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Kombina Tablets / Suspension

DETAILS
COMPOSITION

Forte Tablet: Each tablet contains Trimethoprim I.P. 160 mg. & Sulphamethoxazole I.P. 800 mg. Tablet: Each tablet contains Trimethoprim I.P. 80 mg. & Sulphamethoxazole I.P. 400 mg.

C' Tablet: Each tablet contains Trimethoprim I.P. 20 mg. & Sulphamethoxazole I.P. 100 mg.

Paediatric Susp. : Each 5 ml. Contains Trimethoprim B.P. 40 mg. & Sulphamethoxazole B.P. 200 mg.

INDICATIONS Broad spectrum anti-bacterial; indicated in a wide variety of infections, caused by both gram-positive and gram- negative bacteria; urinary tract, g.i. tract and lower respiratory tract infections.
MODE OF ACTION

The drugs exert their actions on two steps of enzymatic pathway for tetra-hydrofolic acid synthesis. Sulphamehoxozole inhibits PABA incorporation into folic acid, trimethoprim inhibits reduction of dihydrofolate to tetrahydrofolate.

ONSET OF ACTION 1 to 4 hours.
DURATION OF ACTION 12 hours.
ADVERSE EFFECT Skin rash, exfoliative dermatitis, toxic epidermal necrolysis are rare, nausea, glossitis, vomiting, diarrhoea, headache, hallucinations, depression, anaemia, aplastic anaemia, crystalluria, purpura, agranulocytosis.
CONTRAINDICATION Infants under two months of age, liver or renal failure, hypersensitivity, megaloblastic anaemia due to folate deficiency.
SPECIAL PRECAUTIONS Hepatic or renal impairment, bronchial asthma, patients with history of allergies, blood dyscrasias; maintain adequate fluid intake, discontinue at first sign of rash or any sign of adverse reaction.
DRUG INTERACTIONS Cyclosporine, methotrexate, phenytoin, thiazide diuretics, warfarin, pyrimethamine, oral contraceptives.
DOSES Adult: 160 mg. TMP + 800 mg. SMZ every 12 Hrs. for 7 to 14 days. (5 days for Shigellosis). Children: 6 to 12 mg. TMP +30to 60 mg. SMZ per Kg. Per 24 Hrs. divided every 12 hours.

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