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Overview

Axilent 250 MG Tablet

Axilent 250 MG Tablet

Manufacturer: Stadchem Of India
Medicine composition: Cefuroxime
Prescription vs.OTC: Prescription by Doctor required

Axilent 250 MG Tablet is an anti-biotic drug that a part of the class of medicines called cephalosporin. This broad spectrum antibiotic is useful in treating a wide variety of infections that are caused by bacteria. It is used in the treatment of conditions such as acute or chronic bronchitis, tonsillitis, Lyme disease, Chlamydia, gonorrhea, syphilis, pneumonia, laryngitis, sinusitis and urinary tract infections. This drug is also used to treat bacterial infections of the throat, cervix, pelvis, urethra, skin, middle ear and nasal passage.

Axilent 250 MG Tablet works by creating a hostile environment for the bacteria to survive. It damages the cell walls of bacteria, prevents the growth of bacteria and therefore eliminates the bacterial infection.

Axilent 250 MG Tablet is a medicine, which is a member of the anti-biotic family called cephalosporin. It destroys the bacteria that cause infections. Therefore, this broad spectrum anti-biotic is useful in treating conditions such as Lyme disease, bronchitis, gonorrhea, pneumonia, tonsillitis, laryngitis, cervicitis and sinusitis. It is also used to treat bacterial infections of the urinary tract, skin, ears, nose, kidney, urethra and throat.

Axilent 250 MG Tablet intervenes in the bacteria?s process of forming cell walls. The cell walls of the bacteria are essential for their survival. The bacterial cell walls protect the contents of the cell from leaking out. This antibiotic damages the bond that keeps the cell wall in one piece. Therefore, Axilent 250 MG Tablet causes holes to appear in the cell wall, making it impossible for the bacteria to survive. In this way, by destroying bacteria and inhibiting the reproduction of bacterial cells, the antibiotic is effective in eliminating bacterial infections.

This antibiotic can be taken orally as a tablet or a liquid suspension. It is possible to over dose on this medicine. Therefore, it is imperative to follow the instructions of your doctor and take Axilent 250 MG Tablet, only according to the prescription.

The risk of side effects increases if you take this medication while suffering from conditions like liver disorders, kidney problems, heart conditions, allergies, gastrointestinal diseases, phenylketonuria and diarrhea caused by Clostridium difficile. It is advisable for pregnant women, breastfeeding mothers and children to avoid taking this antibiotic, since it might lead to negative reactions for these patients. Therefore, you should consult with your doctor before starting a prescription of Axilent 250 MG Tablet, if you have any of the conditions mentioned above.

While taking Axilent 250 MG Tablet, the common side effects that could occur include nausea, headaches, dizziness, vomiting, rashes, fever, chills, muscle aches and diarrhea. These side effects might resolve themselves within a few days, and hence, it is not a major cause for concern. Some of the major side effects that could occur are severe stomachaches, mood swings, fatigue, jaundiced eyes or skin, yeast infection, inflammation of the bowels, bloody stools and dark urine. You should call for medical aid as soon as you detect any of these side effects. You could have an allergic reaction from taking Axilent 250 MG Tablet. An allergy to this anti-biotic will result in symptoms such as hives, rashes, swelling of the tongue, throat, face, hands or feet, itchiness and difficulty in breathing. If you experience any of these symptoms, you should discontinue the usage of this drug and contact a medical health professional immediately.

