABC ophthalmic may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:

Less common:

After application, eye ointments usually cause your vision to blur for a few minutes.

Gentamicina ABC contraindications

See also:
What is the most important information I should know about Gentamicina ABC?

Known hypersensitivity to Gentamicina ABC or aminoglycosides and/or preserving agents (para group allergy); patients with preexisting vestibular and/or cochlear disease should be given aminoglycosides for life-threatening conditions only.

Administration of other ototoxic and/or nephrotoxic antibiotics together with or immediately after Gentamicina ABC should be avoided.

Caution should be exercised in patients with reduced renal function to avoid drug cumulation. Caution is also indicated in patients with milder degrees of renal insufficiency, neuromuscular disease (eg, myasthenia gravis or Parkinson's disease) and at an advanced age. As Gentamicina ABC contains sulfite, it must not be used in asthmatics hypersensitive to sulfite.

Use in pregnancy & lactation: During pregnancy, Gentamicina ABC should only be given for life-threatening conditions or if other antibiotics are ruled out. As Gentamicina ABC is known to be present in breast milk, breastfeeding should be suspended if Gentamicina ABC is administered during lactation.



Active ingredient matches for Gentamicina ABC:

Gentamicin in Italy.


List of Gentamicina ABC substitutes (brand and generic names)

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Unit description / dosage (Manufacturer)Price, USD
Ointment; Ophthalmic; Gentamicin Sulfate 0.3%
Solution; Ophthalmic; Gentamicin Sulfate 0.3%
Gentamide Eye 5 ml Drop (Sunways India Pvt. Ltd.)$ 0.02
GENTAMIDE 0.3% DROPS 1 packet / 5 ML drop each (Sunways India Pvt. Ltd.)$ 0.08
GENTAMIDE eye drops 0.3 % v/v x 5ml (Sunways India Pvt. Ltd.)$ 0.08
Gentamide 0.3% Drop (Sunways India Pvt. Ltd.)$ 0.08
Gentamide DM Eye 3 ml Drop (Sunways India Pvt. Ltd.)$ 0.05
GENTAMIDE DM 0.3%/0.1% EYE DROPS 1 packet / 5 ML eye drop each (Sunways India Pvt. Ltd.)$ 0.10
GENTAMIDE DM 0.3%/0.1% EYE OINTMENT 1 tube / 3 GM eye ointment each (Sunways India Pvt. Ltd.)$ 0.13
Gentamide DM 0.3%/1% Eye Drop (Sunways India Pvt. Ltd.)$ 0.10
Gentamide DM 0.3%/1% Eye Ointment (Sunways India Pvt. Ltd.)$ 0.13
Gentamin D Eye 10 ml Drop (Alpa Laboratories Ltd)$ 0.01
Ointment; Ophthalmic; Gentamicin 0.3% (Calibre Pharmaceutical Pvt. Ltd.)
Gentamycin 0.3%/5ml - 1 Eye drops (Calibre Pharmaceutical Pvt. Ltd.)$ 10.40
Gentamycin 40mg VIAL / 1 (Calibre Pharmaceutical Pvt. Ltd.)$ 0.09
Gentamycin / Panbiotic 40 mg/1 mL x 2 mL (Calibre Pharmaceutical Pvt. Ltd.)
Gentamycin / Panbiotic 40 mg/1 mL x 10 mL (Calibre Pharmaceutical Pvt. Ltd.)
40 mg x 1's (Calibre Pharmaceutical Pvt. Ltd.)$ 0.09

References

  1. DailyMed. "GENTAMICIN SULFATE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
  2. PubChem. "gentamicin". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. DrugBank. "gentamicin". http://www.drugbank.ca/drugs/DB00798 (accessed September 17, 2018).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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