Neomycinesulfaat Uses

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What is Neomycinesulfaat?

Neomycinesulfaat is an antibiotic that fights bacteria in the body.

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

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

Neomycinesulfaat indications

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

Neomycinesulfaat 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)

Neomycinesulfaat 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 Neomycinesulfaat?

Use Neomycinesulfaat 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 Neomycinesulfaat solution.

Uses of Neomycinesulfaat in details

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Oral Neomycinesulfaat 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).

Neomycinesulfaat description

A component of Neomycinesulfaat that is produced by Streptomyces fradiae. On hydrolysis it yields neamine and neobiosamine B. (From Merck Index, 11th ed). Neomycinesulfaat 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.

Neomycinesulfaat dosage

Neomycinesulfaat Dosage

Generic name: Neomycinesulfaat 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 Neomycinesulfaat

    Oral Solution in doses of four to twelve grams of Neomycinesulfaat 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, Neomycinesulfaat sulfate in doses of up to four grams daily may be necessary. The risks for the development of Neomycinesulfaat 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, Neomycinesulfaat 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 Neomycinesulfaat in the tissues.

More about Neomycinesulfaat (Neomycinesulfaat)

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Neomycinesulfaat interactions

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What other drugs will affect Neomycinesulfaat?

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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 Neomycinesulfaat.

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

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

Neomycinesulfaat side effects

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What are the possible side effects of Neomycinesulfaat?

Applies to Neomycinesulfaat: oral solution, oral tablet

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

Rare

Minor Side Effects

Some of the side effects that can occur with Neomycinesulfaat 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:

Neomycinesulfaat contraindications

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

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

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

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

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

Never take Neomycinesulfaat in larger amounts than recommended, or for longer than 2 weeks. High doses or long-term use of Neomycinesulfaat can cause serious kidney problems, or hearing loss that may not be reversible. The longer you take Neomycinesulfaat, 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. Neomycinesulfaat can have long lasting effects on your body. Do not miss any follow up visits to your doctor for blood or urine tests.

Neomycinesulfaat can harm your kidneys, and this effect is increased when you also use certain other medicines harmful to the kidneys. Before using Neomycinesulfaat, 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 Neomycinesulfaat:

Neomycin in Netherlands.


List of Neomycinesulfaat substitutes (brand and generic names)

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Unit description / dosage (Manufacturer)Price, USD
Neomycinum 0.5 % x 1 tube 3 g
Neopolygramin Eye 3 gm Ointment (Sunways India Pvt. Ltd.)$ 0.03
Neosmin 5 ml Drop (Calibre Pharmaceutical Pvt. Ltd.)$ 0.03
Solution; Oral; Methscopolamine Bromide 0.25 mg; Neomycin Sulfate 35 mg / ml (Breckenridge)
NEOSOL 0.05% W/V OINTMENT 1 tube / 30 GM ointment each (Breckenridge)$ 1.41
Neosol 0.05% w/v Ointment (Breckenridge)$ 0.05
Neosporin Antibiotic Skin 20 gm Ointment (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.03
Neosporin Eye DPS Polymyxin B sulphate 5000 u, Neomycin sulphate 3400 u, Gramicidin 0.025 mg/1 mL. EYE-SOLN / 5ml (GSK)$ 0.29
5ml (GSK)$ 0.29
NEOSPORIN EYE DPS eye soln 5ml (GSK)$ 0.29
Neosporin-H DPS Polymyxin B sulphate 10000 u, Neomycin sulphate 3400 u, Hydrocortisone 10 mg/1 mL. EAR-DPS / 5ml (GSK)$ 0.48
5ml (GSK)$ 0.48
NEOSPORIN-H DPS ear drops 5ml (GSK)$ 0.53
Suspension; Oral; Neomycin Sulfate 4.4 mg; Sulfamethazine 8.8 mg; Sulfathiazole 26.5 mg / ml (Alphapharm)
Tablet; Oral; Neomycin Sulfate 500 mg (Alphapharm)
Nepozin 5 gm Ointment (Dupen Lab Pvt. Ltd.)$ 0.23
Tablet; Oral; Neomycin Sulphate 500 mg (Ifet)
Opthodex N Eye 5 ml Drop (Optho Remedies Pvt.Ltd.)$ 0.11
OPTHODEX N 0.5%/0.1% DROPS 1 packet / 5 ML drop each (Optho Remedies Pvt.Ltd.)$ 0.11
Opthodex N Eye Drop (Optho Remedies Pvt.Ltd.)$ 0.11
Polnedex 1 Bottle 5 mL
Qcderm RF Skin 5 gm Cream (Khandelwal Laboratories Pvt Ltd.)$ 0.27
Qcderm RF 25 gm Cream (Khandelwal Laboratories Pvt Ltd.)$ 0.90
Qcderm RF Skin 10 gm Cream (Khandelwal Laboratories Pvt Ltd.)$ 0.48

References

  1. 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).
  2. PubChem. "neomycin". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. DrugBank. "neomycin". http://www.drugbank.ca/drugs/DB00452 (accessed September 17, 2018).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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