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- Pharmacology For Doxycycline + Tizanidine + Lactobacillus
Doxycycline + Tizanidine + Lactobacillus Pharmacology
Doxycycline + Tizanidine + Lactobacillus
About Doxycycline + Tizanidine + LactobacillusN/AMechanism of Action of Doxycycline + Tizanidine + LactobacillusN/APharmacokinets of Doxycycline + Tizanidine + LactobacillusN/AOnset of Action for Doxycycline + Tizanidine + LactobacillusN/ADuration of Action for Doxycycline + Tizanidine + LactobacillusN/AHalf Life of Doxycycline + Tizanidine + LactobacillusN/ASide Effects of Doxycycline + Tizanidine + LactobacillusN/AContra-indications of Doxycycline + Tizanidine + LactobacillusN/ASpecial Precautions while taking Doxycycline + Tizanidine + LactobacillusN/APregnancy Related InformationN/AOld Age Related InformationN/ABreast Feeding Related InformationN/AChildren Related InformationN/AIndications for Doxycycline + Tizanidine + LactobacillusN/AInteractions for Doxycycline + Tizanidine + LactobacillusN/ATypical Dosage for Doxycycline + Tizanidine + LactobacillusN/ASchedule of Doxycycline + Tizanidine + LactobacillusN/AStorage Requirements for Doxycycline + Tizanidine + LactobacillusN/AEffects of Missed Dosage of Doxycycline + Tizanidine + LactobacillusN/AEffects of Overdose of Doxycycline + Tizanidine + LactobacillusN/ADoxycycline
About DoxycyclineTetracycline Derivative, Antibiotic.Mechanism of Action of DoxycyclineDoxycycline is a broad spectrum antibiotic which acts against both gram positive and gram negative organisms. It exerts its bacteriostatic action by accumulating inside the bacteria through specific transporter protein and by passive diffusion & inhibits bacterial protein synthesis by attaching to 30 S subunit of bacterial ribosome (which are absent in mammals).Doxycycline interfering the attachment of aminoacyl-tRNA to the mRNA-ribosome complex and peptide chain fails to grow. It chelates cations like Ca &Mg and inhibits functioning of various enzymes & ribosome.
Doxycycline is used in some areas for the treatment of Chloroquine-resistant falciparum malaria
Pharmacokinets of DoxycyclineAbsorption: Orally well absorbed, food has not much effect on absorption.
Distribution: Widely distributed; shows protein- binding.
Metabolism: Not substantially metabolized inside the body.
Excretion: Primarily excreted through faeces. Some drug is present in breast milk & a portion is excreted through urine.
Onset of Action for Doxycycline4 to 12 hoursDuration of Action for Doxycycline24 hoursHalf Life of Doxycycline18 to 24 hoursSide Effects of Doxycycline1. Photo toxicity
2. Intracranial hypertension
3. Dysphagia
4. Nausea
5. Vomiting
6. Epigastric distress
7. Super infection
8. Skin rashes
9. Pericarditis
10. Neutropenia
11. Elevated liver enzymes
12. Discoloration of teeth
13. Esophageal ulceration
14. Glossitis
15. Thrombocytopenia
16. Retardation of bone growthContra-indications of Doxycycline1. Hypersensitivity to the drug or other tetracyclinesSpecial Precautions while taking Doxycycline1.Renal impairment
2.Hepatic impairment
3.Sun exposure may leads to photo toxicity.
4.Alcohol uptake may decrease antibiotic effect.
Pregnancy Related InformationContraindicatedOld Age Related InformationUse with cautionBreast Feeding Related InformationContraindicatedChildren Related InformationContraindicated
NEONATES : ContraindicatedIndications for Doxycycline1. Syphilis
2. Lympho granuloma veneram
3. Typhus fever
4. Respiratory tract infections
5. Prophylaxis of malaria
6. Urinogenital tract infections
7. Trachoma
8. Pelvic inflammatory diseases
9. Acne
10. Diarrhoea
11. Gonorrhea in penicillin allergic individuals
12. Pneumonia
13. Rickettsial infections
14. Urethritis
15. AnthraxInteractions for DoxycyclineAntacids (aluminium, calcium zinc, magnesium), Iron salts, Bismuth salts: Impair absorption of tetracyclines thus reducing its efficacy.
Anticoagulants: Increase the hypothrombinemic effects of anticoagulants.
Cimetidine: Decreases GI absorption leading to decreased efficacy of tetracyclines.
Digoxin: Increased serum levels leading to digoxin toxicity.
Methoxyflurane: Nephrotoxic effects of both increased.
Oral contraceptives: Breakthrough bleeding, pregnancy due to decreased efficacy.
Penicillins: Efficacy reduced.
Food: Dairy products decrease efficacy of tetracyclines.
Lab Tests: Bacteriosuppressive levels of Demeclocycline persist in both urine and blood for several days after cessation of therapy interfering with culture studies.
Typical Dosage for DoxycyclineAdults: 0.2gm initial dose followed by 0.1gm once daily.
In severe infections: 0.1gm 12 hourly up to 10 days.
Malaria: 200 mg daily for at least 7 days after treatment with quinine.
Malaria prophylaxis: Doxycycline 100 mg daily.
Anthrax: 200 mg / day in 2 divided doses
Acne: 100mg/day Or 50mg twice daily.
