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Clarithromycin 250 mg Rectal Suppository

The Clarithromycin 250 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum. Upon insertion, the suppository dissolves or melts, releasing the antibiotic Clarithromycin for local or systemic absorption. This formulation is primarily used to treat bacterial infections, including respiratory tract infections, skin infections, and Helicobacter pylori infection. It is also used in combination with other medications to eliminate certain types of bacteria that cause stomach ulcers.

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Formula Information

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Clarithromycin 250 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum. This formulation is specifically designed to dissolve or melt once inserted, releasing the medication for local or systemic absorption. The primary active ingredient in this formulation is Clarithromycin, a macrolide antibiotic that is used to treat a variety of bacterial infections.

Clarithromycin works by inhibiting the growth of bacteria, thereby helping to eliminate the infection. It is effective against a wide range of bacteria, including Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, and others. This makes it a versatile treatment option for a variety of bacterial infections.

As a rectal suppository, this formulation offers several advantages. It can be particularly useful for patients who have difficulty swallowing pills or for those who are unable to take medication orally due to nausea or vomiting. Additionally, rectal administration can provide a more rapid onset of action compared to oral administration, as the medication is absorbed directly into the bloodstream, bypassing the digestive system.

It's important to note that while Clarithromycin is effective against many types of bacteria, it is not designed to treat viral infections such as the common cold or flu. As with all antibiotics, it's crucial to take the full course of treatment as prescribed, even if symptoms improve before the medication is finished. This helps to prevent the bacteria from becoming resistant to the antibiotic.

As compounding pharmacists, we are able to customize this formulation to meet the specific needs of individual patients. This can include adjusting the dosage, changing the delivery method, or adding flavorings to make the medication more palatable. We are also available to answer any questions or concerns you may have about this medication. Please don't hesitate to reach out to us if you need any additional information.

Drug Interactions

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Clarithromycin is a macrolide antibiotic that works by stopping the growth of bacteria. It is used to treat a wide variety of bacterial infections. This antibiotic treats only bacterial infections and will not work for viral infections. Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. As a rectal suppository, the medication is typically used for local treatment, but can also be absorbed systemically.

It's important to be aware of potential drug interactions with Clarithromycin. Certain medications should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below.

Clarithromycin can interact with drugs such as warfarin, leading to an increased risk of bleeding. It can also interact with statins (cholesterol-lowering drugs) like simvastatin, atorvastatin, and lovastatin, increasing the risk of muscle breakdown (rhabdomyolysis). Other drugs that can interact with clarithromycin include colchicine, sildenafil, tadalafil, vardenafil, theophylline, carbamazepine, and certain HIV medications. Always inform your healthcare provider about all the medications you are currently taking, including over-the-counter drugs and dietary supplements.

Clarithromycin can also interact with certain foods. For example, grapefruit juice can increase the amount of this medication in your bloodstream. Consult your healthcare provider about the use of grapefruit products with this medication.

It's also important to note that Clarithromycin can cause a prolonged QT interval, which is a heart rhythm disorder that can cause serious irregular heartbeats, fainting, or sudden death. If you are taking medication to treat heart rhythm disorder or have a history of long QT syndrome, inform your healthcare provider.

Remember, this is not a complete list of possible drug interactions. Keep a list of all the products you use and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. If you have any questions or concerns about drug interactions or the use of Clarithromycin 250 mg Rectal Suppository, please reach out to us at Bayview Pharmacy. We are here to help.

How Does it Work

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Clarithromycin 250 mg Rectal Suppository is a solid dosage form that is inserted into the rectum where it dissolves or melts to release the medication. The active ingredient, Clarithromycin, is a type of antibiotic known as a macrolide. It works by inhibiting the growth of bacteria by blocking their protein synthesis. This is achieved by binding to the 50S ribosomal subunit of the bacteria, which prevents the translocation of peptides. This action stops the bacteria from growing, which allows the body's immune system to kill them.

Once the suppository is inserted into the rectum, it begins to dissolve due to the body's natural heat. As it dissolves, the Clarithromycin is released and absorbed into the bloodstream through the rectal tissue. This route of administration can be particularly beneficial for patients who have difficulty swallowing tablets or for those who experience gastrointestinal side effects with oral administration. The rectal route can also provide a faster onset of action compared to oral administration, as the medication does not need to pass through the digestive system.

Clarithromycin is used to treat a variety of bacterial infections. This includes respiratory tract infections such as pneumonia and bronchitis, skin infections, and Helicobacter pylori infections, which can cause stomach ulcers. It is also used in combination with other medications to treat Mycobacterium avium complex (MAC) infections in people with HIV. It's important to note that Clarithromycin is not effective against viral infections such as the common cold or flu.

