- Approval Id
- aa08938429df3729
- Drug Name
- KLACID MR TABLET 500 MG
- Product Name
- KLACID MR TABLET 500 MG
- Approval Number
- SIN09884P
- Approval Date
- 1998-07-09
- Registrant
- ABBOTT LABORATORIES (SINGAPORE ) PRIVATE LIMITED
- Licence Holder
- ABBOTT LABORATORIES (SINGAPORE) PRIVATE LIMITED
- Drug Type
- Therapeutic
- Forensic Classification
- PRESCRIPTION ONLY MEDICINES
- Dosage Form
- TABLET, EXTENDED RELEASE
- Dosage
- <p><strong>4.2 Posology and method of administration</strong></p>
<p><strong>Dosage and Administration</strong><br>
<strong>Adults:</strong> The usual recommended dosage of Klacid® MR in adults is one 500mg modified-release tablet daily to be taken with food. In more severe infections, the dosage can be increased to two 500mg modified-release tablets daily. The usual duration of treatment is 7 to 14 days.</p>
<p><strong>Children older than 12 years:</strong> As for adults.</p>
<p><strong>Children younger than 12 years:</strong> Use Klacid® Paediatric Suspension. The use of Klacid® MR has not been studied in children less than 12 years of age.</p>
<p>Klacid® MR should not be used in patients with renal impairment (creatinine clearance less than 30 mL/min).<br>
Klacid® immediate release tablets may be used in this patient population (see <strong>section 4.3</strong>).</p>
<p>Do not crush or chew Klacid® MR tablets.</p>
<p><u><em>Renal Impairment</em></u><br>
Clarithromycin modified release should not be used in patients with significant renal impairment (creatinine clearance less than 30 ml/min), as appropriate clarithromycin dosage reduction is not possible when administering this product. Clarithromycin immediate release tablets may be utilized in this patient population (see <strong>section 4.3</strong>). Refer the dosing for immediate release formulation.</p>
- Route Of Administration
- ORAL
- Indication Info
- <p><strong>4.1 Therapeutic Indications</strong></p>
<p>Klacid® MR is indicated for treatment of infections caused by susceptible organisms. Indications include:</p>
<p>Lower respiratory tract infections for example, acute and chronic bronchitis, and pneumonia (see <strong>section 4.4 and 5.1</strong> regarding Sensitivity Testing – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>)</p>
<p>Upper respiratory tract infections for example, sinusitis and pharyngitis.</p>
<p>Klacid® MR is also indicated in skin and soft tissue infections of mild to moderate severity, for example folliculitis, cellulitis and erysipelas (see <strong>section 4.4 and 5.1</strong> regarding Sensitivity Testing – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
- Contraindications
- <p><strong>4.3. Contraindications</strong></p>
<ul class="bullet">
<li><p>Hypersensitivity to macrolide antibiotic drugs or any of its excipients (see <strong>section 6.1</strong> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p></li>
<li><p>Concomitant administration of clarithromycin and any of the following drugs is contraindicated: astemizole, cisapride, pimozide, terfenadine as this may result in QT prolongation and cardiac arrhythmias including ventricular tachycardia, ventricular fibrillation, and <em>torsades de pointes</em> (see <strong>section 4.5</strong> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p></li>
<li><p>Concomitant administration of clarithromycin and ergot alkaloids (e.g., ergotamine or dihydroergotamine) is contraindicated, as this may result in ergot toxicity (see <strong>section 4.5</strong> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p></li>
<li><p>Concomitant administration of clarithromycin and oral midazolam is contraindicated (see <strong>section 4.5</strong> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>)</p></li>
<li><p>Clarithromycin should not be given to patients with history of QT prolongation (congenital or documented acquired QT prolongation) or ventricular cardiac arrhythmia, including <em>torsades de pointes</em> (see <strong>sections 4.4 and 4.5</strong> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p></li>
<li><p>Clarithromycin should not be given to patients with electrolyte disturbances (hypokalemia or hypomagnesaemia, due to the risk of prolongation of the QT-interval).</p></li>
<li><p>Clarithromycin should not be used in patients who suffer from severe hepatic failure in combination with renal impairment.</p></li>
<li><p>Clarithromycin should not be used concomitantly with HMG-CoA reductase inhibitors (statins) that are extensively metabolized by CYP3A4 (lovastatin or simvastatin), due to the increased risk of myopathy, including rhabdomyolysis (see <strong>section 4.4</strong> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p></li>
<li><p>Clarithromycin (and other strong CYP3A4 inhibitors) should not be used concomitantly with colchicine (see <strong>sections 4.4 and 4.5</strong> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p></li>
<li><p>As the dose cannot be reduced from 500 mg once-daily, clarithromycin modified release is contraindicated in patients with creatinine clearance less than 30 mL/min. Clarithromycin immediate release tablets may be utilized in this patient population.</p></li>
<li><p>Concomitant administration with ticagrelor, ivabradine or ranolazine is contraindicated.</p></li>
<li><p>Concomitant administration of clarithromycin and lomitapide is contraindicated (see <strong>section 4.5</strong> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p></li>
</ul>
- Atc Code
- J01FA09
- Atc Item Name
- clarithromycin
- Pharma Manufacturer Name
- ABBOTT LABORATORIES (SINGAPORE ) PRIVATE LIMITED
- Company Detail Path
- /organization/abbott-laboratories-singapore-private-limited