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for the treatment of acne
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Medicated Apricot Scrub Manufacturers
- Big Lots
- Foodhold
- Dolgencorp, Llc
Medicated Apricot Scrub | Fresenius Kabi Usa, Llc
Gentamicin Injection may be given intramuscularly or intravenously. The patient’s pretreatment body weight should be obtained for calculation of correct dosage. The dosage of aminoglycosides in obese patients should be based on an estimate of the lean body mass. It is desirable to limit the duration of treatment with aminoglycosides to short term.
DOSAGE FOR PATIENTS
WITH NORMAL RENAL FUNCTION
Children: 6 to 7.5 mg/kg/day. (2 to 2.5 mg/kg administered every 8 hours.)
Infants and Neonates: 7.5 mg/kg/day. (2.5 mg/kg administered every 8 hours.)
Premature or Full-term Neonates One Week of Age or Less: 5 mg/kg/day. (2.5 mg/kg administered every 12 hours.)
It is desirable to measure periodically both peak and trough serum concentrations of gentamicin when feasible during therapy to assure adequate but not excessive drug levels. For example, the peak concentration (at 30 to 60 minutes after intramuscular injection) is expected to be in the range of 3 to 5 mcg/mL. When monitoring peak concentrations after intramuscular or intravenous administration, dosage should be adjusted so that prolonged levels above 12 mcg/mL are avoided. When monitoring trough concentrations (just prior to the next dose), dosage should be adjusted so that levels above 2 mcg/mL are avoided. Determination of the adequacy of a serum level for a particular patient must take into consideration the susceptibility of the causative organism, the severity of the infection, and the status of the patient’s host-defense mechanisms.
In patients with extensive burns, altered pharmacokinetics may result in reduced serum concentrations of aminoglycosides. In such patients treated with gentamicin, measurement of serum concentrations is recommended as a basis for dosage adjustment.
The usual duration of treatment is 7 to 10 days. In difficult and complicated infections, a longer course of therapy may be necessary. In such cases monitoring of renal, auditory, and vestibular functions is recommended, since toxicity is more apt to occur with treatment extended for more than 10 days. Dosage should be reduced if clinically indicated.
For Intravenous Administration
The intravenous administration of gentamicin may be particularly useful for treating patients with bacterial septicemia or those in shock. It may also be the preferred route of administration for some patients with congestive heart failure, hematologic disorders, severe burns, or those with reduced muscle mass.
For intermittent intravenous administration, a single dose of Gentamicin Injection may be diluted in 0.9% Sodium Chloride Injection or in 5% Dextrose Injection. The solution may be infused over a period of one-half to two hours.
The recommended dosage for intravenous and intramuscular administration is identical.
Gentamicin Injection should not be physically premixed with other drugs, but should be administered separately in accordance with the recommended route of administration and dosage schedule.
DOSAGE FOR PATIENTS
WITH IMPAIRED RENAL FUNCTION
Dosage must be adjusted in patients with impaired renal function to assure therapeutically adequate but not excessive, blood levels. Whenever possible, serum concentrations of gentamicin should be monitored. One method of dosage adjustment is to increase the interval between administration of the usual doses. Since the serum creatinine concentration has a high correlation with the serum half-life of gentamicin, this laboratory test may provide guidance for adjustment of the interval between doses. In adults, the interval between doses (in hours) may be approximated by multiplying the serum creatinine level (mg/100 mL) by 8. For example, a patient weighing 60 kg with a serum creatinine level of 2 mg/100 mL could be given 60 mg (1 mg/kg) every 16 hours (2 x 8). These guidelines may be considered when treating infants and children with serious renal impairment.
In patients with serious systemic infections and renal impairment, it may be desirable to administer the antibiotic more frequently but in reduced dosage. In such patients, serum concentrations of gentamicin should be measured so that adequate but not excessive levels result.
A peak and trough concentration measured intermittently during therapy will provide optimal guidance for adjusting dosage. After the usual initial dose, a rough guide for determining reduced dosage at eight-hour intervals is to divide the normally recommended dose by the serum creatinine level (Table 3). For example, after an initial dose of 20 mg (2 mg/kg), a child weighing 10 kg with a serum creatinine level of 2 mg/100 mL could be given 10 mg every eight hours (20 ÷ 2). It should be noted that the status of renal function may be changing over the course of the infectious process. It is important to recognize that deteriorating renal function may require a greater reduction in dosage than that specified in the above guidelines for patients with stable renal impairment.