As with any medication, there may be side effects associated with the use of Clarithromycin rectal suppositories. These can include local irritation or discomfort at the site of administration. Systemic side effects can include nausea, vomiting, stomach pain, and diarrhea. If these side effects persist or worsen, or if you experience any serious side effects such as hearing loss or signs of liver disease, it's important to seek medical attention immediately.

It's also important to inform your healthcare provider of all the medications you are currently taking, as Clarithromycin can interact with other drugs. This includes prescription and over-the-counter medications, as well as vitamins and herbal supplements. If you have any questions about Clarithromycin 250 mg Rectal Suppositories, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

Other Uses

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Clarithromycin 250 mg Rectal Suppositories are primarily used for treating infections caused by susceptible bacteria. However, this formulation's characteristics offer it a unique position for other potential therapeutic uses. For instance, it is a beneficial alternative to oral administration, especially in patients with difficulty swallowing, as it allows for the systemic absorption of the medication. This may be particularly useful in elder care or pediatric medicine to give antibiotics without the need for an intrusive process or when the digestive system is bypassed. It may be a viable option for patients undergoing chemotherapy or experiencing problems like severe nausea or vomiting, where oral administration is contraindicated.

Furthermore, it could also be a plausible choice for achieving steady-state serum concentrations of the drug, reducing the fluctuations commonly observed with oral dosing. This mechanism can bring about better control over bacterial infections and possibly aid in preventing antibiotic resistance. However, this use should always be sanctioned by a healthcare provider considering the patient's overall condition and other medications involved.

This formulation could also have potential in managing post-operative or post-procedural bacterial infection management. Since it is systemically absorbed, it may be used as prophylaxis in surgeries, especially where the risk of infection is high.

Also worth exploring is the possibility of its use in localized rectal or pelvic infections, given its local application site. Yet, this use requires further investigation and clinician approval to ensure safety and efficacy.

In conclusion, while Clarithromycin 250 mg Rectal Suppositories are primarily prescribed to fight bacterial infections, their unique delivery system renders them potentially useful in several other scenarios. However, use outside the standard indications should always be guided and monitored by a medical professional. As the knowledge and expertise built around these unique applications are still evolving, it is imperative that this be done with care and vigilance, and always with the patient's well-being as paramount. If there are any questions about the suitability of this formulation, please do not hesitate to reach out to us at Bayview Pharmacy - our team of knowledgeable compounding pharmacists is always here to assist with your medication-related queries.

Frequently Asked Questions

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What is Clarithromycin 250 mg Rectal Suppository?

Clarithromycin 250 mg Rectal Suppository is a solid dosage form of the antibiotic Clarithromycin, which is administered via the rectum. It works by dissolving or melting after insertion to release the medication for local or systemic absorption to fight bacterial infections.

How does a rectal suppository work?

Once inserted into the rectum, the suppository begins to dissolve or melt at body temperature. It releases the medication it contains into the surrounding area, where it gets absorbed into the bloodstream for local or systemic action.

What is Clarithromycin used for?

Clarithromycin is an antibiotic used to combat various bacterial infections. Its effectiveness covers a range of disorders like respiratory tract infections, skin infections and certain sexually transmitted infections.

Why is Clarithromycin delivered as a rectal suppository?

A rectal suppository can be an effective mode of delivery for medications where oral delivery is not preferred as it bypasses the digestive system. This can help with patients who have difficulty in swallowing oral medications, or to avoid possible side effects connected to the drug’s passage through the digestive system.

Is Clarithromycin 250 mg Rectal Suppository safe for everyone?

No, not everyone should use this medication. Individuals with certain conditions like liver or kidney disease, heart rhythm disorders, or a history of Long QT syndrome may not be able to use this medication. Always consult with a healthcare provider before starting a new medication.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Are there any side effects to expect from using Clarithromycin 250 mg Rectal Suppository?

Similar to other medications, this can produce side effects such as diarrhoea, nausea, vomiting, stomach pain and headache. If these persist or worsen, promptly inform your healthcare provider.

How should I store Clarithromycin 250 mg Rectal Suppository?

Store this medication in a cool, dry place away from light and moisture. Always keep medications out of reach of children and pets. Do not store it in the bathroom or near a sink.

What should I do in the case of a Clarithromycin overdose?

If you suspect an overdose, seek medical help immediately. Symptoms may include severe nausea, vomiting, abdominal discomfort, or diarrhoea. In such cases, do not induce vomiting unless directed to do so by a healthcare provider.

Should Clarithromycin 250 mg Rectal Suppository be taken with or without food?

Since this is a rectal suppository, food intake doesn't impact its efficacy. However, it's generally recommended to maintain a regular eating schedule when taking antibiotics.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.
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