Dryness due to topical retinoid How to use topical retinoids Follow these instructions carefully: Be cautious if you are using other topical acne treatments — ask your doctor if you should stop these. In general, a cream is less iritating than a gel. If there is a choice, start with a lower concentration product.
Use your topical retinoid on alternate nights at first. If you have sensitive skin , wash it off after an hour or so. If it irritates, apply it less often. There have been reports of aplastic anemia attributed to chloramphenicol which later terminated in leukemia.
Paroxysmal nocturnal hemoglobinuria has been reported. Gastrointestinal Reactions Nausea, vomiting, glossitis and stomatitis, diarrhea and enterocolitis may occur in low incidence. Neurotoxic Reactions Headache, mild depression, mental confusion, and delirium have been described in patients receiving chloramphenicol.
Optic and peripheral neuritis have been reported, usually following long-term therapy. If this occurs, the drug should be promptly withdrawn. Hypersensitivity Reactions Fever, macular and vesicular rashes, angioedema, urticaria, and anaphylaxis may occur. One case has been reported in a 3-month-old infant. The following summarizes the clinical and laboratory studies that have been made on these patients: Dosage and Administration Chloramphenicol, like other potent drugs, should be prescribed at recommended doses known to have therapeutic activity.
As soon as feasible an oral dosage form of another appropriate antibiotic should be substituted for intravenous chloramphenicol sodium succinate. The following method of administration is recommended: Adults with impairment of hepatic or renal function or both may have reduced ability to metabolize and excrete the drug.
In instances of impaired metabolic processes, dosages should be adjusted accordingly. See discussion under Neonates. Precise control of concentration of the drug in the blood should be carefully followed in patients with impaired metabolic processes by the available microtechniques information available on request.
Children with impaired liver or kidney function may retain excessive amounts of the drug. Your doctor or pharmacist may have prescribed it for another reason. Chloromycetin is not addictive. When you must not use it Do not use Chloromycetin if you have an allergy to: Symptoms of an allergic reaction may include shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue or other parts of the body; rash, itching or hives on the skin.
Do not use Chloromycetin if you wear contact lenses except on medical advice. Do not give Chloromycetin to children under 2 years of age, unless on medical advice.
Do not use Chloromycetin after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal. If you are not sure whether you should start using this medicine, talk to your doctor or pharmacist.
Before you start to use it Tell your doctor, optometrist or pharmacist if the following conditions apply to you: Eye preparations may stop the healing of the wound.
Contact lenses should not be worn during the course of Chloromycetin treatment. If you wear hard or soft disposable contact lenses, you can start using them again after completing the course of treatment. If wearing soft contact lenses, you should wait 24 hours after completing a course of treatment before starting to use them again.
Tell your doctor, optometrist or pharmacist if you are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed. Your doctor, optometrist or pharmacist will advise you of the risks and benefits of using Chloromycetin in pregnancy or while breastfeeding.
If you have bought this medicine without a prescription and without prior consultation from a doctor or optometrist, it is important to check the following list. Speak to your doctor or optometrist if any apply before you start to use Chloromycetin: Taking or using other medicines Tell your doctor or pharmacist if you are taking or using any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.
Chloromycetin Eye Drops or Ointment and some other medicines may interfere with each other. These include other eye drops and ointments. These medicines may be affected by Chloromycetin or may affect how well it works. You may need different amounts of your medicines, or you may need to use different medicines. Your doctor and pharmacist have more information on medicines to be careful with or avoid while using Chloromycetin. How to use Chloromycetin Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet. If you do not understand the instructions on the label, ask your doctor or pharmacist for help. How much to use The dose of Chloromycetin may be different for different people. Your doctor or pharmacist will tell you the right amount to use. Chloromycetin Eye Drops Place one or two drops in the affected eye s every 2 to 6 hours for 2 to 3 days. They may be affected by Chloramphenicol or affect how well the drops work. In particular, tell your doctor if you are taking any of the following: The drops should not be used during pregnancy unless your doctor feels that it is clearly needed, as the effects are unknown.
The drops should not be used whilst breast feeding. Driving and using machines If the drops blurs your vision, do not drive or operate machines until you can clearly see again. Chloromycetin Redidrops contain phenylmercuric nitrate: This medicine also contains phenylmercuric nitrate as a preservative and it is possible that you may experience an allergic reaction.
Tell your doctor if you have any known allergies. How to use Chloromycetin Redidrops Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. The recommended dosage is two drops to be applied to the affected eye every 3 hours or more frequently if required.
Continue treatment at least 48 hours after the eye appears normal. Dosage adjustment may be necessary in newborn infants because of reduced systemic elimination due to immature metabolism and the risk of dose-related adverse effects. The maximum duration of treatment is days. Wash and dry your hands 2. Be careful not to touch or breathe on the tip of the bottle 3.
Tilt your head backwards while seated or lying down on your back 4. Look straight upwards and gently pull the lower lid downwards 5. Place the tip of the bottle close to your eye. Make sure the tip of the bottle does not touch the eye or skin around the eye and your fingers. Squeeze the bottle gently, allow two drops to fall between the bottom eyelid and eye 7. Repeat steps 4 to 6 for the second eye if it is infected 8. Replace the cap securely after use.
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