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AMPICILLIN WITH SULBACTAM SODIUM: Sulbactam sodium is irreversible betalactamase inhibitor thus it increases the activ­ity of ampicillin against beta lactamase producing organisms. Spectrum of activity of this combina­tion of ampicillin with sulbactam sodium includes beta lactamase and non-beta lactamase producing strains of gram-positive Bacteria staphylococcus aureus, staphylococcus epidermidis staphylococ­cus saprophyticus and other strains Streptococcus faecalis, streptococcus pneumoniae, streptococ­cus pyogenes, Streptococcus viridans.

Gram-negative bacteria: Beta-lactamase and non beta-lactamase producing strains of Hemophi/us influenzae, Branhamella Catarrhalis, Escherichia Coil, Neisseria gonorrhoea, Proteus mirabl/is and other strains of Klebsiella species, Proteus Vul-garis, Providencia rettgeri, Providencia stuartii, Marganella morganii.

Anaerobes: Clostridium species, Peptococcus spe­cies, Peptostreptococcus species, Bacteroides species including B fragilis.

Indications: Pre, intra and post operative use for the prevention and treatment of surgical infections, Surgical prophylaxis, Intra-abdominal infections, Post-surgical infections, suture infections, Obstet­ rics and gynaecological infections, Bone and joint infections, Respiratory tract infections, Gonor­ rhoea, Skin & soft tissue infections, Infections in

Immunocompromised patients Dosage: I.V. slpw injection over or atleast 10-15 mins, or in greater dilutions with 50-100 ml of a compatible diluent as an intravenous infusion over 15-30 mins. It can also be administered by deep

intra muscular injection. 1.5 gm [0.5 gm Sulbactam (as sod), 1 gm Ampicillin (as sod) to 3 gm (1 gm Sulbactam (as sod), 2 gm Ampicillin (as sod)] every 6 hrs. Max 4 gm per day.

Contra-indications: Hypersensitivity .

Special Precautions: Pregnancy, Nursing mother, not in infants and children under age of 12, concurrent use with allopurinol.

Side-effects: Diarrhoea, rash, Gastritis, stomati­tis, black hairy tongue, enterocolitis, pseudomembranous colitis, nausea, vomiting, urticaria, erythema multiforme, agranulocytosis.

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