Cero HC (Eye/Ear Drops)
Manufactured by: G. A. Company Ltd.
Ciprofloxacin 0.3% + Hydrocortisone Acetate 1% E/E prep Similar medicine
Cero HC is indicated for
- 類固醇反應性眼部發炎、中耳炎、外耳炎、感染相關眼部發炎、耳眼術後發炎、角膜潰瘍、細菌性結膜炎
Precautions and warnings
長時間使用這種藥物可能會導致無法殺死的細菌生長，包括真菌。 它還會升高眼壓或引起青光眼，從而損害視神經，降低視力質量，影響側面視力，並導致晶狀體後面的白內障。 戴隱形眼鏡的人不應在配戴隱形眼鏡時使用這些眼藥水。
Side-effects
- 環丙沙星最常見的藥物相關不良反應是短暫的眼部灼熱感或不適。 其他報導的反應包括刺痛、發紅、搔癢、眼周/臉部水腫、異物感、畏光、視力模糊、流淚、乾燥和眼痛。 已收到罕見的頭暈報告。 類固醇成分引起的反應是眼內壓（IOP）升高，可能導致青光眼和罕見的視神經損傷，後囊下白內障形成和傷口癒合延遲。
Drug Interactions
**交互作用與副作用：**
- 此藥可提高血液中某些藥物的水平，例如氯氮平、羅匹尼羅或茶鹼。
- 它可以使血液稀釋劑（如華法林）和糖尿病藥物（如格列本脲）發揮更強的作用。
- 如果一起服用，甲胺蝶呤的毒性可能會更大。
- 如果您服用丙磺舒，您血液中這種藥物的含量可能會增加。
- 如果您將這種藥物與多種維生素或含有鐵、鋅、鈣的補充劑或某些抗酸劑（含鋁、鈣或鎂）一起服用，它可能也不會被吸收。
- 與某些心臟藥物（如奎尼丁、普魯卡因酰胺、胺碘酮、索他洛爾）、某些抗憂鬱藥 (TCA)、大環內酯類抗生素或抗精神病藥物一起使用會增加心律問題的風險。
- 同時服用皮質類固醇可能會增加嚴重肌腱問題的風險。
- 使用非類固醇抗發炎藥會增加神經系統副作用的風險。
- 血液中苯妥英的含量可能會改變。
**嚴重警告：**將此藥與替扎尼定一起服用會大大增加替扎尼定的水平，導致危險的低血壓和強烈的鎮靜作用。
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- 噻嗪類利尿劑會增加血糖並降低鉀含量，尤其是與皮質類固醇一起使用時。
- 如果與非類固醇抗發炎藥一起使用，胃潰瘍或出血的風險更高。
- 血液稀釋劑的效果可能會改變。
- 如果同時服用糖尿病或血壓藥物，您可能需要更高劑量。
- 這種藥可以降低血液中水楊酸鹽和抗毒蕈鹼藥物的含量。
- 飲酒會使胃部刺激更加嚴重。
- 與卡馬西平、苯妥英、撲米酮、巴比妥類或利福平服用時，此藥的作用可能會降低。
- 與環孢素一起服用會增加血液中兩種藥物的濃度。
- 對於服用雌激素或避孕藥的女性，這種藥物的效果可能更強。
Contraindications
如果您對其任何成分過敏，請勿使用本產品。 如果您患有單純皰疹或其他病毒感染、真菌感染（真菌疾病）、青光眼或新生兒，請避免使用它。 另外，請勿將其用於眼睛或耳朵的真菌疾病。
Mode of actions
環丙沙星的作用原理是引起某些細菌的雙股 DNA 斷裂，並阻止 DNA 旋轉酶（一種細菌複製 DNA 所需的酵素）的作用。
氫化可的松是一種皮質類固醇，可以減少發炎並削弱免疫反應。 它有助於阻止某些白血球（多形核白血球）移動到發炎部位並逆轉血管滲漏增加。 氫化可的松也可用於取代腎上腺皮質功能不全時體內缺乏的荷爾蒙。
Dosage & Administration
眼睛：
角膜潰瘍：治療角膜潰瘍的建議劑量方案是在前 6 小時內每 15 分鐘向受影響的眼睛滴入兩滴，然後在第一天的剩餘時間內每 30 分鐘向受影響的眼睛滴入兩滴。 第二天，每小時向患眼滴兩滴。 從第三天到第十四天，每四小時在受影響的眼睛中滴兩滴。 如果 14 天後未發生角膜再上皮化，則可以繼續治療。
細菌性結膜炎：
治療細菌性結膜炎的建議劑量方案是在兩天內清醒時每兩小時滴入結膜囊一或兩滴，在接下來的五天內清醒時每四小時滴一或兩滴。
耳朵：
將四滴入受影響的耳朵，每天兩次，持續 7 天。 瓶子應握在手中一兩分鐘加熱懸浮液，以避免因滴入冷懸浮液而導致頭暈。 患者應仰臥，患耳朝上，然後滴入混懸液。 該位置應保持 60 秒。 如有必要，請對另一隻耳朵重複上述步驟。
兒科使用：
耳部：已確定該懸浮液在兒科（6 個月及以上）患者耳部應用的安全性和有效性。
眼睛：
此懸浮液在兒科患者眼部應用的安全性和有效性尚未確定。
Pregnancy & Lactation
儘管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。
另一項研究表明，懷孕期間不允許使用這種藥物。 如果您懷孕了，請勿使用它。 它可以透過皮膚和肺部吸收，從而損害未出生孩子的器官並導致先天性殘疾。 治療期間及停藥後六個月內嚴格有效的節育。 如果您確實懷孕了，請停止服用此藥並立即與您的醫生討論。
沒有關於這種藥物是否會進入母乳的具體資訊。 考慮到兒童可能存在的風險，不建議在使用該藥物時進行母乳喂養，並且至少在最後一次用藥後兩週進行母乳喂養。 哺乳前請先諮詢您的醫生。
Pack Size & Price
10 ml drop Price : ৳55
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