৳ 9.19/unit
Pack: ৳ 9.19
৳ 9.19/unit
Pack: ৳ 9.19
At a glance
Streptomycin is an aminoglycoside antibiotic used for tuberculosis, bacterial endocarditis, plague, tularemia, and brucellosis. It exhibits bactericidal activity by inhibiting bacterial protein synthesis.
Indications
- Tuberculosis
- Bacterial endocarditis
- Plague
- Tularemia
- Brucellosis
- Bacteremia, meningitis, pneumonia
- Urinary tract infections
Pharmacology
Streptomycin binds to the bacterial 30S ribosomal subunit, inhibiting the initiation step of protein synthesis, preventing bacterial growth and spread. It is effective against a broad range of bacteria, including Mycobacterium tuberculosis.
Dosage
Adult Dose (IM):
- Tuberculosis: 15 mg/kg/day (single dose); max 1 g/day
- Tuberculosis (intermittent): 25-30 mg/kg 2-3 times weekly
- Bacterial endocarditis: 1 g twice daily (streptococcal – 1 week; enterococcal – 2 weeks), then 500 mg twice daily
- Plague: 2 g/day in 2 divided doses for 10 days
- Tularemia: 1-2 g/day in divided doses for 7-14 days
Pediatric Dose (IM):
- Tuberculosis: 20-40 mg/kg/day; max 1 g/day
- Severe infections: 20-30 mg/kg/day; max 1 g/day
Side effects
Side Effects:
- Neurotoxic reactions (vestibular and cochlear dysfunction, optic nerve dysfunction, peripheral neuritis)
- Facial paresthesia
- Rash, fever, angioneurotic edema
- Azotemia, leukopenia, thrombocytopenia
Use in pregnancy
Use in Pregnancy: Adequate information not available; use only if clearly needed; consult your doctor.
Pregnancy Category: D — always consult a doctor before taking during pregnancy.
Precautions & warnings
- Caution in neuromuscular disorders (myasthenia gravis), pre-existing vertigo, or hearing loss
- Caution in renal impairment, elderly, children
- Caution in pregnancy and lactation
- Monitor renal and auditory function
Overdose effects
Overdose may cause neurotoxicity, nephrotoxicity, and neuromuscular blockade; provide symptomatic and supportive treatment; hemodialysis is effective.
Storage conditions
Store in a cool and dry place, protected from light; keep out of reach of children.