Nebaspor Uses

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What is Nebaspor?

Nebaspor is an antibiotic that fights bacteria in the body.

Nebaspor is used to reduce the risk of infection during surgery of your intestines. Nebaspor is also used to reduce the symptoms of hepatic coma.

Nebaspor may also be used for purposes not listed in this medication guide.

Nebaspor indications

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To reduce the development of drug-resistant bacteria and maintain the effectiveness of Nebaspor Sulfate tablets and other antibacterial drugs, Nebaspor Sulfate tablets 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.

Suppression of Intestinal Bacteria

Nebaspor Sulfate tablets are indicated as adjunctive therapy as part of a regimen for the suppression of the normal bacterial flora of the bowel, e.g., preoperative preparation of the bowel. It is given concomitantly with erythromycin enteric-coated base.

Hepatic Coma (Portal-Systemic Encephalopathy)

Nebaspor Sulfate has been shown to be effective adjunctive therapy in hepatic coma by reduction of the ammonia-forming bacteria in the intestinal tract. The subsequent reduction in blood ammonia has resulted in neurologic improvement.

How should I use Nebaspor?

Use Nebaspor 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 Nebaspor solution.

Uses of Nebaspor in details

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Oral Nebaspor is used before the operation of the gut to kill the bacteria which normally live in the gut that may cause a serious infection and in treatment of patients with coma due to liver disease (hepatic coma).

Nebaspor description

A component of Nebaspor that is produced by Streptomyces fradiae. On hydrolysis it yields neamine and neobiosamine B. (From Merck Index, 11th ed). Nebaspor is a bactericidal aminoglycoside antibiotic that binds to the 30S ribosome of susceptible organisms. Binding interferes with mRNA binding and acceptor tRNA sites and results in the production of non-functional or toxic peptides.

Nebaspor dosage

Nebaspor Dosage

Generic name: Nebaspor SULFATE 87.5mg in 5mL

Dosage form: oral solution

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The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

To minimize the risk of toxicity use the lowest possible dose and the shortest possible treatment period to control the condition. Treatment for periods longer than two weeks is not recommended.

Hepatic coma

For use as an adjunct in the management of hepatic coma, the recommended dose is 4 to 12 grams per day given in the following regimen:

  1. Withdraw protein from diet. Avoid use of diuretic agents.

  2. Give supportive therapy including blood products, as indicated.

  3. Give Nebaspor

    Oral Solution in doses of four to twelve grams of Nebaspor sulfate per day in divided doses.

    Treatment should be continued over a period of five to six days during which time protein should be returned incrementally to the diet.

  4. If less potentially toxic drugs cannot be used for chronic hepatic insufficiency, Nebaspor sulfate in doses of up to four grams daily may be necessary. The risks for the development of Nebaspor induced toxicity progressively increase when the treatment must be extended to preserve the life of a patient with hepatic encephalopathy who has failed to fully respond. Frequent periodic monitoring of these patients to ascertain the presence of drug toxicity is mandatory. Also, Nebaspor serum concentrations should be monitored to avoid potentially toxic levels. The benefits to the patient should be weighed against the risks of nephrotoxicity, permanent ototoxicity and neuromuscular blockade following the accumulation of Nebaspor in the tissues.

More about Nebaspor (Nebaspor)

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Nebaspor interactions

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What other drugs will affect Nebaspor?

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Caution should be taken in concurrent or serial use of other neurotoxic and/ or nephrotoxic drugs because of possible enhancement of the nephrotoxicity and/or ototoxicity of Nebaspor.

Caution should also be taken in concurrent or serial use of other aminoglycosides and polymyxins because they may enhance Nebaspor's nephrotoxicity and/or ototoxicity and potentiate Nebaspor sulfate's neuromuscular blocking effects.

Oral Nebaspor inhibits the gastrointestinal absorption of penicillin V, oral vitamin B-12, methotrexate and 5-fluorouracil. The gastrointestinal absorption of digoxin also appears to be inhibited. Therefore, digoxin serum levels should be monitored.

Oral Nebaspor sulfate may enhance the effect of coumarin in anticoagulants by decreasing vitamin K availability.

Nebaspor side effects

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What are the possible side effects of Nebaspor?

