Actions of Nebaspor in details
Aminoglycosides like Nebaspor "irreversibly" bind to specific 30S-subunit proteins and 16S rRNA. Specifically Nebaspor binds to four nucleotides of 16S rRNA and a single amino acid of protein S12. This interferes with decoding site in the vicinity of nucleotide 1400 in 16S rRNA of 30S subunit. This region interacts with the wobble base in the anticodon of tRNA. This leads to interference with the initiation complex, misreading of mRNA so incorrect amino acids are inserted into the polypeptide leading to nonfunctional or toxic peptides and the breakup of polysomes into nonfunctional monosomes.
How should I take Nebaspor?
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. Follow the directions on your prescription label.
Measure liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
Take this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Nebaspor will not treat a viral infection such as the common cold or flu.
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.
If you are taking Nebaspor for hepatic coma, your treatment may also include a special diet. It is very important to follow the diet plan created for you by your doctor. You should become very familiar with the list of foods you should avoid to help control your condition.
If you need surgery, tell the surgeon ahead of time that you are using Nebaspor. Nebaspor can interact with certain medicines that may be given during surgery.
Store at room temperature away from moisture and heat. Do not allow the liquid form of this medicine to freeze.
Nebaspor administration
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. Follow the directions on your prescription label.
Measure liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
Take this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Nebaspor will not treat a viral infection such as the common cold or flu.
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.
If you are taking Nebaspor for hepatic coma, your treatment may also include a special diet. It is very important to follow the diet plan created for you by your doctor. You should become very familiar with the list of foods you should avoid to help control your condition.
If you need surgery, tell the surgeon ahead of time that you are using Nebaspor. Nebaspor can interact with certain medicines that may be given during surgery.
Store at room temperature away from moisture and heat. Do not allow the liquid form of this medicine to freeze.
Nebaspor pharmacology
Nebaspor Sulfate is poorly absorbed from the normal gastrointestinal tract. The small absorbed fraction is rapidly distributed in the tissues and is excreted by the kidney in keeping with the degree of kidney function. The unabsorbed portion of the drug (approximately 97%) is eliminated unchanged in the feces.
Growth of most intestinal bacteria is rapidly suppressed following oral administration of Nebaspor Sulfate, with the suppression persisting for 48 to 72 hours. Nonpathogenic yeasts and occasionally resistant strains of Enterobacter aerogenes (formerly Aerobacter aerogenes) replace the intestinal bacteria.
As with other aminoglycosides, the amount of systemically absorbed Nebaspor transferred to the tissues increases cumulatively with each repeated dose administered until a steady state is achieved. The kidney functions as the primary excretory path as well as the tissue binding site, with the highest concentration found in the renal cortex. With repeated dosings, progressive accumulation also occurs in the inner ear. Release of tissue-bound Nebaspor occurs slowly over a period of several weeks after dosing has been discontinued.
Protein binding studies have shown that the degree of aminoglycoside protein binding is low and, depending upon the methods used for testing, this may be between 0% and 30%.
Microbiology
In vitro tests have demonstrated that Nebaspor is bactericidal and acts by inhibiting the synthesis of protein in susceptible bacterial cells. It is effective primarily against gram-negative bacilli but does have some activity against gram-positive organisms. Nebaspor is active in vitro against Escherichia coli and the Klebsiella-Enterobacter group. Nebaspor is not active against anaerobic bowel flora.
If susceptibility testing is needed, using a 30 mcg disc, organisms producing zones of 16 mm or greater are considered susceptible. Resistant organisms produce zones of 13 mm or less. Zones greater than 13 mm and less than 16 mm indicate intermediate susceptibility.
References
- 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).
- 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).
- NCIt. "Framycetin Sulfate: NCI Thesaurus (NCIt) provides reference terminology for many systems. It covers vocabulary for clinical care, translational and basic research, and public information and administrative activities.". https://ncit.nci.nih.gov/ncitbrowser... (accessed September 17, 2018).
Reviews
The results of a survey conducted on ndrugs.com for Nebaspor are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Nebaspor. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.User reports
Consumer reported administration
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Information checked by Dr. Sachin Kumar, MD Pharmacology
