最後更新日113.02
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藥 名  永康 柳營 佳里
更新日期:06/16/2023 09:16:42
Metronidazole (250mg)錠.
現行藥品外觀
21F043



健保 自費

中文名:服樂淨腸溶糖衣錠 #
健保碼:AC09587100
廠 牌:永信
藥理分類 
P01AB01
【Antiprotozoals】
Nitroimidazole derivatives
藥理作用
Product name Frotin Enteric (250mg)錠.
Dosage form S.C.Tab. 250 mg
Administration & Dosage 【Adult】
● Amebiasis, intestinal (acute dysentery) or extraintestinal (liver abscess): Oral: 500 to 750 mg every 8 hours for 7 to 10 days
● Bacterial vaginosis: Oral: 500 mg twice daily for 7 days
● Intra-abdominal infection: 500 mg Q8H~Q6H (max.: 4 g/d)
● Clostridium difficile infection: Oral: 500 mg 3 times daily for 10-14 days.
● Trichomoniasis (index case and sex partner): Oral: 2 g as a single dose or 500 mg twice daily for 7 days

【Pediatric】
● Susceptible infection: 30 to 50 mg/kg/day in divided doses 3 times daily; max daily dose: 2,250 mg/day
● Amebiasis: 35 to 50 mg/kg/day in divided doses every 8 hours for 7 to 10 days (maximum dose: 750 mg/dose)
● Catheter (peritoneal dialysis); exit-site or tunnel infection: 10 mg/kg/dose 3 times daily. Maximum dose: 500 mg/dose
● Pelvic inflammatory disease: 500 mg BID for 14 days; administer with doxycycline plus a cephalosporin
● Peritonitis (peritoneal dialysis): 10 mg/kg/dose 3 times daily. Maximum daily dose: 1,200 mg/day
● Trichomoniasis, treatment:
*Children <45 kg: 45 mg/kg/day in divided doses TID for 7 days; maximum daily dose: 2,000 mg/day
*Children ≧45 kg and Adolescents: 2,000 mg as a single dose once or 500 mg BID for 7 days
● Vaginosis, bacterial:
*>45 kg and Adolescents: 500 mg BID for 7 days
建議給藥途徑 N/A
腎功能劑量建議 無特別標註
肝功能劑量建議 Child-Pugh class C:reduce 50% dose 
Contraindication Hypersensitivity to metronidazole or other nitroimidazole agents; first trimester of pregnancy.
Precaution
Adverse reaction 【>10%】
Headache; Nausea; Vaginitis
【1-10%】 Metallic taste, dizziness; Genital pruritus; Abdominal pain, diarrhea, xerostomia; Dysmenorrhea, urine abnormality, UTI; Bacterial infection, candidiasis; Flu-like symptoms, upper respiratory tract infection, pharyngitis, sinusitis 【<1%】 Not referred here, please see package insert or other references
Pregnancy Category B / 可能安全
Notes
相關連結 UpToDate  藥教單  藥袋資訊     Lexicomp  
磨粉及剝半提示 無特別標註
給藥及保存方式
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*為文獻資料

健保給付規定 藥品說明:
 使用第一線抗生素須注意依體重,肝腎功能調整劑量,依感染部位選用合適抗生素,且下列感染情況不宜使用: (1) 有多種器官嚴重疾病或感染可能之危急病人(2) 第一線狹效抗生素使用3 天無效 (3) 社區感染無正當理由仍使用明顯療效不足之藥 (院內抗生素分類: 普通抗生素)

藥品理由:
 01 腹腔感染
 02 陰道炎
 03 鼻竇炎
 04 肺炎
 05 肝膽/腸胃道細菌感染
 06 泌尿道感染
 07 皮膚感染症
 08 軟組織感染
 09 預防性使用(請填寫理由)
 10 其它(請填寫理由)
舊藥品外觀

中文名:妳樂淨腸溶糖衣錠 #
廠 牌:強生