くすりのしおり

External
Revised: 3/2018

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
BESTRON FOR EAR AND NOSE 1% (500mg)
 Active ingredient:
Cefmenoxime hydrochloride
 Dosage form:
colorless to pale yellow limpid topical solution
 Print on wrapping:
cap: white (top of the cap: orange), body: translucent with orange label, ベストロン耳鼻科用1% 局所外用セフメノキシム塩酸塩, 500mg (力価)

Effects of this medicine

This is cephem antibiotic to inhibit synthesis of bacterial cell walls, and shows bactericidal action.
It is usually used in the treatment of otitis externa, otitis media and sinusitis.

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines.
  • If you are pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • General dosage regimen:
    For
    otitis externa and otitis media
    :Dissolve 10 mg (titer) of the active ingredient per 1 mL of the provided solution. Then, in general, instill 6 to 10 drops into the ear canal at a time, twice daily. After instillation, keep the ear facing up for 10 minutes to allow absorption of the medicine.
    For sinusitis:Dissolve 10 mg (titer) of the active ingredient per 1 mL of the provided solution. Then, in general, inhale 2 to 4 mL with a nebulizer at a time, once every other day, 3 times a week, or instill 1 mL into the maxillary sinus, once a week.
    The number of dose may be adjusted according to the symptoms in any case. Strictly follow the instructions.
  • For ear instillation, warm the medicine to room temperature, then lie on your side with the affected ear up. Instill the medicine into the ear canal carefully, not to touch the dropper tip directly the ear and remain still for 10 minutes. Apply clean gauze to the ear and wipe off residual medicine that may drip out of the ear when you sit up. If you
    apply the cold medicine, it may cause dizziness.
  • If you miss a dose, use a dose as soon as possible. However, it is needed to take an interval as long as possible before the next dose. You should never use two doses at one time.
  • If you accidentally use more than your prescribed dose, consult with your doctor or pharmacist.
  • Do not stop using this medicine unless your doctor instructs you to do so.

Precautions while taking this medicine

Possible adverse reactions to this medicine

The most commonly reported adverse reactions include wheezing (whistling sound), cough, rhinitis (nasal discharge, sneeze), nausea, vomiting, rash and headache in rhinology; eczema in the external auditory canal, ear pain in instilling and rash in otology. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • facial pallor, cold sweat, respiratory distress [shock, anaphylaxis]
  • sudden shortness of breath, wheezing (whistling sound), difficult to breathe [asthma attack, breathing difficulty]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep the medicine out of the reach of children. Store it away from direct sunlight, heat and moisture.
    Use the dissolved medicine within 7 days for storage in the refrigerator, or 20 hours for storage at room temperature.
  • Discard the remainder. Do not store them.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.

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