Gento HC (Eye Cream)
Manufactured by: G. A. Company Ltd.
Gentamicin 0.3% + Hydrocortisone Acetate 1% Eye prep Similar medicine
Gento HC is indicated for
- 敏感感染、角膜炎、過敏性結膜炎、瞼緣炎、眼睛過敏和發炎、慢性結膜炎、春季卡他、
Precautions and warnings
與神經肌肉阻斷劑同時使用慶大霉素時，或對於患有重症肌無力、帕金森氏症或有耳部和腎臟損傷風險的人使用慶大霉素時，請務必謹慎。 母乳哺育期間避免。 檢查接受高劑量或長期治療的患者血液中慶大霉素的水平，尤其是嬰兒、老年人、腎臟問題、囊性纖維化或嚴重肥胖的患者。 治療期間定期監測聽力和腎功能。
Side-effects
- 頭暈或眩暈；急性腎衰竭、間質性腎炎、急性腎小管壞死；電解質失衡；血清膽紅素和轉氨酶短暫升高；紫斑；噁心，嘔吐；抽搐、精神抑鬱、幻覺。 注射部位萎縮或大鼠壞死。 潛在致命：腎毒性、耳毒性和神經肌肉阻斷（可能暴露或加重重症肌無力）。
Drug Interactions
**慶大霉素：**
慶大霉素與其他可能損害神經或腎臟的藥物（如頭孢菌素、甲氧西林、兩性黴素 B、環孢素、順鉑、強利尿劑（如利尿酸或呋塞米）或肌肉鬆弛劑（如琥珀膽鹼、管箭鹼））一起服用會增加副作用的風險。 慶大霉素可能會使血液稀釋劑（例如華法林、苯茚二酮）發揮更強的作用。 它可以降低新斯的明和吡斯的明等藥物的作用。 如果與雙磷酸鹽一起服用，低血鈣的風險會更高，如果與肉毒桿菌一起服用，肌肉無力的機會也會增加。 在新生兒中，吲哚美辛會導致血液中慶大霉素的濃度升高。
**氫化可的松：**
噻嗪類利尿劑可加重氫化可的松引起的高血糖和低血鉀。 同時服用非類固醇類抗發炎藥（NSAID）會增加胃潰瘍或出血的風險。 氫化可的松可以改變抗凝血劑的作用，人們可能需要增加糖尿病或血壓藥物的劑量。 它會降低血液中水楊酸鹽和抗毒蕈鹼藥物的水平，飲酒可能會使胃部刺激更嚴重。 卡馬西平、苯妥英、撲米酮、巴比妥類藥物和利福平等藥物會降低氫化可的鬆的療效。 當與環孢素一起服用時，兩種藥物都會升高彼此在血液中的水平。 氫化可的松對於服用雌激素或避孕藥的女性可能更有效。
Contraindications
如果您有氨基糖苷類過敏反應史、懷孕或有肝臟問題，請勿使用。
Mode of actions
慶大霉素是一種氨基糖苷類抗生素，透過附著在細菌核醣體的 30 年代和 50 年代部分發揮作用。 這會阻止細菌製造它們所需的蛋白質，從而損害它們的細胞膜並最終殺死它們。
氫化可的松是一種皮質類固醇藥物，因為它可以減少發炎並抑制免疫系統。 它透過防止某些白血球移動到發炎區域並減少血管滲漏來實現這一點。 氫化可的松也可用於取代自身分泌不足的激素，例如腎上腺皮質功能不全的患者。
Dosage & Administration
眼瘡 淺層眼瘡感染 0.3% 溶液：每 4 小時滴注 1-2 滴，嚴重時每小時滴注 2 滴。
Pregnancy & Lactation
雖然動物生殖研究顯示對胎兒有不良影響，並且在孕婦中沒有充分且良好對照的研究，但在懷孕期間，儘管存在潛在風險，但在確實需要時可以使用該藥物。
在懷孕最後 3 個月內使用這種藥物的新生兒母親可能很少會出現困倦、肌肉僵硬或顫抖、餵食或呼吸困難、持續哭泣等症狀。 如果您發現寶寶有任何這些症狀，尤其是在第一個月內，請立即告訴醫生。
這種藥物會進入母乳。 哺乳前請先諮詢您的醫生。
Pack Size & Price
10gm tube Price : ৳55
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