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Biaxin (Clarithromycin)
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Biaxin

Biaxin is a medication of macrolide antibiotics group. Biaxin fights bacteria in the body. Biaxin is also used together with other medicines to treat stomach ulcers caused by Helicobacter pylori.

Other names for this medication:
Abbotic, Adel, Aeroxina, Althromicin, Apo-clarix, Bacterfin, Biclar, Bicrolid, Binoclar, