Azithromycin Dihydrate【B】

Anti-infective Agents : Macrolides
OZITH1 “Zithromax tablet” 250 mg/tab
OZITH2 “Zithromax powder for oral suspension” 40 mg/ml; 15 ml/bot
OZYTH1“Zythrocin tablet” 250 mg/tab

適應症:革蘭氏陽性、陰性及厭氧菌引起之下呼吸道感染(支氣管炎及肺炎)、皮膚及軟組織感染、中耳炎、上呼吸道感染和性傳染病。

Usual dose:

Mycobacterium avium complex infection:

Adult: 500 mg qd with ethambutol (15 mg/kg/day) and with or without rifabutin (300 mg/day).

RTI and skin infection:

Adult: 500 mg qd×1 day then 250 mg qd×4 days.

Uncomplicated chlamydial infection:

Adult:1 g as a single dose.

Community pneumonia or otitis media:

Pediatric (≧ 6 mon): 10 mg/kg (max. 500 mg/dose) on day 1 followed by 5 mg/kg (max. 250 mg/dose) on day 2-5.

Pharngitis and tonsillitis:

Pediatric (≧2 yrs): 12 mg/kg/day for 5 days.

Adverse effect:

Adominal pain, diarrhea (5%, tablets and suspension; 11.6%, extended-release oral suspension), nausea and vomiting, headache (1.3%, extended release suspension.)

健保使用規範:(90/11/1、93/9/1、97/12/1、98/10/1、100/5/1)

1.限用於經臨床診斷或實驗室診斷為黴漿菌 (mycoplasma) 或披衣菌 (chlamydia) 或退伍軍人桿菌 (legionella) 引起之感染、或經培養證實為macrolides有效之致病菌感染(需於病歷記載診斷依據,俾利審查)。

2.錠劑膠囊劑(如Zithromax  capsules) 使用期間不得超過3日,每日最大劑量500mg。對於「禽結核桿菌(Mycobacterium avium‐ intracellulare complex, MAC)」感染患者,使用期限及劑量則不受上述之限制。(100/5/1)

3.口服液劑(如Zithromax Powder for Oral Suspension) 使用期間不得超過3日,每日最大劑量500mg。(100/5/1)

4.Azithromycin長效製劑(如Zmax extended release powder for oral suspension)限單次投予,每次最大劑量為2g;不受全民健康保險藥品給付規定通則八之限制。(97/12/1、100/5/1)

5.本類製劑應儘量避免合併使用其他抗生素,用於治療「非結核分枝(耐酸)桿菌 (NTM)」者不在此限。(100/5/1)

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