Cystitis
Axilent 250 MG Tablet is used in the treatment of Cystitis which is a bladder infection caused by E.coli, Pseudomonas aeruginosa, Enterococci and Klebsiella pneumoniae.
Pyelonephriits
Axilent 250 MG Tablet is used in the treatment of Pyelonephritis which is a type of kidney infection caused by E.coli, Pseudomonas aeruginosa, Enterococci and Klebsiella pneumoniae.
Nongonococcal Urethritis
Axilent 250 MG Tablet is used in the treatment of Nongonococcal Urethritis which is an inflammation of urethra caused by E.coli, Pseudomonas aeruginosa, and Klebsiella.
Skin and structure Infection
Axilent 250 MG Tablet is used in the treatment of Skin and Structure infection like cellulitis, wound infection and cutaneous abscess caused by Streptococcus pyogenes and Staphylococcus aureus.
Pneumonia
Axilent 250 MG Tablet is used in the treatment of community acquired pneumonia which is a most common type of lung infection caused by Streptococcus pneumoniae and Haemophilus influenzae.
Bronchitis
Axilent 250 MG Tablet is used in the treatment of bronchitis which is an inflammation in lungs caused by Streptococcus pneumoniae, Haemophilus influenzae and some Mycoplasma pneumoniae.
Inhalation Anthrax
Axilent 250 MG Tablet is used in the treatment of anthrax which is a rare but serious bacterial illness caused by Bacillus anthracis.
Plague
Axilent 250 MG Tablet is used in the treatment of Plague which is a serious bacterial illness caused by Yersinia pestis.
Allergy
Avoid if you have a known allergy to Axilent 250 MG Tablet or any other fluoroquinolones.
Tendinitis or tendon rupture
Avoid if you have a past history of tendinitis or tendon rupture after using Axilent 250 MG Tablet
Myasthenia Gravis
Avoid if you have a past history of myasthenia gravis or family history of myasthenia gravis.
In addition to its intended effect, Axilent 250 MG Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Diarrhea Major Common
Abdominal Pain Major Rare
Confusion Major Rare
Fever Major Rare
Redness of skin Major Rare
Change in taste Minor Less Common
Constipation Minor Less Common
Dizziness Minor Less Common
Headache Minor Less Common
Nausea or vomiting Minor Less Common
How long is the duration of effect?
The effect lasts for a duration of 24 to 32 hours.
What is the onset of action?
The peak effect of this medicine can be observed within 1 to 2 hours of administration of the dose.
Are there any pregnancy warnings?
Use of this medicine is not recommended in pregnant women. Use only if clearly needed under the supervision of a doctor.
Is it habit forming?
No habit forming tendency has been reported.
Are there any breast-feeding warnings?
Use of this medicine is not recommended in breastfeeding women due to an adverse effect on the development of infant's joints. Use only if clearly needed under the supervision of a doctor. Avoid breastfeeding for about 3 to 4 hours to decrease the infant's exposure to this medicine. Monitoring of undesired effects like diarrhea, diaper rash is necessary.
Below is the list of medicines, which have the same composition, strength and form as Axilent 250 MG Tablet, and hence can be used as its substitute.
Bayer Pharmaceuticals Pvt. Ltd
Alembic Ltd
Torrent Pharmaceuticals Ltd
Glaxosmithkline Pharmaceuticals Ltd
Cipla Ltd
Are there any missed dose instructions?
The missed dose should be taken as soon possible. It is advisable to skip the missed dose if it's already time for your next scheduled dose.
Are there any overdose instructions?
Seek emergency medical treatment or contact the doctor in case of overdose.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Central nervous system disorders Major
You may experience tremors, restlessness, anxiety, confusion, hallucinations if you suffer from CNS disorder and use {levofloxacin}} or other fluoroquinolones. Avoid using caffeine-containing products like coffee, chocolates and energy drinks.
Colitis Major
Avoid if you experience severe diarrhea, abdominal pain, and blood in stools after taking Axilent 250 MG Tablet. Inform the doctor if you have any gastrointestinal diseases. Drink adequate amount of water to prevent dehydration.
QT Prolongation Major
Avoid using Axilent 250 MG Tablet if you experience any chest discomfort. Regular cardiac function tests are to be performed if you have any heart disease (arrhythmia) or family history of heart disease.
Interaction with Alcohol
Alcohol
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Corticosteroids Major
You may experience pain, swelling, or inflammation in ankle, shoulder, hand, or thumb if these medicines are used together. This interaction is more likely to happen in elderly population who had a kidney or heart transplantation. Replacement of the medicine should be made under the doctor's supervision.
Escitalopram Major
You may experience dizziness, lightheadedness, shortness of breath, or heart palpitations if these medicines are used together. This interaction is more likely to happen if you have any heart disease (Arrhythmia) or a family history of Arrhythmia. Appropriate dose adjustment or replacement of the medicine should be made under the doctor's supervision.
Quinidine Major
You may experience dizziness, lightheadedness, and heart palpitations if these medicines are used together. Regular cardiac function tests are to be performed if you have any heart disease (Arrhythmia) or a family history of Arrhythmia. Appropriate dose adjustment or replacement of the medicine should be made under the doctor's supervision.
Antidiabetic drugs Moderate
You may experience hypoglycemic effects like dizziness, headache, nervousness, confusion, tremor and weakness if these medicines are used together. Hyperglycemic effects like increased thirst, urination and hunger are less likely to occur. Regular blood glucose checkups are to be performed if you are diabetic or has any kidney disease. Appropriate dose adjustment or replacement of the medicine should be made under the doctor's supervision.
Aspirin Moderate
You may experience tremors, involuntary muscle movements, hallucinations, or seizures if these medicines are used together. This interaction is more likely to happen if you have a history of seizures or family history of seizures. Appropriate dose adjustment or replacement of the medicine should be made under the doctor's supervision.
Ethinyl Estradiol Moderate
The desired effect of contraceptive pills will not be achieved if these medicines are used together. Appropriate dose adjustments or replacement of the medicine should be made under the doctor's supervision.

Popular Questions & Answers

I am 20 Male. I have been having a weird feeling in my testicles from last few days. It is sometimes leading to pain. I think it's mostly a muscle or vein related as I get a light sensation when I pull/push my muscle there. I went to an urologist. He told me these are common for my age and examined my testicles. He applied pressure there and asked me if I am having a burning sensation which I had a very slight one. He told me it looks fine and mostly it will go away and gave me a tablet called signoflam and told me to use when ever I get pain. Should I go for further diagnosis or use the tablet? I have been under stress too for last few weeks. Could that have caused the problem?

