Ampicillin + Sulbactam Sodium Pharmacology

Ampicillin + Sulbactam Sodium

About Ampicillin + Sulbactam Sodium
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Mechanism of Action of Ampicillin + Sulbactam Sodium
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Pharmacokinets of Ampicillin + Sulbactam Sodium
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Onset of Action for Ampicillin + Sulbactam Sodium
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Duration of Action for Ampicillin + Sulbactam Sodium
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Half Life of Ampicillin + Sulbactam Sodium
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Side Effects of Ampicillin + Sulbactam Sodium
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Contra-indications of Ampicillin + Sulbactam Sodium
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Special Precautions while taking Ampicillin + Sulbactam Sodium
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Pregnancy Related Information
Use with caution
Old Age Related Information
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Breast Feeding Related Information
Use with caution
Children Related Information
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Indications for Ampicillin + Sulbactam Sodium
Ampicillin has a narrow spectrum of activity and is mainly active against Gram positive bacilli, both gram positive and Gram negative cocci and spirochaetes. Sulbactam is a beta-lactamase enzyme inhibitor. By inhibiting this enzyme it prevent the breakdown of Ampicillin and help Ampicillin to kill the bacteria. The combination generic is used to treat infections caused by bacteria resistant to beta lactam antibiotics.
1.Skin and Skin Structure Infections caused by beta-lactamase producing bacteria
2.Intra abdominal infections caused by beta-lactamase producing bacteria
3.Gynaecologycal infections caused by beta-lactamase producing bacteria

Interactions for Ampicillin + Sulbactam Sodium
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Typical Dosage for Ampicillin + Sulbactam Sodium
Adult (IM or IV infusion): 1.5g - 3g/ day in 3 - 4 divided dose depending on the severity of infection. (Ampicillin 1 g + Sulbactum 0.5 g or Ampicillin 2 g + Sulbactum 1 g )
Children: Ampicillin100 mg / day +sulbactam50 mg/day in 3 - 4 divided dose depending on the severity of infection
Schedule of Ampicillin + Sulbactam Sodium
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Storage Requirements for Ampicillin + Sulbactam Sodium
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Effects of Missed Dosage of Ampicillin + Sulbactam Sodium
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Effects of Overdose of Ampicillin + Sulbactam Sodium
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Ampicillin

About Ampicillin
Semisynthetic Broad spectrum beta-lactam antibiotic, Aminobenzylpenicillin Antibiotic
Mechanism of Action of Ampicillin
Ampicillin is a bactericidal drug. It is a Beta lactum antibiotic. It binds to the Penicillin binding protein in the cell wall of bacteria and inhibits the enzyme transpeptidase which is responsible for the transpeptidation reaction in peptidoglycan synthesis. It also activates the endogenous enzyme which degrades the peptidoglycan.These results in inhibition of protein synthesis and there by cell wall synthesis. Ampicillin is active against both gram positive and gram negative organism.
Pharmacokinets of Ampicillin
Absorption .It is readily but incompletely absorbed after oral administration. Distribution: It is very widely distributed in the body .Metabolism: It does not undergo metabolism. Excretion: It is excreted mainly through bile and small amount excreted through urine and breast milk.
Onset of Action for Ampicillin
30 minutes
Duration of Action for Ampicillin
6 - 8 hours
Half Life of Ampicillin
90 minutes
Side Effects of Ampicillin
1.Nausea
2.Vomiting
3.Diarrhoea
4.Anaphylaxis
5.Rash
6.Urticaria
7.Thrombocytopenia
8.Nephritis
9.Seizure.
Contra-indications of Ampicillin
1.Hypersensitivity to Penicillin
Special Precautions while taking Ampicillin
1.Mononucleosis
2.Lymphatic leukaemia
3.HIV infections
4.Renal impairment
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
N/A
Indications for Ampicillin
1.Urinary tract infections
2.Gonorrhoea
3. Meningitis
4.SABE
5. Respiratory tract infections
6.Septicemia
7.Soft tissue infections
8.Otitis media
9.Sinusitis
10.Tetanus
11.Biliary tract nfections
12.Bronchitis
13.Salmonellosis
14.Typhoid
15.Gastroenteritis
16.Cholecystitis
17.Paratyphoid fever
Interactions for Ampicillin
Oral contraceptives: Efficacy reduced, may cause breakthrough bleeding or pregnancy.
Allopurinol: Increases risk of ampicillin induced skin rash.
Beta blockers: Oral penicillin like ampicillin may reduce bio-availability of atenolol. Also they may potentiate anaphylatic reactions with penicillin.
Probenecid: Increases blood levels.
Erythromycin, Tetracycline: Reduce efficacy.
Clavulinic Acid: Synergy.
Food: Interferes with absorption.
Typical Dosage for Ampicillin
ADULT
Bacterial infections: 250 - 500 mg four times a day depending on the severity of infection
Typhoid and paratyphoid fever: 1 - 2 g four times daily

CHILDREN
Bacterial infections: 125 - 250 mg four times a day depending on the severity of infection
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Schedule of Ampicillin
H
Storage Requirements for Ampicillin
Store the drug at 15 - 30 degree C in a tightly closed container. Keep out of the reach of children
Effects of Missed Dosage of Ampicillin
Take the missed dose as soon as noticed. If it is the time for next dose then skip the missed dose and continue the regular schedule. Do not double the dose.
Effects of Overdose of Ampicillin
Give supportive measures and symptomatic treatment. Absorption of the drug can be reduced by administration of activated charcoal.

Sulbactam Sodium

About Sulbactam Sodium
An irreversible ?-lactamase inhibitor, To increase the antibacterial activity of penicillins and cephalosporins against ?-lactamase?producing organisms.
Mechanism of Action of Sulbactam Sodium
Sulbactam has no significant antimicrobial activity, despite sharing the ?-lactam ring that is characteristic of beta-lactam antibiotics. This similarity in chemical structure helps the Sulbactam to act as a competitive inhibitor of beta-lactamase enzyme secreted by certain bacteria that are resistant to beta-lactam antibiotics. This inhibition restores the antibacterial activity of beta-lactam antibiotics against ?-lactamase-secreting resistant bacteria.It is usually given in combination with Amoxycillin.
It is used to increase the antibacterial spectrum of penicillin and cephalosporin against penicillinase-producing and beta-lactamase-producing organisms such as Staphylococcus aureus, H. flu, Moraxella catarrhalis that are resistant to Ampicillin alone.

Pharmacokinets of Sulbactam Sodium
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Onset of Action for Sulbactam Sodium
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Duration of Action for Sulbactam Sodium
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Half Life of Sulbactam Sodium
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Side Effects of Sulbactam Sodium
1.Injection site reactions
2.Anaphylaxis
3.Diarrhoea
4.Rash
5.Blood dyscrasias
6.Elevated liver enzymes
Contra-indications of Sulbactam Sodium
Hypersensitivity to Sulbactam
Special Precautions while taking Sulbactam Sodium
Patient hypersensitive to Cephalosporin
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
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Indications for Sulbactam Sodium
1.Skin infections
2.Intra abdominal infectionS
3.Gynecologic infections
Interactions for Sulbactam Sodium
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Typical Dosage for Sulbactam Sodium
Adults:
IM or IV: 1.5 - 3g every 6 hours; dose is depending on creatinine clearance
Schedule of Sulbactam Sodium
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Storage Requirements for Sulbactam Sodium
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Effects of Missed Dosage of Sulbactam Sodium
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Effects of Overdose of Sulbactam Sodium
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