Penicillins and Beta-Lactamase Inhibitors - Systemic
Penicillins and Beta-Lactamase Inhibitors *** Before Using *** How to Use *** Fore Safe Use *** Side Effects *** Additional Information
Before Using
In deciding to using a medication,
the chance of taking the drug must be weighed against the good it will
do. This is a decision you will make. For penicillins, the
following must be considered
Allergic reaction
Tell your family doctor if you have any unusual or
allergy to any of the penicillins, cephalosporins, or beta-lactamase
inhibitors. Also tell your health care professional if you are allergic to
any other substances, such as foods, preservatives, or dyes.
Diet Tell your family doctor if you are on a low-sodium
- low-salt diet. Some of these medication contain enough sodium to cause problems
in some people.
Pregnancy care
Penicillins and beta-lactamase inhibitors have not
been studied in pregnant women. However, penicillins have not been shown to
cause birth defects or other problems in animal studies.
Breast-feeding problem
Penicillins and sulbactam, a beta-lactamase inhibitor,
pass into the breast milk. Even though only small amounts may pass into breast
milk, allergys, diarrhea, fungus infections and skin rash may occur
in nursing babies.
Use for Children
Penicillins and beta-lactamase inhibitors have been
using in child and, in effective doses, are not expected to cause various
side effects or problems in child than they do in adults.Some strengths of the chewable tablets and oral suspensions of amoxicillin
and clavulanate combination contain aspartame, which is changed by the body
to phenylalanine, a substance that is harmful to diseaseds with phenylketonuria.
Elderly care
Penicillins and beta-lactamase inhibitors have been
using in the elderly and have not been shown to cause various side effects
or problems in elderly people than they do in adults people.
Drug interactions
Although certain medication must not be using
together at all, in other cases two various medication may be using together
even if an interaction might occur. In these cases, your family doctor may want to
change the dose, or other precautions may be necessary. When you are taking
a penicillin and beta-lactamase inhibitor combination, it is especially important
that your health care professional know if you are taking any of the following:
-
Anticoagulants - blood thinners
-
Dipyridamole - Persantine
-
Divalproex - Depakote
-
Heparin - Panheprin
-
Inflammation or pain drug - except narcotics
-
Pentoxifylline - Trental
-
Plicamycin - Mithracin
-
Sulfinpyrazone - Anturane
-
Valproic acid - Depakene Use of these medication with
piperacillin and tazobactam combination or with ticarcillin and clavulanate
combination may increase the risk of bleeding
-
Oral contraceptives - birth control pills Use of penicillins
and beta-lactamase inhibitors may prevent oral contraceptives from working
properly, increasing the risk for pregnancy
-
Probenecid - Benemid Probenecid causes penicillins, sulbactam,
and tazobactam to build up in the blood. This may increase the risk of side
effects. However, your family doctor may want to give you probenecid with a penicillin
and beta-lactamase inhibitor combination to treat some infections
Other Information for using
The presence of other medical
problems may effect the use of penicillin and beta-lactamase inhibitor combinations.
Make sure you tell your family doctor if you have any other medical problems, especially:
-
Allergies or a history of allergies, such as asthma, eczema, hay
fever, or hives Patients with a history of allergies may be more likely
to have a severe allergy to a penicillin and beta-lactamase inhibitor
combination
-
Bleeding problems, history of Patients with a history of bleeding
problems may be more likely to have bleeding when receiving piperacillin and
tazobactam combination or ticarcillin and clavulanate combination
-
Congestive heart failure - CHF
-
High blood pressure Large doses of ticarcillin and clavulanate
combination may make these conditions worse, because this drug contains
a large amount of salt
-
Cystic fibrosis Patients with cystic fibrosis may have an increased
risk of fever and skin rash when receiving piperacillin and tazobactam combination
-
Kidney disease Patients with kidney disease may have an increased
risk of side effects
-
Liver disease - active or a history of Penicillins and beta-lactamase
inhibitor combinations may cause this condition to recur or become worse
-
Mononucleosis - “mono” Patients with mononucleosis
may have an increased risk of skin rash when receiving ampicillin and sulbactam
combination
-
Phenylketonuria Some strengths of the amoxicillin and clavulanate
combination chewable tablets and oral suspension contain aspartame, which
is changed by the body to phenylalanine.
-
Stomach or intestinal disease, history of - especially colitis, including
colitis causing by antibiotics Patients with a history of stomach or
intestinal disease may be more likely to develop colitis while taking penicillins
and beta-lactamase inhibitors
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