Roxithromycin

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Why do I need this medicine? Roxithromycin is an antibiotic. It is used to treat certain bacterial infections of the ear, nose, throat, lungs or skin.
Roxithromycin belongs to a group of antibiotics called the macrolides.
How do I take this medicine? Take Roxithromycin exactly as directed by your doctor. Do not take more or less than instructed by your doctor.
Take Roxithromycin at regular intervals as instructed. Take it at the same time each day. Do not skip any doses. Continue to take it even when you feel better. You must complete the entire course of antibiotic. If you don’t, the infection will not clear completely.
Take Roxithromycin on an empty stomach before meals, with plenty of water. This will improve the absorption of Roxithromycin.
What should I do if I have forgotten to take this medicine? Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
When should I not use this medicine? Alert your doctor if you have a history of allergic reactions (breathlessness, rashes, swollen mouth or eyes) to similar antibiotics such as clarithromycin, erythromycin or any other macrolide antibiotics.
What should I take note of while taking this medicine? Inform your doctor if you suffer from heart, liver or kidney disease.
Let your doctor know if you are pregnant or breastfeeding.
What side effects could I experience? You may have diarrhoea, nausea and stomach discomfort while being treated with Roxithromycin. These side effects are usually mild and temporary. If you have diarrhoea, drink lots of water to replace the fluids lost. However, if you have severe diarrhoea or diarrhoea with severe stomach cramps or bloody stools, alert your doctor.
If you develop rashes, breathlessness, swollen mouth or eyes, stop the medicine and inform your doctor quickly. These could be signs of an allergic reaction.
Can I take this with other medicines? Do not take Roxithromycin with terfenadine, cisapride, pimozide, astemizole and colchicine — alert your doctor immediately if you are taking any of these medicines.
Inform your doctor if you are taking any other medicines, especially those listed here:
– heart medicines, especially digoxin, quinidine, disopyramide
– migraine medicines such as ergotamine
– warfarin (a blood-thinning medicine)
– lovastatin and other similar cholesterol medicines
– antifungals such as fluconazole, itraconazole and ketoconazole
Always inform your doctor and pharmacist if you are taking any other medicines, including herbal medicines and medicines that you buy without a prescription.
What special dietary instructions should I follow? Avoid alcohol.
How should I store this medicine? Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.

One thing I wander is I was asked to taken after breakfast, but it need to be admistrate empty stomach….could anyone clear my doubt about this?

First review on 5Jan 2013

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So, as the title shown, I had my first review on 5Jan after treatment one month ago,

what is the treatment I mean?

nah, ntg la, all about drug consuming, and some emollient for me to eat.

for , it already cost me Rm 490 this time, so hopefully I will be recover from it, or at least, I can retain it from getting worse, because atoipc eczema is so far cannot be totally cure, and it may come on and off.

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The drugs and emollient that I got, ALOT!! poor me

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Last time, the doctor prescibe oxyace for me, this time, its is Cod liver oil, Rm4 0

IMAG3865The note that I scribbled once I get out from the room, ^^

Atarax

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I consume Atarax every night after meal following the instructions from doctor.Atarax

ATARAX is indicated to assist in the management of anxiety in adults.

Atarax is indicated for the management of pruritus(intense itching sensation) associated with acute and chronic urticaria, including cholinergic and physical types, and atopic and contact dermatitis in adults and children.

 

URTICARIA= hives

 

Hives are raised, often itchy, red welts on the surface of the skin. They are usually an allergic reaction to food or medicine.

Symptoms: Itching; Swelling of the surface of the skin into red- or skin-colored welts

Antihistamines are the most common treatment for hives.

 

Dermatitis

Derma= skin (greek)

itis = inflammation

dermatitis = inflammation of skin

 

CONTACT DERMATITIS is a condition in which the skin becomes red, sore, or inflamed after direct contact with a substance. There are two kinds of contact dermatitis: irritant or allergic.

Treatment for contact dermatitis

1.Treatment includes washing with lots of water to remove any traces of the irritant that may remain on the skin. You should avoid further exposure to known irritants or allergens.

2. In some cases, the best treatment is to do nothing to the area.

3. Emollients or moisturizers help keep the skin moist, and also help skin repair itself. They protect the skin from becoming inflamed again. They are a key part of preventing and treating contact dermatitis.

4. Corticosteroid skin creams or ointments may reduce inflammation. Carefully follow the instructions when using these creams. Overuse, even of low-strength over-the-counter products, may cause a skin condition.

5. Along with, or instead of corticosteroids, your health care provider may prescribe drugs called tacrolimus ointment or pimecrolimus cream to use on the skin.

In severe cases, corticosteroid pills may be needed. You will start them on a high dose, which is tapered gradually over about 12 days. You may also receive a corticosteroid shot.

Wet dressings and soothing anti-itch (antipruritic) or drying lotions may be recommended to reduce other symptoms.

 

Posology = The pharmacological determination of appropriate doses of drugs and medicines

Posology and method of administration

Method of administration: oral.

Dosage:

Anxiety

Adults 50-100mg four times daily.

Pruritus

Adults Starting dose of 25mg at night increasing as necessary to 25mg three or four times daily.

Use in the elderly A reduced dose is advised. This is due to a possible increase in the volume of distribution, prolonged action and the possible effect of age-related changes on pharmacologic functions, including hepatic metabolism and renal excretion (see Section 5.2 ‘Pharmacokinetic properties’)

Use in children From 6 months to 6 years 5-15mg rising to 50mg daily in divided doses and for children over 6 years, 15-25mg rising to 50-100mg daily in divided doses.

As with all medications, the dosage should be adjusted according to the patient’s response to therapy.

Hepatic impairment The total daily dose should be reduced by 33%. Use in patients with severe liver disease should be avoided (see Section 4.4 ‘Special Warnings and Precautions for Use’)

Renal impairment For patients with moderate or severe renal impairment, it is recommended that the total daily dosage should be reduced by 50% (see section 4.4 ‘Special Warnings and Precautions for Use’).