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
I am 20 Male. I have been having a weird feeling in my testicles from last few days. It is sometimes leading to pain....
I am a Gastroenterologist and would be answering your query. As per you query answers are- Firstly for Irritable bowel syndrome. Irritable bowel syndrome is a common intestinal disorder. There is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition. So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect. Recent studies by French scientists have indicated that the most important mechanisms include visceral sensitivity, abnormal gut motility and autonomous nervous system dysfunction. The interactions between these three mechanisms make bowel's function susceptible to many exogenous and endogenous factors like gastrointestinal flora, feeding and psychosocial factors. Further data indicate that according to the above mechanisms, the influence of genetic factors and polymorphisms of human DNA in the development of IBS is equally important. So in lay mans language till date we don't know the exact cause of this problem. So the million dollar question is how to repair a system when you don't know which part of it is faulty (Some says it can be brain other syas it can be hormone anxiety age etc etc). Some patients have attacks of diarrhea and bloating and some may have constipation. Other symptoms that may be present in irritable bowel syndrome include nausea, vomiting, headache, loss of appetite, muscular pains, heartburn, and weakness. Some patients have occasional symptoms whereas others may have symptoms for a long period of time. So as seen above every patient is different. Intensity of symptoms in every patient is different as so is the response to medicines and life style change. Every drug is not effective in every patient so we have to try different therapies till we find the drug which suits best our patient. Dicyclomine 20 mg four times a day is to heavy a dose for 80 year old women. Dicyclomine ios an anticholinergic drug. An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells (In simple words it messes up with both your peripheral and central nervous system) Mebeverine is an antispasmodic medicine and is very useful in IBS and is well tolerated by patient with minimal side effects. Mebeverine works on certain muscles in the wall of your intestines, causing them to relax. Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug. It may help symptoms of frequent stools. Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain. Can be used in combination with above mentioned medicines. Another OTC medication is Bismuth sub-salicylate. It belongs to a class of medications called antacids and adsorbents marketed by name of Pepto Bismol. Doses up to 1gram can be taken daily to provide symptomatic relief. Loperamide can be used but should be avoided. Diphenoxylate and Atropine combination (Lomotil)-Atropine/diphenoxylate is an antidiarrheal and anticholinergic combination. For bloating and gas take Tab Nexium 40 mg twice daily. Take a probiotic daily with food as proper digestion of food will prevent excess gas formation. Food pattern recommended is- Eat simple and natural home cooked food. If possible try detox diet (Raw vegans) for atleast 3 month. Take normal food in lunch while in supper take uncooked raw natural form of food. This can play wonders. Avoid taking excessive fibres. A total fiber intake of about 20-30 grram per day would be good for you. Any thing in excess is good for nothing. No pizza, Burger,Red meat, and dairies for few weeks. No alcohol or smoking. Take natural food rich in probiotics like Yoghurt, Kimchi,etc. This doesnot mean that you have to take them as much as you can. Follow your body increase their uptake gradually. Drink lots of juices and fresh water daily. Avoid over spicy and heavy food. If possible go for a detox diet but again don't force your body rather let your body adopt gradually to things. Anal fissure and fistula- An anal fissure is a small tear or crack in the lining of the anus so in lay mans language its an internal wound. Certain treatments can promote healing and help relieve discomfort, including stool softeners (you already have soft stools) and topical pain relievers. If an anal fissure doesn’t improve with these treatments, surgery may be required. Salts adviced for trial before going for surgery are- A broad spectrum antibiotic like Cefuroxime to prevent bacterial infection of site. Combination of trypsinogen with serratiopeptidase (Wound healer). Dicofenac as an anti inflammatory. Ointment containing broad spectrum antibiotic to be applied locally over fissures. Vitamin C (wound healer). Folic acid and zinc supplement. However initially an anoscopy should be done by a Rectal surgeon to see the extent of fissure. Best surgical option is Video-assisted anal fistula treatment (VAAFT) is a novel minimally invasive and sphincter-saving technique for treating complex fistulas. As per the standard data of NCBI (National centre of biotechnological information) a facility funded by American govt data's are-"From May 2006 to May 2011, 136 patients were operated using VAAFT. Ninety-eight patients were followed up for a minimum of 6 months. 1) No major complications occurred. In most cases, both short-term and long-term postoperative pain was acceptable. 2) Primary healing was achieved in 72 patients (73.5%) within 2–3 months of the operation. 3) Sixty-two patients were followed up for more than 1 year. The percentage of the patients healed after 1 year was 87.1%. Hermorrhoids- 1) Sitz bath-Sit in about 3 inches of warm water for 15 minutes or so, several times a day. This helps reduce swelling in the area and relaxes your clenching sphincter muscle. 2) A 1% hydrocortisone cream on the skin outside the anus can relieve itching and pain. 3) With an electric probe, a laser beam, or an infrared light, a tiny burn will be made to remove tissue and painlessly seal the end of the hemorrhoid, causing it to close off and shrink. 4Rubber band ligation is a procedure in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow to the hemorrhoid. This treatment is only for internal hemorrhoids. Hope I answered your query in detail, However in case you have any other query feel free to question. I would be happy to answer you. Regards.
9 people found this helpful

I have been suffering from severe cough for last two days. Family have asthmatic tendency. The asthmatic sound produced and the cough irritate me wholesome. The medicine I took are cefuroxime axetil500 bd seroflo 200 multihaler and clav625 and AB PHYLLINE. BUT STILL NOW THE SOUND IS PRODUCING TOO MUCH.

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetes
General Physician, Delhi
Take warm or hot drinks often – hot tea , hot coffee,hot Soups, hot milk.Avoid Fried/Oily foods like –Samosa, Dosa, Pakora, Papad, Namkeens, Potato Chips , Namkeens . Avoid Hotel Food, Avoid Fast food,Hamburgers, Pizza. Do not take any COLD drinks , cold water, ice cream, chilled food from refrigerator.Take soft foods like rice Gurrel (Khichdi), Plain daal, boiled vegetables.Avoid Chillies completely.Take plain warm water, Cocunut water, Enerzal in warm water.Avoid Cold Milk , Meat Products ,Fried rice and noodles.Avoid Sour fruits like Citrus fruits, grapes.Avoid heavy meals, eat small frequent meals. Avoid Alcoholic drinks of all kinds like Beer, Wine,whisky,vodka etc.Warm saline gargles thrice daily.Steam inhalation thrice daily.Rest for 5 days Private consult me for detailed prescription medicine protocol.

From morning I am having sore throat, inflamed pharynx but no inflames tonsils. But the swelling is way too much accompanied by redness and pain while eating and in normal condition also plus I have mild fluctuating fever somewhere between 97 & 100. General physician has recommended cefprozil 500 in the morning but ENT doctor said that it won't work so he recommended cefuroxime axetil 650. What should I take now?

MBBS, Diploma in Otorhinolaryngology (DLO), DNB (ENT)
ENT Specialist, Bangalore
From morning I am having sore throat, inflamed pharynx but no inflames tonsils. But the swelling is way too much acco...
This is what happens when you consult many doctors. Both antibiotics are second generation cephalosporins, work towards different bacteria. It is always advisable to take antibiotics which covers most of bacteria which can cause pharyngitis. Kindly take one of the antibiotic. Complete the course. Along with do Betadine mouth wash twice daily for a week.
5 people found this helpful

My mother is 53 years old and has hb level at 7.2, wbc count has improved from 2900 to 3900 after giving cefuroxime and hemacrit syrup but hb level has gone down from 7.8 to 7.2. Kindly suggest treatment without blood transfusion. Urgent.

