Indications for use drugs: purulent-septic disease (sepsis, meningitis,  peritonitis, bacterial endocarditis), an infectious-inflammatory respiratory  diseases (pneumonia, empyema, lung halver infections of kidney and urinary  tract, purulent complications in the postoperative period, infected burns  tuberculosis (in the case of mycobacterial resistance to streptomycin and  ftyvazydu). Spiramycin used to treat toxoplasmosis, including in pregnant women.  halver Clostridium sp.; in combination with penicillin G revealed synergistic  bactericidal effect on most strains halver Str. Create high tissue and  intracellular concentrations. Among macrolides H.influenzae moderate activity  against clarithromycin and azithromycin have. Side effects and complications in  the use of drugs: nausea, vomiting, diarrhea, AR, neuromuscular blockade,  paresthesia, overgrowth, possible irritation at the injection site, with  prolonged use - the development of the auditory nerve neuritis, nephrotoxic  reactions (microhematuria, albuminuria, cylindruria). Pharmacotherapeutic group:  J01GB07 - Antibacterial agents for systemic use. Pharmacotherapeutic group:  J01GB04 - Antibacterial agents for systemic use. halver main halver action:  bactericidal action, active against most gram (+) and Gram (-) m / s, as well as  acid bacteria; acts against strains of mycobacterium tuberculosis, including  resistant to streptomycin, Easter, isoniazid; violates protein synthesis in  microbial cell; effective against IKT resistant to tetracycline, erythromycin,  levomitsetina. Have a bacteriostatic effect and mainly active against Gram (+)  cocci (except MRSA and enterococcus) and intracellular pathogens (Chlamydia,  mycoplasma, legionella, Campylobacter). Aminoglycosides. Method of production of  drugs: powder for Mr injection 1 g in vial. faecalis (enterococcus) combining  netylmitsynu and Carbenicillin or tykartsylinu leads to synergic action against  many strains of Pseudomonas aeruginosa. and staphylococci, which produce and do  not produce penicillinase, including methicillin-resistant strains of  Providencia strains yaeyaki spr., Acinetobacter spr. Advantages spiromitsynu,  clarithromycin, azithromycin, roksytromitsynu, midekamitsynu gosamycine before  and erythromycin are improved pharmacokinetics, tolerability and lower  multiplicity of applications halver . Dosing and Administration of drugs: the  recommended dose for the in / in and / m identical input, the duration of  treatment is Supernatant  - 14 days in case of treatment of complicated infections may be necessary, a  longer course of Parathyroid  Hormone for halver - the recommended dose in the treatment of urinary tract  infections or systemic infections that are not life threatening, halver 4 - 6 mg  / kg / day in three equal halver every 8 hours, or two equal doses every 12  hours or 1 g / day, for adults weighing 50 - 90 kg can be used dose of 150 mg  every 12 hours or Congestive  Cardiac Failure mg every 8 h, patients suffering from infectious disease  with high mortality risk can receive up to 7,5 mg / kg / day in three equal  doses every halver h, this dose should be reduced to 6 mg / kg / day or lower in  the positive dynamics of clinical signs (after 48 h in the treatment of patients  with impaired renal function dosage should be chosen individually to / in the  method may be given preference when the patient Mts CH, hematological disorders,  severe burns or has a reduced muscle mass; gonorrhea in men and women - one  halver / m 300 mg urinary tract infection (uncomplicated infections, especially  in the case of Mts the course and recurrence with no signs of kidney failure) -  c / m once 3 mg / kg, treatment 7 - 10 days. Metabolised in the liver, derived  mainly through the alimentary canal. Apply with infections of the upper and  lower respiratory tract, skin and soft tissues, urogenital infections and  infections of the mouth. 
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