👨‍⚕️ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
📅 Reviewed: November 2026 • 🔍 Authority: DRAP / WHO ATC
📦 Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Tab 150 mg 085025 10 Rs.166.40 Rs.195.77
Tab 300 mg 085018 5 Rs.166.40 Rs.195.77
Tab 50 mg — 10 Rs.59.50 Rs.70.00

📋 Indications & Clinical Dosage

*Susceptible infections of ENT, bronchopulmonary, genital (excluding gonococcal infections) and skin, Prophylaxis of meningococcal meningitis in vulnerable patients:* Adults: 150 mg in the morning and evening 15-30 min before meals. Children: 6-11 kg: 25 mg in the morning & evening; 12-23 kg: 50 mg in the morning & evening; 24-40 kg: 100 mg in the morning & evening, doses to be taken 15-30 min before meals.

⚠️ Precautions & Warnings

Hepatic insufficiency.

🔄 Drug Interactions

Ergot derivatives. Carbamazepine, theophylline, cyclosporin, warfarin.

⚠️ Adverse Reactions / Side Effects

Abdominal discomfort, diarrhoea, nausea, vomiting, Cholestatic jaundice, hepatotoxicity, rash, anorexia, arthralgia, disturbances in taste and vision, dizziness, dyspepsia, flatulence, headache, malaise, paraesthesia, anxiety, chest pain, constipation, gastritis, hypoaesthesia, leucopenia, oedema, photosensitivity, sleep disturbances, acute renal failure, convulsions, haemolytic anaemia, interstitial nephritis, syncope, thrombocytopenia, tongue discoloration. Rare: Agitation, antibiotic-associated colitis, arrhythmias, pancreatitis, QT interval prolongation, Stevens-Johnson syndrome, toxic epidermal necrolysis. With intravenous use; Local tenderness and phlebitis

🤰 Pregnancy & Lactation Safety

Pregnancy Risk:
Caution advised
Lactation / Breastfeeding:
Caution advised

📚 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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