MBBS
General Physician, Cuttack
My mother is 53 years old and has hb level at 7.2, wbc count has improved from 2900 to 3900 after giving cefuroxime a...
1.Take good nourishing diet like milk, cheese, paneer,egg, fish, mutton, chicken,pulses,soybean 2. Fresh green leafy vegetables ,tomato, cauliflower,broccoli,pumpkin,beans,spinach. 3 .Fruits rich in vitamin c (helps in absorption of iron) like citrus fruits lorange/grape/strawberry guava/mango/pineapple/- water melon 4.Fruits like apple,dry fruits like dates, khajoor,kismiss 5..Drink plenty of water, 6.Go for regular exercise, 7Take adequate rest, 8..Avoid physical and mental exertion. 9.Take Haem up syrup 3 tsf twice daily before food 10. Monitor your hemoglobin and consult doctor for further advice
1 person found this helpful

My wife is suffered by pulmonary consolidation for the past three months. Soft tissue size is about 5 cm X 6 cm, physician is recommend to take Cefuroxime 250 Clavulanic acid 125 mg, Paracetamol 500, levocetirizine10 mg and ranitidine. But she getting evening fever, restless feeling, if long breath back chest pain, mouth bitter in taste. Please give me suggestion.

DIABETES EDUCATOR, PGDND, RMP -ALTERNATIVE MEDICINE, MEDICAL TRANSCRITPTINIST, M.SC, Msc nutrition
Dietitian/Nutritionist, Bangalore
My wife is suffered by pulmonary consolidation for the past three months. Soft tissue size is about 5 cm X 6 cm, phys...
U can do a video consultation and I can her plus you can drop her I my calinc and take only hot water fomentation and drink hot water always plus buy a rib support and put her on the ribs and also take amla juice on empty stomach her bitternes will go away and take avitamin c tablet and vit c rich fruits her taste will become good and please do booka an appointment with me for more tips.

Popular Health Tips

Sinusitis: Management and Prevention

MBBS, Fellowship In Endocrinology
Endocrinologist, Tumkur
Sinusitis: Management and Prevention

Sinusitis: Management and Prevention

Sinusitis is infl ammation of the mucous membranes lining one or more of the paranasal sinuses. The various presentations are as folllows:
? acute sinusitis: infection lasting less than 30 days, with complete resolution of symptoms
? subacute infection: lasts from 30 to 90 days, with complete resolution of symptoms
? recurrent acute infection: episodes of acute infection lasting less than 30 days, with resolution of symptoms, which

Recur at intervals of at least 10 days apart
? chronic sinusitis: infl ammation lasting more than 90 days, with persistent upper respiratory symptoms
? acute bacterial sinusitis superimposed on chronic sinusitis:

New symptoms that occur in patients with residual symptoms from prior infection (s). With treatment, the new symptoms resolve but the residual ones do not.
Physical findings and clinical presentation
? patients often give a history of a recent upper respiratory illness with some improvement, then a relapse.
? mucopurulent secretions in the nasal passage
? purulent nasal and postnasal discharge lasting more than 7 to 10 days
? facial tightness, pressure, or pain
? nasal obstruction
? headache
? decreased sense of smell
? purulent pharyngeal secretions, brought up with cough, often worse at night
? erythema, swelling, and tenderness over the infected sinus in a small proportion of patients
? diagnosis cannot be excluded by the absence of such findings.
? these fi ndings are not common, and do not correlate with number of positive sinus aspirates.
? intermittent low-grade fever in about one half of adults with acute bacterial sinusitis
? toothache is a common complaint when the maxillary sinus is involved.
? periorbital cellulitis and excessive tearing with ethmoid sinusitis
? orbital extension of infection: chemosis, proptosis, impaired extraocular movements.

Characteristics of acute sinusitis in children with upper respiratory tract infections:
? persistence of symptoms
? cough
? bad breath
? symptoms of chronic sinusitis (may or may not be present)
? nasal or postnasal discharge
? fever
? facial pain or pressure
? headache
? nosocomial sinusitis is typically seen in patients with nasogastric tubes or nasotracheal intubation.

Cause
? each of the four paranasal sinuses is connected to the nasal cavity by narrow tubes (ostia), 1 to 3 mm in diameter; these drain directly into the nose through the turbinates. The sinuses are lined with a ciliated mucous membrane (mucoperiosteum).
? acute viral infection
? infection with the common cold or infl uenza
? mucosal edema and sinus infl ammation
? decreased drainage of thick secretions, obstruction of the sinus ostia
? subsequent entrapment of bacteria

A. Multiplication of bacteria
B. Secondary bacterial infection

Other predisposing factors
? tumors
? polyps
? foreign bodies
? congenital choanal atresia
? other entities that cause obstruction of sinus drainage
? allergies
? asthma
? dental infections lead to maxillary sinusitis.
? viruses recovered alone or in combination with bacteria (in 16% of cases):
? rhinovirus
? coronavirus
? adenovirus
? parainfluenza virus
? respiratory syncytial virus
? the principal bacterial pathogens in sinusitis are streptococcus pneumoniae, nontypeable haemophilus influenzae, and moraxella catarrhalis.
? in the remainder of cases, fi ndings include streptococcus pyogenes, staphylococcus aureus, alpha-hemolytic streptococci, and mixed anaerobic infections (peptostreptococcus, fusobacterium, bacteroides, prevotella).

Infection is polymicrobial in about one third of cases.
? anaerobic infections seen more often in cases of chronic sinusitis and in cases associated with dental infection; anaerobes are unlikely pathogens in sinusitis in children.
? fungal pathogens are isolated with increasing frequency in immunocompromised patients but remain uncommon
Pathogens in the paranasal sinuses. Fungal pathogens include aspergillus, pseudallescheria, sporothrix, phaeohyphomycoses, zygomycetes.
? nosocomial infections occur in patients with nasogastric tubes, nasotracheal intubation, cystic fi brosis, or those who are immunocompromised.
? s. Aureus
? pseudomonas aeruginosa
? klebsiella pneumoniae
? enterobacter spp.
? proteus mirabilis

Organisms typically isolated in chronic sinusitis:
? s. Aureus
? s. Pneumoniae
? h. Infl uenzae
? p. Aeruginosa
? anaerobes

Differential diagnosis
? migraine headache
? cluster headache
? dental infection
? trigeminal neuralgia

Workup
? water’s projection: sinus radiograph
? ct scan
? much more sensitive than plain radiographs in detecting acute changes and disease in the sinuses
? recommended for patients requiring surgical intervention, including sinus aspiration; it is a useful adjunct to
 

Guide therapy:
? transillumination
? used for diagnosis of frontal and maxillary sinusitis
? place transilluminator in the mouth or against cheek to assess maxillary sinuses, and under the medial aspect of the supraorbital ridge to assess frontal sinuses.
? absence of light transmission indicates that sinus is filled with fluid.
? dullness (decreased light transmission) is less helpful in diagnosing infection.
? endoscopy
? used to visualize secretions coming from the ostia of infected sinuses
? culture collection via endoscopy often contaminated by nasal flora; not nearly as good as sinus puncture
? sinus puncture
? gold standard for collecting sinus cultures
? generally reserved for treatment failures, suspected intracranial extension, nosocomial sinusitis.

