AMPIMAX Film-coated tablet Ref.[10830] Active ingredients: Sultamicillin

Revision Year: 2018 

1. Indications and Usage

For the treatment of the following infections caused by susceptible microorganisms:

  • Upper respiratory tract infections including sinusitis, otitis media, epiglottitis, and tonsillitis
  • Lower respiratory tract infections including bacterial pneumonia and bronchitis
  • Urinary tract infections including pyelonephritis
  • Intraabdominal infections including peritonitis, cholecystitis, endometritis, and pelvic cellulitis
  • Bacterial septicemia
  • Skin and skin structure infections
  • Bone and joint infections
  • Gonococcal infections

As step down treatment for infections due to susceptible organisms, initially given antimicrobial therapy, particularly parenteral ampicillin-sulbactam.

2. Dosage and Administration

Usual Dose in Adults and Children weighing ≥30 kg who can swallow tablet whole: 750 mg twice daily.

Usual Duration of Treatment: 5 to 14 days which may be extended depending
on the type and severity of infection.

Non-complicated gonococcal infection: 2.25 g (three 750 mg tablets) as a
single dose.

  • For most infections, therapy should be continued for a minimum of 48 hours

after the patient becomes asymptomatic or evidence of bacterial eradication has been obtained.

  • In the treatment of group A G-hemolytic streptococcal infections, penicillin

therapy should be continued for at least 10 days to help prevent the occurrence of acute rheumatic fever or glomerulonephritis.

  • Cases of gonorrhea with a suspected lesion of syphilis should have dark

field examinations before receiving sultamicillin and monthly serological tests for a minimum of four months.

Or, as prescribed by a physician.

10. Overdosage

Ampicillin + sulbactam overdose may manifest as extensions of the drugs’ adverse effects. It should be considered that high CSF concentrations of beta-lactam antibiotics may cause neurologic effects including seizures.

Since ampicillin and sulbactam are removed by hemodialysis, this procedure should be considered during overdosage in patients with renal impairment. For overdosage in patients with normal renal function, hemodialysis may not be necessary and only appropriate measures should be taken.

16.2. Storage and Handling

Store at temperatures not exceeding 25°C.

Keep the product out of sight and reach of children.

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