西藥品
用藥查詢
西藥品查詢
外觀圖示:
外觀圖示

外觀描述:
紫色塑膠瓶

醫令代碼:
22245

商品名:
GENTAMICIN (眼藥水)EYE DROPS 5ML/100drops

中文名:
見大黴素 點眼液

學名:
Gentamicin 3mg/ml

劑型:
DROP

孕婦用藥分級:
D 級

健保碼:
AC22198421

藥品許可證:
衛署藥製字第022198號

仿單下載:

用藥指導單張:

ATC7藥理類別:

結構式 :

Image:Gentamicin C2.svg

2-[4,6-diamino-3- [3-amino-6-(1-methylaminoethyl) tetrahydropyran-2-yl] oxy-2-hydroxy- cyclohexoxy]-5-methyl- 4-methylamino-tetrahydropyran-3,5-diol


UpToDate:

藥理作用 :
Gentamicin是一種Amino-glycoside Antibiotics具有廣泛之抗菌能力,對於結膜角膜眼瞼及淚腺之嚴重性細菌感染。本劑具有優越之治療效果。

適應症:
眼瞼緣炎、結膜炎、角膜炎、虹彩毛樣體炎、麥粒腫、淚囊炎。

用法用量:
眼科:1~2滴,1天3~4次施用。

副作用:
過敏反應可能發生,此時必須停藥。刺激、痛、及灼熱可能發生,在某些情況可能需要停藥。

藥物動力學:

Absorption
C max is 4 to 8 mcg/mL (IV). T max is 1 h (IM). Oral absorption is poor.

Distribution
Vd is 0.2 to 0.4 L/kg. Protein binding is 0% to 10%. The t ½ is 5 to 15 min. Distributed to extracellular ascitic, pericardial, pleural, synovial, lymphatic, and peritoneal fluids; body tissues; high concentrations in urine; low concentrations in breast milk, line spread function, and sputum. Crosses the placenta but does not cross the blood-brain barrier.

Elimination
The t ½ is 2 h. Peritoneal dialysis is 25% removed in 48 to 72 h. Primary route is renal-glomerular filtration; 50% is removed during a 4 to 6 h hemodialysis period.

Special Populations
Renal Function Impairment
End-stage renal disease: t ½ is 24 to 60 h.

Children
In infants younger than 1 wk old and less than 1,500 g, Vd is up to 0.68 L/kg; more than 1,500 g, Vd is up to 0.58 L/kg. The t ½ is 5 to 8 h.


交互作用:

Drugs with nephrotoxic potential (eg, amphotericin, cephalosporins, enflurane, methoxyflurane, vancomycin)
May increase risk of nephrotoxicity.

Loop diuretics
May increase risk of auditory toxicity.

Neuromuscular blocking agents
May enhance effects of these agents.

Polypeptide antibiotics
May increase risk of respiratory paralysis and renal function impairment.


禁忌:
對Gentamicin過敏之患者禁用。

注意事項:
抗生素之使用,可能會使非感受性的細菌過度生長,尤其是黴菌,在這種情形下必須停藥並採取適當的處置。

藥品保存方式:

藥品應置於攝氏 15 ~ 25 度乾燥處所;如發生變質或過期,不可再使用。

眼藥水第一次開瓶使用,4星期後,如未用完,剩下的應拋棄。


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