Treatment Nonpharmacologic therapy
? sinus drainage
? nasal vasoconstrictors, such as phenylephrine nose drops, 0.25% or 0.5%

? topical decongestants should not be used for more than a few days because of the risk of rebound congestion.
? systemic decongestants
? nasal or systemic corticosteroids, such as nasal beclomethasone, short-course oral prednisone
? nasal irrigation, with hypertonic or normal saline (saline may act as a mild vasoconstrictor of nasal blood fl ow)
? use of antihistamines has no proved benefi t, and the drying effect on the mucous membranes may cause crusting,

Which blocks the ostia, thus interfering with sinus drainage.
? analgesics, antipyretics.

Antimicrobial therapy
? most cases of acute sinusitis have a viral cause and will resolve within 2 weeks without antibiotics.
? current treatment recommendations favor symptomatic treatment for those with mild symptoms.
? antibiotics should be reserved for those with moderate to severe symptoms who meet the criteria for diagnosis of

Bacterial sinusitis.

? antibiotic therapy is usually empirical, targeting the common pathogens.
? first-line antibiotics include amoxicillin, tmp-smz.
? second-line antibiotics include clarithromycin, azithromycin, amoxicillin-clavulanate, cefuroxime axetil, loracarbef, ciprofloxacin, levofloxacin.
? for patients with uncomplicated acute sinusitis, the less expensive first-line agents appear to be as effective as the

Costlier second-line agents.

Surgery
? surgical drainage indicated
? if intracranial or orbital complications suspected
? for many cases of frontal and sphenoid sinusitis
? for chronic sinusitis recalcitrant to medical therapy
? surgical débridement imperative for treatment of fungal sinusitis

