Eye drops "Acidrop": instructions for use, indications, composition, reviews

‘Asiaroom” called eye drops used in ophthalmology for the treatment of conjunctivitis. The local application they provide effective antibacterial action.

Composition and release form "of Asidrove”

According to the instructions, eye drops “Acidrop” is produced in the form of oily, colorless liquid, having from transparent to light yellow in color. In 1 gram of the drug contains 15 mg of the main activitiesthese substance - azithromycin dihydrate and 1 g auxiliary components in the form of triglycerides sredniorocznych.

The Drug is available in form of disposable vials with a volume of 0.25 g, consisting of high-density polyethylene, which are soldered together in strips of 3 or 6 pieces, Packed in cartons.

Pharmacological action eye drops

According to the instructions eye drops “Acidrop” are antimicrobial drug for local use. Azithromycin is a broad-spectrum antibiotic of the second generation macrolides and azalides. Slows down the process of protein synthesis of bacteria by binding to the large 50S subunit membrannyh the most important organelles of the cell-ribosomes and prevents the translation of peptides.

Mechanism of antibiotic resistance

There are three mechanism of resistance of various bacteria to the action of macrolides: the predefined modification target, modification of the antibiotic or due to the active release of antibiotic from the bacterial cell by active excretion of “Asidrove”. This is important for streptococci transportation system (efflux) is encoded by the mef gene, localized on chromosome leads to the limiting of resistance of macrolides. The modification of the purpose of the action controlled by MLSB-phenotype, leads to cross-antibiotic resistance.

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Treatment for conjunctivitis in adults should be complex.

There are cases of cross-antibiotic resistance to azithromycin, erythromycin and other macrolides. In other words, the drug is not active against microorganisms that are resistant to the above antibiotics.

Description eye drops “Acidrop” described in annotations.

Pharmacokinetics

After ‘Acidrop” in the recommended dose to drip into the eye to treat bacterial conjunctivitis, azithromycin will not be detected in the blood of patients.

Indications

As indicated in the instructions, eye drops “Acidrop” used for the treatment of conjunctivitis that are caused by sensitive to the medication microorganisms:

• Bacterial conjunctivitis, in which there is purulent-mucous allocation in children and adults (from birth to adulthood);
• Trachoma, caused by Chlamydia trachomatis (trachomatis conjunctivitis) in children and adults (from birth to adulthood).

The dispensing of the drug

Adults with eye disease should be buried in konyunktivalny bag on one drop twice a day (respectively in the morning and evening) for three days.

For the elderly and children, the dosing regimen does not require correction.

If within three days from the time of application of the drug the patient does not have positive dynamics, it is recommended to consult with a doctor who may prescribe a different regimen. Eye drops “Acidrop” manual confirms this.

Method of application

With the defeat of the eye of the Teens and adults drop by “Acidrop” should be buried in the cavity between front and rear surface of the eyelids twice a day. The course of treatment is three days.

The Patient must comply with the following guidelines:

• Drip before the introduction of the ‘Asidrove” and after the process is necessary carefully to wash hands;
• Do not touch tip of the vial directly to the eye or eyelid;
• If after the application of a disposable bottle «Asidrove” it still remained a liquid, it will still need to throw because in any case you cannot use the remaining solution again.

Side effects after applying “Asidrove”

The part of the body's defense system against disease during clinical studies were observed very rarely, individual hypersensitivity to the drug (not more than one case per 1000 people, or less than one per 100 people).

The part of the visual organs, quite often (no more than one in 10) after the instillation of eye drops from conjunctivitis “Acidrop” noted discomfort in the system of visual organs (for example, burning, itching, or mild tingling); often (no more than one case of 100) was observed the effect of blurred vision, feeling “stuck a century”, the feeling of a foreign body in the eye; rarely (no more than one case in 1000 or less than one in 100 cases) - tearing, conjunctival hyperemia, erythema of the eyelids.

Side effects observed in post-marketing clinical studies

The following data on adverse reactions when taking the ‘Asidrove” based on clinical studies conducted after registration of the drug. Frequency of adverse reactions is determined depending on the indicator of S/X, where X-total number of samples summed for all clinical research. At a proportion of 3/879 the incidence of side effects give the category of “rare”.

The part of the body's defense system against disease infrequently (no more than one case in 1000 and less than one in 100) was observed angioedema (angioneurotic edema).

From the visual organs infrequently (no more than one case in 1000 and less than one in 100) was observed keratitis, conjunctivitis, sometimes, allergic conjunctivitis, eczema of the eyelids, eye Allergy, eyelid edema. How to apply eye drops “Isidro" child?

In children the safety profile of the drug coincides with an adult population, no undesirable side reactions were not revealed. The side effect profile is also identical for different pediatric groups.

Treatment for conjunctivitis in adults and children should be under medical supervision.

Contraindications

“Acidrop” is contraindicated in those who have:

• Hypersensitivity to azithromycin and other components included in the product;
• Increased sensitivity to other macrolide antibiotics.

Use during pregnancy, lactation

Since the frequency of adverse reactions and systemic exposure from the azithromycin is very small, it is expected that the drug will not have an adverse impact on pregnant women. That is, to apply eye drops “Isidro" pregnant.

There are data that indicate that azithromycin is usually secreted along with breast milk of lactating women, but, considering the low dose and low bioavailability, the amount that enters the body of the baby is extremely small. Therefore, the drug “Acidrop” may be used during lactation.

Conducted on animals and clinical studies have confirmed the lack of women and men effect of azithromycin on the ability to reproduce healthy offspring. In humans, studies of this nature have not been conducted. But most likely the drug should not affect fertility.

Use ‘Asidrove” children

Eye drops “Acidrop” is contraindicated in children under the age of 1 year.

Special instructions

The Drug is not recommended to be swallowed or administered in the form of injections, or parabulbarno and intraocular injection.

In case of allergic reactions after administration of eye drops “Acidrop” should stop treatment with this medicine.

If the patient is treated additional any ophthalmic means, ‘Acidrop” you need to apply the latest in the queue 15 minutes after the introduction of the previous drug.

The Patient should be informed that it is not recommended to introduce eye drops upon completion of a three-day therapeutic course, even if retained some residual symptoms of bacterial conjunctivitis.

The Blunting of symptoms usually takes place over three days. If signs of improvement are missing after three days of treatment, you may need to reconsider the diagnosis.

Those patients who are suffering from bacterial conjunctivitis should not wear contact lenses.

Several times with systemic use of azithromycin reported the occurrence of fulminant hepatitis, which can subsequently lead to life-threatening liver failure. But if the drug is used in ophthalmology, such risk can not be, because the system effect of the main component very little.

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