๐Ÿ‘จโ€โš•๏ธ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
๐Ÿ“… Reviewed: November 2026 โ€ข ๐Ÿ” Authority: DRAP / WHO ATC
๐Ÿ“ฆ Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Inj 1000 mg 094036 1 Vial โ€” Rs.710.6 836.00
Inj 500 mg 094035 1 Vial โ€” Rs.425 500.00

๐Ÿ“‹ Indications & Clinical Dosage

*Lower Respiratory Infection:* BY IV INJ: Adults: 1-2 gm every 12 hr for 10 days. Children: 2 month- 16 yrs: 50 mg/kg every 12 hr. Max: 1gm. *Urinary Tract Infection:* BY IM OR IV INJ: Adults: 0.5-1 gm every 12 hr for 7-10 days. In severe infection: 2 gm every 12 hr for 10 days. Children: 2 month-16 yrs: 50 mg/kg IV every 12 hr. Max: 1 gm. *Skin & soft-tissue Infection:* BY IV INJ: Adults: 2 gm every 12 hr for 10 days. Children: 2 months -16 yrs: 50 mg/kg IV every 12 hr. Max: 1gm.

๐Ÿ’Š Mode of Administration

Inject deep IM large muscle mass. Inject direct IV over 5 min. Infuse intermittent infusion over 30-60 min. IV Detail: pH 4-6. Reconstitute for IV using manufacturers guidelines. IM: Reconstitute 500 mg vial of drug with 1.3 ml of diluent, such as SWFI (or 1 gm vial with 2.4 ml of diluent). See drug to drug compatibility chart

โš ๏ธ Precautions & Warnings

GI disease (especially colitis); prolonged use; renal impairment; children under 12 years of age.

๐Ÿ”„ Drug Interactions

Aminoglycosides; potent diuretics.

โš ๏ธ Adverse Reactions / Side Effects

Abdominal discomfort, agranulocytosis, allergic reactions, anaphylaxis, aplastic anaemia, blood disorders, confusion, disturbances in liver enzymes, dizziness, eosinophilia, haemolytic anaemia, hallucinations, headache, hypertonia, leucopenia, nervousness, pruritus, rashes, fever and arthralgia, sleep disturbances, urticaria, GI disturbances, Rare: Stevens-Johnson syndrome, thrombocytopenia, toxic epidermal necrolysis, transient cholestatic jaundice, transient hepatitis,

๐Ÿคฐ Pregnancy & Lactation Safety

Pregnancy Risk:
Caution advised
Lactation / Breastfeeding:
Caution advised

๐Ÿงช Compatibility & Storage Stability

Compatibility: Stable in D5LR, D5NS, D5W, D1OW, NS, bacteriostatic water, SWFI. Y-site

Stability & Storage: In the dry state store at 2C-25C. Protect from light. Reconstituted solution may be stored up to 24 hours at controlled room temperature 20C -25C, or 7 days in a refrigerator, 2C-8C.

๐Ÿ“š Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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