4 people found this helpful

Avoid The Ban Medicines To Be Safe

BHMS
Homeopath, Singrauli
Avoid The Ban Medicines To Be Safe

Govt bans 344 drugs, including phensedyl, corex
Sr. No. Product name (irrational fdc) 
1 aceclofenac + paracetamol + rabeprazole
2 nimesulide + diclofenac
3 nimesulide + cetirizine + caffeine
4 nimesulide + tizanidine
5 paracetamol + cetirizine + caffeine
6 diclofenac + tramadol + chlorzoxazone
7 dicyclomine + paracetamol + domperidone
8 nimesulide + paracetamol
9 paracetamol + phenylephrine + caffeine
10 diclofenac+ tramadol + paracetamol
11 diclofenac + paracetamol + chlorzoxazone + famotidine
12 naproxen + paracetamol
13 nimesulide + serratiopeptidase
14 paracetamol + diclofenac + famotidine
15 nimesulide + pifofenone + fenpiverinium + benzyl alcohol
16 omeprazole + paracetamol + diclofenac
17 nimesulide + paracetamol injection
18 tamsulosin + diclofenac
19 paracetamol + phenylephrine + chlorpheniramine + dextromethorphan + caffeine
20 diclofenac + zinc carnosine
21 diclofenac + paracetamol + chlorpheniramine maleate + magnesium trisillicate
22 paracetamol + pseudoephedrine + cetrizine
23 phenylbutazone + sodium salicylate
24 lornoxicam + paracetamol + trypsin
25 paracetamol + mefenamic acid + ranitidine + dicylomine
26 nimesulide + dicyclomine
27 heparin + diclofenac
28 glucosamine + methyl sulfonyl methane + vitamini d3 + maganese + boron + copper + zinc
29 paracetamol + tapentadol
30 tranexamic acid + proanthocyanidin
31 benzoxonium chloride + lidocaine
32 lornoxicam + paracetamol + tramadol
33 lornoxicam + paracetamol + serratiopeptidase
34 diclofenac + paracetamol + magnesium trisilicate
35 paracetamol + domperidone + caffeine
36 ammonium chloride + sodium citrate + chlorpheniramine maleate + menthol
37 paracetamol + prochlorperazine maleate
38 serratiopeptidase (enteric coated 20000 units) + diclofenac potassium & 2 tablets of doxycycline
39 nimesulide + paracetamol suspension
40 aceclofenac + paracetamol + famotidine
41 aceclofenac + zinc carnosine
42 paracetamol + disodium hydrogen citrate + caffeine
43 paracetamol + dl methionine
44 disodium hydrogen citrate + paracetamol
45 paracetamol + caffeine + codeine
46 aceclofenac (sr) + paracetamol
47 diclofenac + paracetamol injection
48 azithromycin + cefixime
49 amoxicillin + dicloxacillin
50 amoxicillin 250 mg + potassium clavulanate diluted 62.5 mg
51 azithromycin + levofloxacin
52 cefixime + linezolid
53 amoxicillin + cefixime + potassium clavulanic acid
54 ofloxacin + nitazoxanide
55 cefpodoxime proxetil + levofloxacin
56 azithromycin, secnidazole and fluconazole kit
57 levofloxacin + ornidazole + alpha tocopherol acetate
58 nimorazole + ofloxacin
59 azithromycin + ofloxacin
60 amoxycillin + tinidazole
61 doxycycline + serratiopeptidase
62 cefixime + levofloxacin
63 ofloxacin + metronidazole + zinc acetate
64 diphenoxylate + atropine + furazolidonee
65 fluconazole tablet, azithromycin tablet and ornidazole tablets
66 ciprofloxacin + phenazopyridine
67 amoxycillin + dicloxacillin + serratiopeptidase
68 azithromycin + cefpodoxime
69 lignocaine + clotrimazole + ofloxacin + beclomethasone
70 cefuroxime + linezolid
71 ofloxacin + ornidazole + zinc bisglycinate
72 metronidazole + norfloxacin
73 amoxicillin + bromhexine
74 ciprofloxacin + fluticasone + clotrimazole + neomycin is
75 metronidazole + tetracycline
76 cephalexin + neomycin + prednisolone
77 azithromycin + ambroxol
78 cilnidipine + metoprolol succinate + metoprolol tartrate
79 l-arginine + sildenafil
80 atorvastatin + vitamin d3 + folic acid + vitamin b12 + pyridoxine
81 metformin + atorvastatin
82 clindamycin + telmisartan
83 olmesartan + hydrochlorothiazide + chlorthalidone
84 l-5-methyltetrahydrofolate calcium + escitalopram
85 pholcodine + promethazine
86 paracetamol + promethazine
87 betahistine + ginkgo biloba extract + vinpocetine + piracetam
88 cetirizine + diethyl carbamazine
89 doxylamine + pyridoxine + mefenamic acid + paracetamol
90 drotaverine + clidinium + chlordiazepoxide
91 imipramine + diazepam
92 flupentixol + escitalopram
93 paracetamol + prochloperazine
94 gabapentin + mecobalamin + pyridoxine + thiamine
95 imipramine + chlordiazepoxide + trifluoperazine + trihexyphenidyl
96 chlorpromazine + trihexyphenidyl
97 ursodeoxycholic acid + silymarin
98 metformin 1000/1000/500/500mg + pioglitazone 7.5/7.5/7.5/7.5mg + glimepiride
99 gliclazide 80 mg + metformin 325 mg
100 voglibose+ metformin + chromium picolinate
101 pioglitazone 7.5/7.5mg + metformin 500/1000mg
102 glimepiride 1mg/2mg/3mg + pioglitazone 15mg/15mg/15mg + metformin 1000mg/1000mg/1000mg
103 glimepiride 1mg/2mg+ pioglitazone 15mg/15mg + metformin 850mg/850mg
104 metformin 850mg + pioglitazone 7.5 mg + glimepiride 2mg
105 metformin 850mg + pioglitazone 7.5 mg + glimepiride 1mg
106 metformin 500mg/500mg+gliclazide sr 30mg/60mg + pioglitazone 7.5mg/7.5mg
107 voglibose + pioglitazone + metformin
108 metformin + bromocriptine
109 metformin + glimepiride + methylcobalamin
110 pioglitazone 30 mg + metformin 500 mg
111 glimepiride + pioglitazone + metformin
112 glipizide 2.5mg + metformin 400 mg
113 pioglitazone 15mg + metformin 850 mg
114 metformin er + gliclazide Mr. + voglibose
115 chromium polynicotinate + metformin
116 metformin + gliclazide + piogllitazone + chromium polynicotinate
117 metformin + gliclazide + chromium polynicotinate
118 glibenclamide + metformin (sr)+ pioglitazone
119 metformin (sustainded release) 500mg + pioglitazone 15 mg + glimepiride 3mg
120 metformin (sr) 500mg + pioglitazone 5mg
121 chloramphenicol + beclomethasone + clomitrimazole + lignocaine
122 of clotrimazole + ofloxaxin + lignocaine + glycerine and propylene glycol
123 chloramphennicol + lignocaine + betamethasone + clotrimazole + ofloxacin + antipyrine
124 ofloxacin + clotrimazole + betamethasone + lignocaine
125 gentamicin sulphate + clotrimazole + betamethasone + lignocaine
126 clotrimazole + beclomethasone + ofloxacin + lignocaine
127 becloemthasone + clotrimazole + chloramphenicol + gentamycin + lignocaine ear
128 flunarizine + paracetamole + domperidone
129 rabeprazole + zinc carnosine