Urethritis: 100 mg twice a day for 7 days
Children (above 8 years of age): 3 to 5 mg/kg/day in two divided doses.
Schedule of DoxycyclineHStorage Requirements for DoxycyclineStore in a cool place.Effects of Missed Dosage of DoxycyclineTake the missed dose as soon as noticed and if it is the time to take the next dose then skip the missed dose.Effects of Overdose of DoxycyclineTreatment is supportive & symptomatic. Drug can be removed by gastric lavage.Tizanidine
About TizanidineA centrally acting a-2 adrenergic agonist, Centrally acting muscle relaxant (short-acting).Mechanism of Action of TizanidineThis drug is a centrally acting alpha2 agonist at alpha2-adrenergic receptor sites and presumably reduces spasticity by increasing presynaptic inhibition of motor neurons. This results the blocking of nerve impulses (or pain sensations) that are sent to your brain.Pharmacokinets of TizanidineAbsorption- Completely absorbed after oral administration.
Distribution- Widely distributed throughout the body. 30% bound to the plasma proteins.
Metabolism- Metabolized in the liver to its metabolites.
Excretion- Excreted through urine.
Onset of Action for Tizanidine1 to 2 hrs after oral administrationDuration of Action for TizanidineN/AHalf Life of TizanidineN/ASide Effects of Tizanidine1. Dizziness
2. Upset stomach
3. Vomiting
4. Tingling sensation in the arms, legs, hands, and feet
5. Dry mouth
6. Increased muscle spasms
7. Yellowing of the skin or eyes
8. Unexplained flu-like symptoms
Contra-indications of Tizanidine1. Contraindicated in patients with hypersensitivity to the drug or any ingredients of itSpecial Precautions while taking Tizanidine1. Kidney disease
2. Liver disease
3. Low blood pressure or are on medication to treat high blood pressure
4. Birth control pills use
Pregnancy Related InformationContraindicatedOld Age Related InformationUse with cautionBreast Feeding Related InformationContraindicatedChildren Related InformationUse with cautionIndications for Tizanidine1. Painful muscle spasm associated with static and functional disorders of the spine
2. Following surgery for disc prolapse/osteoarthritis of the hipInteractions for TizanidineAlcohol & other CNS depressants : CNS effects of tizanidine potentiated.Typical Dosage for TizanidineOral-
Adult-
Muscle spasm - 2 mg thrice a day.
Spasticity- Initial dose 6 mg/day in 3 divided doses, then increase stepwise to 12-36 mg/day.
Schedule of TizanidineN/AStorage Requirements for TizanidineStore at room temperature away from moisture and heat.Effects of Missed Dosage of TizanidineTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.Effects of Overdose of TizanidineGive symptomatic and supportive treatment.Lactobacillus
About LactobacillusLactic acid bacteria, Probiotic,Antidiarrhoeal.Mechanism of Action of LactobacillusLactobacillus is a probiotic and it is called as friendly bacteria. It is used along with antibiotic in order to restore the body`s natural microbial flora with in the digestive tract. Lactobacillus helps in the breakdown of food and leads to the production of lactic acid, hydrogen peroxide and other byproducts. This will alter the intestinal pH and that make the environment hostile for pathogens.Pharmacokinets of LactobacillusAbsorption: It is orally well absorbed after oral administration.
Onset of Action for LactobacillusN/ADuration of Action for LactobacillusN/AHalf Life of LactobacillusN/ASide Effects of Lactobacillus1.Abdominal discomfort
2.Vaginal irritation (when used vaginally)
Contra-indications of Lactobacillus1.Recent bowel surgery
2.Intestinal damage
3.Weakened immune system
Special Precautions while taking LactobacillusPatient on Inulin treatmentPregnancy Related InformationUse with cautionOld Age Related InformationUse with cautionBreast Feeding Related InformationUse with cautionChildren Related InformationUse with caution
NEONATES: Use with cautionIndications for Lactobacillus1.Aphthous stomatitis
2.Hypochlorhydria
3.Hepatic encephalopathy
4.Adjuvant to antibiotic therapy
5.Diarrhoea.Interactions for LactobacillusN/ATypical Dosage for LactobacillusAdult: 60 - 150 million spores 3 times daily depending on the severity of infections.
Vaginal bacterial infections: 1- 2 billion bacteria 2 - 3 times daily
Suppositories:
Vaginal infections, cystitis: 1 - 2 suppositories are inserted in to vagina at night for 2 weeks. Each suppository contains 1 - 2 billion lactobacilli
Schedule of LactobacillusN/AStorage Requirements for LactobacillusRefrigerate below 5 degree C.Effects of Missed Dosage of LactobacillusN/AEffects of Overdose of LactobacillusGive supportive measures and symptomatic treatmentHome Delivery for Doxycycline + Tizanidine + Lactobacillus in Your City
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Doxycycline + Tizanidine + Lactobacillus is a generic medicine name and there are several brands available for it. Some of the brands for doxycycline + tizanidine + lactobacillus might be better known than doxycycline + tizanidine + lactobacillus itself. If the pharmacy that's willing to deliver medicines to your home doesn't have doxycycline + tizanidine + lactobacillus in stock, you can ask for one of the branded alternatives for doxycycline + tizanidine + lactobacillus.