Applies to Nebaspor: oral solution, oral tablet

In addition to its needed effects, some unwanted effects may be caused by Nebaspor (the active ingredient contained in Nebaspor). 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 Nebaspor:

Rare

Minor Side Effects

Some of the side effects that can occur with Nebaspor 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:

More common:

Nebaspor contraindications

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What is the most important information I should know about Nebaspor?

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You should not take this medicine if you are allergic to Nebaspor or similar antibiotics such as amikacin (Amikin), gentamicin (Garamycin), kanamycin (Kantrex), paromomycin (Humatin, Paromycin), streptomycin, or tobramycin (Nebcin, Tobi).

You should not take Nebaspor if you have ulcerative colitis, Crohn's disease, a blockage in your intestines, or other inflammatory bowel disease.

Do not use Nebaspor if you are pregnant. It could harm the unborn baby.

Before you take Nebaspor, tell your doctor if you have kidney disease, myasthenia gravis, or Parkinson's disease.

Never take Nebaspor in larger amounts than recommended, or for longer than 2 weeks. High doses or long-term use of Nebaspor can cause serious kidney problems, or hearing loss that may not be reversible. The longer you take Nebaspor, the more likely you are to develop these serious side effects.

To be sure this medication is not causing harmful effects, your kidney function, and your nerve and muscle function will need to be tested often. You may also need hearing tests. Nebaspor can have long lasting effects on your body. Do not miss any follow up visits to your doctor for blood or urine tests.

Nebaspor can harm your kidneys, and this effect is increased when you also use certain other medicines harmful to the kidneys. Before using Nebaspor, tell your doctor about all other medicines you use. Many other drugs (including some over-the-counter medicines) can be harmful to the kidneys.

If you are being treated for hepatic coma, avoid eating foods that are high in protein. Follow your doctor's instructions about any other restrictions on food, beverages, or activity.



Active ingredient matches for Nebaspor:

Neomycin in India.

Bacitracin/Polymyxin B/Sulfacetamide

Bacitracin zinc/neomycin sulphate/polymyxin B sulphate in India.


Unit description / dosage (Manufacturer)Price, USD
Nebaspor Polymyxin B sulphate 5000 u, Bacitracin zinc 400 u, Neomycin sulphate 3400 u. OINT / 5g$ 0.35
Nebaspor Skin 10 gm Powder$ 0.31
Nebaspor 5 gm Ointment$ 0.35
NEBASPOR OINTMENT 1 tube / 5 GM ointment each (Intas Pharmaceuticals Ltd)$ 0.42
NEBASPOR POWDER 1 box / 10 GM powder each (Intas Pharmaceuticals Ltd)$ 0.49
NEBASPOR oint 5g (Intas)$ 0.35
Nebaspor Ointment (Intas Pharmaceuticals Ltd)$ 0.08

List of Nebaspor substitutes (brand and generic names):

Nebaspor Powd Neomycin sulphate 5 mg, Bacitracin 250 u, sulphacetamide 60 mg. POWD / 10g (Intas)$ 0.31
NEBASPOR POWD topical powd 10g (Intas)$ 0.31
75's (Charak)$ 0.84
NEO tab 75's (Charak)$ 0.84
Neo Topin Skin 10 gm Ointment (Perk Pharmaceuticals Ltd.)$ 0.28
Solution; Oral; Neomycin Sulfate 87.5 mg / 5 ml (Pharma tek)
Neo-fradin solution 87.5 mg/5mL (Pharma tek)
Tablet; Oral; Neomycin Sulfate 350 mg
Neocin Hyper 500 mg Tablet (Western Remedies (India))$ 0.06
Neocin OT 100 gm Powder (Western Remedies (India))$ 4.16
Neocortisun Sterile E/E 3.5 ml Drop (Sunways India Pvt. Ltd.)$ 0.02
Powder; Oral; Neomycin Sulfate 81.25 g / 100 g (Cimed)

References

  1. DailyMed. "SULFACETAMIDE: 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. DailyMed. "HYDROCORTISONE; NEOMYCIN SULFATE; POLYMYXIN B 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).
  3. PubChem. "neomycin". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).

Reviews

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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