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At a glance

Spiramycine is a macrolide antibiotic used for the treatment of toxoplasmosis in pregnant women. It helps lower the risk of transmission of toxoplasma infection from the mother to the unborn child.

Indications
  • Toxoplasmosis during pregnancy
  • Protozoal infections
  • Cryptosporidiosis
Pharmacology

Spiramycine binds to the 50S ribosomal subunit, blocking transpeptidation or translocation reactions, resulting in stunted bacterial cell growth and protein synthesis inhibition.

Dosage

Adult Dose (Oral):

  • Toxoplasmosis/Protozoal infections: 6-9 million units/day in 2-3 divided doses
  • Severe infections: Up to 15 million units/day

Pediatric/Neonatal Dose (Oral):

  • Chemoprophylaxis of congenital toxoplasmosis: 50 mg/kg twice daily
Side effects

Common Side Effects:

  • Nausea, vomiting
  • Abdominal pain
  • Diarrhea
  • Allergy
Use in pregnancy

Use in Pregnancy: Generally safe; animal studies show low or no adverse effects; limited human data; consult your doctor.

Pregnancy Category: B — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Regular monitoring of liver function tests (LFT) may be required
  • Safe during pregnancy; however, will not affect severity if unborn child is already infected
  • Inform doctor if you have any history of allergy
Overdose effects

No overdose information available; excessive doses may increase side effects; consult your doctor.

Storage conditions

Store in a cool and dry place, protected from light; keep out of reach of children.

Spiramycine — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.