Difference between revisions of "Paromomycin"

(Text replacement - "Category:Drugs" to "Category:Pharmacology")
(References)
 
(6 intermediate revisions by 4 users not shown)
Line 7: Line 7:
 
==Adult Dosing==
 
==Adult Dosing==
 
===Intestinal [[amebiasis]]===
 
===Intestinal [[amebiasis]]===
*25-35 mg/kg/day PO divided tid x5-10 days
+
*25-35mg/kg/day PO divided tid x5-10 days
**Give w/ food
+
**Give with food
  
 
===[[Hepatic encephalopathy]]===
 
===[[Hepatic encephalopathy]]===
*adjunct tx: 1000 mg PO qid x5-6 days
+
*adjunct treatment: 1000mg PO QID x5-6 days
**Give w/ food
+
**Give with food
  
 
==Pediatric Dosing==
 
==Pediatric Dosing==
 
===Intestinal [[amebiasis]]===
 
===Intestinal [[amebiasis]]===
*25-35 mg/kg/day PO divided tid x5-10 days
+
*25-35mg/kg/day PO divided tid x5-10 days
  
 
==Special Populations==
 
==Special Populations==
Line 32: Line 32:
 
*GI obstruction
 
*GI obstruction
 
*caution if ulcerative colitis
 
*caution if ulcerative colitis
*caution if inflammatory bowel dz
+
*caution if inflammatory bowel disease
 
*caution if renal impairment
 
*caution if renal impairment
  
Line 67: Line 67:
  
 
[[Category:Pharmacology]]
 
[[Category:Pharmacology]]
 +
[[Category:ID]]

Latest revision as of 21:03, 23 September 2019

Administration

  • Type: Amebicide
  • Dosage Forms: 250
  • Routes of Administration: Oral
  • Common Trade Names: Humatin

Adult Dosing

Intestinal amebiasis

  • 25-35mg/kg/day PO divided tid x5-10 days
    • Give with food

Hepatic encephalopathy

  • adjunct treatment: 1000mg PO QID x5-6 days
    • Give with food

Pediatric Dosing

Intestinal amebiasis

  • 25-35mg/kg/day PO divided tid x5-10 days

Special Populations

  • Poorly absorbed when given orally
  • Use during pregnancy has limited data

Renal Dosing

  • No change in dosing

Hepatic Dosing

  • No change in dosing

Contraindications

  • Allergy to class/drug
  • GI obstruction
  • caution if ulcerative colitis
  • caution if inflammatory bowel disease
  • caution if renal impairment

Adverse Reactions

Serious

  • nephrotoxicity
  • ototoxicity, auditory
  • ototoxicity, vestibular
  • neurotoxicity
  • neuromuscular blockade
  • malabsorption syndrome (prolonged use)
  • superinfection (prolonged use)
  • enterocolitis

Common

Pharmacology

  • Half-life: Unknown
  • Metabolism: CYP450
  • Excretion: Feces

Mechanism of Action

Bactericidal and amebicidal. Paromomycin binds to bacterial 30S ribosomal subunit, inhibiting protein synthesis; it suppresses urease producing bacteria, reducing ammonia absorption from gut

Comments

See Also

References

UpToDate, Epocrates