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Everybody's Guide to using medicines safely!
« on: December 16, 2016, 05:27:11 am »
All articles courtesy: Dr.A.R.Shenoy AND Dr.V.R.Shenoy

Hope u like it!
Will try to keep u updated with the latest information!


Here I begin...

I'm starting with ANTIBACTERIALS!





1.  SPARFLOXACIN


General Information
Sparfloxacin is a fluoroquinolone used for treating infections such as urinary tract and prostate gland infections, it also used in the treatment of chronic bronchitis, sinus, pneumonia and soft skin infections. Older people with reduced kidney function should take lower doses of this drug. Another reason for a lower Sparfloxacin dosage for older people is its slower rate of excretion in them.

Caution
Fluoroquinolones such as Sparfloxacin should be prescribed/used judiciously.
l Resistance and allergy to fluoroquinolones can occur sometimes in course of their therapy.
l Fluoroquinolones can cause central nervous system problems and psychosis.
l Severe, even fatal, allergic reactions, including even the collapse of the circulatory system have happened after just one dose of fluoroquinolones.

Vital Information Your Doctor Must Know Before Prescribing Sparfloxacin
Whether you have the following problems/conditions.

l Allergies to drugs.

l Epilepsy or seizures.

l Kidney alone or kidney and liver problems.

l Slow heart beat, heart disease, abnormal heart rhythm..

l Brain or spinal cord disease.

l Pregnant or trying to get pregnant.

l Lactating.

l Any other drug prescription or non-prescription that you might be taking.

Safe usage
l Do not take Sparfloxacin while drinking alcohol.

l Never take more than the recommended doses of Sparfloxacin.

l Take Sparfloxacin with 250-300 ml of water.

l Should you miss a dose take it when you remember, but try to avoid it if it is time for the next dose, never take double doses.

l If you are on Sparfloxacin medication, avoid any activity that requires your alertness.

l If you plan to have any surgery, including dental and you are on Sparfloxacin medication, do not
forget to tell your doctor that you take this drug.

l TAKE All THE SPARFLOXACIN YOUR DOCTOR PRESCRIBED, EVEN IF YOU FEEL
BETTER. IF YOU STOP TOO SOON, YOUR SYMPTOMS COULD COME BACK.

l DO NOT TAKE ANTACIDS, SUCRALFATE, OR PRODUCTS CONTAINING IRON OR  ZINC (HEMATINIC FORMULATIONS) WITHIN TWO HOURS OF TAKING SPARFLOXACIN.

Caution
Sparfloxacin should be prescribed/used judiciously in conjuction with
aminophylline and theophylline therapy.
l When using sparfloxacin, elderly patients should adjust their, aminophylline or theophylline dosage, preferably reducing it by 30% – 50% at the start of the Sparfloxacin therapy.

l Aminophylline or theophylline levels in the blood should be obtained following the start of
Sparfloxacin no later than two days into therapy.

Drug Interactions
Sparfloxacin should not be taken with these drugs.

l Alurninum hydroxide.

l Amiodarone.

l Calcium carbonate.

l Erythromycin.

l Ferrous sulfate.

l Magnesium hydroxide.

l Quinidine.

l Sucralfate.

Adverse Effects of Sparfloxacin Requiring Doctor’s Attention
l Agitation.

l Breathing trouble.

l Seizures.

l Confusion and hallucinations.

l Fever.

l Insomnia.

l Dizziness or lightheadedness.

l Skin rash, itching, redness, peeling.

l Swelling of face, neck, calves or lower legs.

l Tremors.

l Change in vision (inability to see red, blue).

l Pain at site of injection.

!Pain in calves radiating to heels.

l Headache.

l Rapid heartbeat.

l Stomach upset or pain and pain in the joints.

l Nausea, vomiting, diarrhoea.

l Increased sensitivity to sun (rash, hives, skin reactions).

l Vaginal discharge or itching.

Caution
Sparfloxacin therapy is associated with increased risk of tendinitis.
l When using Sparfloxacin, if you experience unexpected tendon pain stop taking the drug
immediately and contact your doctor.

l The tendinitis from Sparfloxacin use usually affects the Achilles tendon and is often severe enough to require surgical attention.

Caution
Sparfloxacin prolongs the QTc interval (measured by an electrocardiogram in
milliseconds). Such a prolonged QTc can lead to a cardiac arrhythmia known commonly by the French terminology as “torsade de pointes”, and sudden death.


 

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