TABLE 3
DOSAGE ADJUSTMENT GUIDE
FOR PATIENTS WITH RENAL IMPAIRMENT
(Dosage at Eight-Hour Intervals
After the Usual Initial Dose)
Serum
Creatinine
(mg %)
Approximate
Creatinine
Clearance Rate
(mL/min/1.73m2)
Percent of
Usual Doses
Shown Above
≤1
>100
100
1.1 to 1.3
70 to 100
80
1.4 to 1.6
55 to 70
65
1.7 to 1.9
45 to 55
55
2 to 2.2
40 to 45
50
2.3 to 2.5
35 to 40
40
2.6 to 3
30 to 35
35
3.1 to 3.5
25 to 30
30
3.6 to 4
20 to 25
25
4.1 to 5.1
15 to 20
20
5.2 to 6.6
10 to 15
15
6.7 to 8
<10
10
In patients with renal failure undergoing hemodialysis, the amount of gentamicin removed from the blood may vary depending upon several factors including the dialysis method used. An eight-hour hemodialysis may reduce serum concentrations of gentamicin by approximately 50%. In children, the recommended dose at the end of each dialysis period is 2 to 2.5 mg/kg depending upon the severity of the infection.
The above dosage schedules are not intended as rigid recommendations but are provided as guides to dosage when the measurement of gentamicin serum levels is not feasible.
A variety of methods are available to measure gentamicin concentrations in body fluids; these include microbiologic, enzymatic and radioimmunoassay techniques.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.
- Meijer Distribution, Inc
- Publix Super Markets
Medicated Apricot Scrub | Publix Super Markets
clean the skin thoroughly before applying this product cover the entire affected area with a thin layer and rise thoroughly one to three times daily because excessive drying of the skin may occur, start with one applicatin daily, then gradually increase to two to three times daily if needed or as directed by a doctor if bothersome dryness or peeling occurs, reduce daily application to once a day or every other day - Cvs Pharmacy, Inc
Medicated Apricot Scrub | Cvs Pharmacy, Inc
clean the skin thoroughly before applying this product cover the entire affecgted area with a thin layer and rinse thoroughly one to three times daily because excessuve drying of the skin may occur, start with one application daily then gradually increase to two to three times daily if needed or as directed by a doctor if bothersome dryness or peeling occurs, reduce daily application to once a day or every other day. - Topco Associates Llc
Medicated Apricot Scrub | Cardinal Health
Essential hypertensionThe dose of verapamil hydrochloride extended-release tablets USP should be individualized by titration and the drug should be administered with food. Initiate therapy with 180 mg of sustained-release verapamil HCl, verapamil hydrochloride extended-release tablets, given in the morning. Lower initial doses of 120 mg a day may be warranted in patients who may have an increased response to verapamil (e.g., the elderly or small people). Upward titration should be based on therapeutic efficacy and safety evaluated weekly and approximately 24 hours after the previous dose. The antihypertensive effects of verapamil hydrochloride extended-release tablets are evident within the first week of therapy.
If adequate response is not obtained with 180 mg of verapamil hydrochloride extended-release tablets, the dose may be titrated upward in the following manner:
• 240 mg each morning, • 180 mg each morning plus 180 mg each evening; or 240 mg each morning plus 120 mg each evening, • 240 mg every twelve hours.When switching from immediate-release verapamil hydrochloride tablets to verapamil hydrochloride extended-release tablets, the total daily dose in milligrams may remain the same.
- Wakefern Food Corp
Medicated Apricot Scrub | Wakefern Food Corp
clean the skin thoroughly before applying this product cover the entire affecgted area with a thin layer and rinse thoroughly one to three times daily because excessuve drying of the skin may occur, start with one application daily then gradually increase to two to three times daily if needed or as directed by a doctor if bothersome dryness or peeling occurs, reduce daily application to once a day or every other day. - Rite Aid
- Wal-mart Stores Inc
Medicated Apricot Scrub | Wal-mart Stores Inc
clean the skin thoroughly before applying this product cover the entire affected area with a thin layer and rinse thoroughly one to three times daily because excessive drying of the skin may occur, start with one application daily, then gradually increase to two or three times daily if needed or as directed by a doctor if bothersome dryness or peeling occurs, reduce daily application to once a daty or every other day - Kroger Co
Medicated Apricot Scrub | Topco Associates Llc
• do not use more than directed (see overdose warning) • take every 4 hours, while symptoms persist. Do not take more than 5 packets in 24 hours unless directed by a doctor.Age
Dose
children under 4 years of age
do not use
children 4 to under 12 years of age
do not use unless directed by a doctor
adults and children 12 years of age and over
one packet
• dissolve contents of one packet into 8 oz. hot water: sip while hot. Consume entire drink within 10-15 minutes. • if using a microwave, add contents of one packet to 8 oz. of cool water: stir briskly before and after heating. Do not overheat. - Wnco Foods Llc
Medicated Apricot Scrub | Meijer Distribution Inc
for adults 18 years of age and older this product is to be used once a day (every 24 hours), every day for 14 days it may take 1 to 4 days for full effect; some people get complete relief of symptoms within 24 hours.14- day Course of Treatment
swallow 1 capsule with a glass of water before eating in the morning take every day for 14 days do not take more than 1 capsule a day do not use for more than 14 days unless directed by your doctor swallow whole. Do not chew or crush capsules.Repeated 14-Day Courses (if needed)
you may repeat a 14-day course every 4 months do not take for more than 14 days or more often than every 4 months unless directed by a doctor children under 18 years of age: ask a doctor. Heartburn in children may sometimes be caused by a serious condition.
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