130 magaldrate + famotidine + simethicone
131 cyproheptadine + thiamine
132 magaldrate + ranitidine + pancreatin + domperidone
133 ranitidine + magaldrate + simethicone
134 magaldrate + papain + fungul diastase + simethicone
135 rabeprazole + zinc + domperidone
136 famotidine + oxytacaine + magaldrate
137 ranitidine + domperidone + simethicone
138 alginic acid + sodium bicarbonate + dried aluminium hydroxide + magnesium hydroxide
139 clidinium + paracetamol + dicyclomine + activated dimethicone
140 furazolidone + metronidazole + loperamide
141 rabeprazole + diclofenac + paracetamol
142 ranitidine + magaldrate
143 norfloxacin+ metronidazole + zinc acetate
144 zinc carnosine + oxetacaine
145 oxetacaine + magaldrate + famotidine
146 pantoprazole (as enteric coated tablet) + zinc carnosine (as film coated tablets)
147 zinc carnosine + magnesium hydroxide + dried aluminium hydroxide + simethicone
148 zinc carnosine + sucralfate
149 mebeverine & inner hpmc capsule (streptococcus faecalis + clostridium butyricum + bacillus
Mesentricus + lactic acid bacillus)
150 clindamycin + clotrimazole + lactic acid bacillus
151 sildenafil + estradiol valerate
152 clomifene citrate + ubidecarenone + zinc + folic acid + methylcobalamin + pyridoxine + lycopene
+ selenium + levocarnitine tartrate + l-arginine
153 thyroxine + pyridoxine + folic acid
154 gentamycin + dexamethasone + chloramphenicol + tobramycin + ofloxacin
155 dextromethorphan + levocetirizine + phenylephrine + zinc
156 nimesulide + loratadine + phenylephrine + ambroxol
157 bromhexine + phenylephrine + chlorepheniramine maleate
158 dextromethorphan + bromhexine + guaiphenesin
159 paracetamol + loratadine + phenylephrine + dextromethorphan + caffeine
160 nimesulide + phenylephrine + caffeine + levocetirizine
161 azithromycin + acebrophylline
162 diphenhydramine + terpine + ammonium chloride + sodium chloride + menthol
163 nimesulide + paracetamol + cetirizine + phenylephrine
164 paracetamol + loratadine + dextromethophan + pseudoepheridine + caffeine
165 chlorpheniramine maleate + dextromethorphan + dextromethophan + guaiphenesin + ammonium
Chloride + menthol
166 chlorpheniramine maleate + ammonium chloride + sodium citrate
167 cetirizine + phenylephrine + paracetamol + zinc gluconate
168 ambroxol
+ guaiphenesin + ammonium chloride + phenylephrine + chlorpheniramine maleate + menthol
169 dextromethorphen + bromhexine + chlorpheniramine maleate + guaiphenesin
170 levocetirizine + ambroxol + phenylephrine + guaiphenesin
171 dextromethorphan + chlorpheniramine + chlorpheniramine maleate 
172 cetirizine + ambroxol + guaiphenesin + ammonium chloride + phenylephrine +
Menthol
173 hlorpheniramine + phenylephrine + caffeine
174 dextromethorphan + triprolidine + phenylephrine
175 dextromethorphan + phenylephrine + zinc gluconate + menthol
176 chlorpheniramine + codeine + sodium citrate + menthol syrup
177 enrofloxacin + bromhexin
178 bromhexine + dextromethorphan + phenylephrine + menthol
179 levofloxacin + bromhexine
180 levocetirizine + phenylephrine + ambroxol + guaiphenesin + paracetamol
181 cetirizine + dextromethorphan + phenylephrine + zinc gluconate + paracetamol + menthol
182 paracetamol + pseudoephedrine + dextromethorphan+cetirizine
183 diphenhydramine + guaiphenesin + ammonium chloride + bromhexine
184 chlorpheniramine + dextromethorphan + phenylephrine + paracetamol
185 dextromethorphen + promethazine
186 diethylcabamazine citrate + cetirizine + guaiphenesin
187 chlorpheniramine + phenylephrine + dextromethophan + menthol
188 ambroxol + terbutaline + dextromethorphan
189 dextromethorphan + chlorpheniramine + guaiphenesin
190 terbutaline + bromhexine + guaiphenesin + dextromethorphan
191 dextromethorphan + tripolidine + phenylephirine
192 paracetamol + dextromethorphan + chlorpheniramine
193 codeine + levocetirizine + menthol
194 dextromethorphan + ambroxol + guaifenesin + phenylephrine + chlorpheniramine
195 cetirizine + phenylephrine + dextromethorphan + menthol
196 roxithromycin + serratiopeptidase
197 paracetamol + phenylephrine + triprolidine
198 cetirizine + acetaminophen + dextromethorphan + phenyephrine + zinc gluconate 
199 diphenhydramine + guaifenesin + bromhexine + ammonium chloride + menthol
200 chlopheniramine maleate + codeine syrup
201 cetirizine + dextromethorphan + zinc gluconate + menthol
202 paracetamol + phenylephrine + desloratadine + zinc gluconate + ambroxol
203 levocetirizine + montelukast + acebrophylline
204 dextromethorphan + phenylephrine + ammonium chloride + menthol
205 acrivastine + paracetamol + caffeine + phenylephrine
206 naphazoline + carboxy methyl cellulose + menthol + camphor + phenylephrine
207 dextromethorphan + cetirizine
208 nimesulide + paracetamol + levocetirizine + phenylephrine + caffeine
209 terbutaline + ambroxol + guaiphenesin + zinc + menthol
210 dextromethorphan + phenylephrine + guaifenesin + triprolidine
211 ammomium chloride + bromhexine + dextromethorphan 
212 diethylcarbamazine + cetirizine + ambroxol
213 ethylmorphine + noscapine + chlorpheniramine
214 cetirizine + dextromethorphan + ambroxol
215 ambroxol + guaifenesin + phenylephrine + chlorpheniramine
216 paracetamol + phenylephrine + chlorpheniramine + zinc gluconate
217 dextromethorphan + phenylephrine + cetirizine + paracetamol + caffeine
218 dextromethophan + chlorpheniramine + guaifenesin + ammonium chloride
219 levocetirizine + dextromethorphan + zinc
220 paracetamol + phenylephrine + levocetirizine + caffeine
221 chlorphaniramine + ammonium chloride + sodium chloride
222 paracetamol + dextromethorphan + bromhexine + phenylephrine + diphenhydramine
223 salbutamol + bromhexine + guaiphenesin + menthol
224 cetirizine + dextromethorphan + bromhexine + guaifenesin
225 diethyl carbamazine + chlorpheniramine + guaifenesin
226 ketotifen + cetirizine
227 terbutaline + bromhexine + etofylline
228 ketotifen + theophylline
229 ambroxol + salbutamol + theophylline
230 cetririzine + nimesulide + phenylephrine
231 chlorpheniramine + phenylephrine + paracetamol + zink gluconate
232 acetaminophen + guaifenesin + dextromethorphan + chlorpheniramine
