Binoculars

Binoclair: use, side effects and special instructions

Binoclair (international name Clarithromycin) is an antibiotic belonging to the group of macrolides and azalides. It is manufactured by Novartis in Bangladesh and is available in the form of film-coated tablets containing the active substance Clarithromycin.

Binoclair is widely used to treat infections of the upper and lower respiratory tract, skin and soft tissues, as well as mycobacterial infections and gastric and duodenal ulcers caused by the bacterium Helicobacter pylori.

However, before using Binoclair, it is necessary to take into account contraindications and side effects. The drug should not be used in case of hypersensitivity to Clarithromycin, severe liver disease, porphyria, pregnancy or breastfeeding.

Side effects may include nausea, vomiting, taste changes, abdominal pain, diarrhea, pseudomembranous colitis, stomatitis, glossitis, dizziness, headache, anxiety, fear, insomnia, nightmares, increased liver enzymes, cholestatic jaundice, allergic and anaphylactoid reactions.

It is also important to consider the interaction of Binoclair with other drugs. It may increase the blood concentration of drugs metabolized in the liver with the participation of enzymes of the cytochrome P450 complex, such as warfarin and other indirect anticoagulants, carbamazepine, theophylline, astemizole, cisapride, thiazolam, midazolam, cyclosporine, digoxin, ergot alkaloids and others. Binoclair may also reduce the absorption of zidovudine.

In case of an overdose of Binoclair, symptoms such as nausea, vomiting and diarrhea may occur. It is necessary to rinse the stomach and apply symptomatic therapy. Hemodialysis and peritoneal dialysis are not effective.

Some special instructions regarding the use of Binoclair are also important to consider. For example, it should be prescribed with caution in combination with drugs metabolized by the liver, and prothrombin time should be monitored when combined with warfarin or other indirect anticoagulants. If you have a history of heart disease, the simultaneous use of Binoclair with drugs that can cause cardiac arrhythmias is not recommended. It is also necessary to avoid the use of Binoclair in patients with myasthenia gravis, as it may increase the symptoms of the disease.

In general, the use of Binoclair should be carried out only as prescribed by a doctor, taking into account all contraindications, side effects and special instructions. If any adverse reactions occur, you should immediately seek medical help.