233 cetirizine + dextromethorphan + phenylephrine + tulsi
234 cetirizine + phenylephrine + paracetamol + ambroxol + caffeine
235 guaifenesin + dextromethorphan
236 levocetirizine + paracetamol + phenylephirine + caffeine
237 caffeine + paracetamol + phenylephrine + chlorpheniramine
238 levocetirizine + paracetamol + phenylephirine + caffeine
239 caffeine + paracetamol + phenylephrine + chlorpheniramine
240 ketotifen + levocetrizine
241 paracetamol + levocetirizine + phenylephirine + zink gluconate
242 paracetamol + phenylephrine + triprolidine + caffeine
243 caffeine + paracetamol + phenylephrine + cetirizine
244 caffeine + paracetamol + chlorpheniramine
245 ammonium chloride + dextromethorphan + cetirizine + menthol
246 dextromethorphan + paracetamol + cetirizine + phenylephrine
247 chlorpheniramine + terpin + antimony potassium tartrate + ammonium chloride + sodium
Citrate + menthol
248 terbutaline + etofylline + ambroxol
249 paracetamol + codeine + chlorpheniramine
250 paracetamol+pseudoephedrine+certirizine+caffeine
251 chlorpheniramine+ammonium chloride + menthol
252 n-acetyl cysteine + ambroxol + phenylephrine + levocertirizine
253 dextromethorphan + phenylephrine + tripolidine + menthol
254 salbutamol + certirizine + ambroxol
255 dextromethorphan + phenylephrine + bromhexine + guaifenesin + chlorpheniramine
256 nimesulide + certirizine + phenylephrine
257 naphazoline + chlorpheniramine + zinc sulphate + boric acid + sodium chloride + chlorobutol
258 paracetamol + bromhexine + phenylephrine + chlorpheniramine + guaifenesin
259 salbutamol + bromhexine
260 dextromethorphan + phenylephrine + guaifenesin + certirizine + acetaminophen
261 guaifenesin + bromhexine + chlorpheniramine + paracetamo
262 chlorpheniramine + ammonium chloride + chloroform + menthol
263 salbutamol + choline theophylinate + ambroxol
264 chlorpheniramine + codeine phosphate + menthol syrup
265 pseudoephedrine + bromhexine
266 certirizine + phenylephrine + paracetamol + caffeine + nimesulide
267 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
268 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
269 ambroxol + salbutamol + choline theophyllinate + menthol
270 paracetamol + chlorpheniramine + ambroxol + guaifenesin + phenylephrine
271 chlorpheniramine + vasaka + tolubalsm + ammonium chloride + sodium citrate + menthol
272 bromhexine + cetrizine + phenylephrine ip+guaifenesin + menthol
273 dextromethorphan + ambroxol + ammonium chloride + chlorpheniramine + menthol
274 dextromethorphan + phenylephrine + cetirizine + zinc + menthol
275 terbutaline + n-acetyl l-cysteine + guaifenesin
276 calcium gluconate + levocetirizine
277 paracetamol + levocetirizine + pseudoephedrine
278 salbutamol + choline theophylinate + carbocisteine
279 chlorpheniramine + vitamin c
280 calcium gluconate + chlorpheniramine + vitamin c
281 chlorpheniramine + paracetamol + pseudoephedrine + caffeine
282 guaifenesin + bromhexine + chlorpheniramine + phenylephrine + paracetamol + serratiopeptidase
(as enteric coated granules) 10000 sp units
283 paracetamol + pheniramine
284 betamethasone + fusidic acid + gentamycin + tolnaftate + lodochlorhydroxyquinoline (ichq
285 clobetasol + ofloxacin + miconazole + zinc sulphate
286 clobetasole + gentamicin + miconazole + zinc sulphate
287 levocetirizine + ambroxol + phenylephrine + paracetamol
288 permethrin + cetrimide + menthol
289 beclomethasone + clotimazole + neomycin + lodochlorohydroxyquinone
290 neomycin + doxycycline
291 ciprofloxacin + fluocinolone + clotrimazole + neomycin + chlorocresol
292 clobetasol + ofloxacin + ketoconazol + zinc sulphate
293 betamethasone + gentamicin + tolnaftate + lodochlorhydroxyquinoline
294 clobetasol + gentamicin + tolnaftate + lodochlorhydroxyquinone + ketoconazole
295 allantoin + dimethieone + urea + propylene + glycerin + liquid paraffin
296 acriflavine + thymol + cetrimide
297 betamethasone + neomycin + tolnaftate + lodochlorohydroxyquinoline + cholorocresol
298 clobetasol + neomycin + miconazole + clotrimazole
299 ketoconazole + tea tree oil + allantion + zinc oxide + aloe vera + jojoba oil +
Lavander oil + soa noodels
300 clobetasol propionate + ofloxacin + ornidazole + terbinafine
301 clobetasol + neomycin + miconazole + zinc sulphate
302 beclomethasone diproprionate + neomycin + tolnaftate + lodochlorhydroxyquinoline +
Chlorocresol
303 betamethasone + gentamycin + zinc sulphate + clotrimoazole + chlorocresol
304 borax + boric acid + naphazoline + menthol + camphor + methyl hydroxy benzoate
305 bromhexine + dextromethorphan
306 dextromethophan + chlopheniramine + bromhexine
307 menthol + anesthetic ether
308 dextrometharphan + chlopheniramine + ammonium + sodium citrate + menthol
309 ergotamine tartrate + belladona dry extarct+caffeine + paracetamol
310 phenytoin + phenobarbitone
311 gliclazide 40mg + metformin 400mg
312 paracetamol + ambroxol + phenylephrine + chlorpheniramine
313 oflaxacin + ornidazole suspension
314 albuterol + etofylline + bromhexine + menthol
315 albuterol + bromhexine + theophylline
316 salbutamol+hydroxyethyltheophylline (etofylline) + bromhexine
317 paracetamol+phenylephrine+levocetirizine+sodium citrate
318 paracetamol + propyphenazone + caffeine
319 guaifenesin + diphenhydramine + bromhexine + phenylephrine
320 dried alumnium hydroxie gel + prophantheline + diazepam
321 bromhenxine + phenylephrine + chlorpheniramine + paracetamol
322 beclomethasone + clotrimazole + gentamicin + lodochlorhydroxyquinoline
323 telmisartan + metformin
324 ammonium citrate + vitamin b 12 + folic acid + zinc sulphate
325 levothyroxine + phyridoxine + nicotinamide
326 benfotiamine + metformin
327 thyroid + thiamine + riboflavin + phyridoxine + calcium pantothenate + tocopheryl acetate +
Nicotinamide
328 ascorbic acid + manadione sodium bisulphate + rutin + dibasic calcium phosphate +
Adrenochrome mono semicarbazone
329 phenylephrine + chlorpheniramine + paracetamol + bromhexine + caffeine
330 clotrimazole + beclomethasone + lignocaine + ofloxacin + acetic aicd + sodium methyl paraben +
Propyl paraben

Avoid this combinations and be safe.

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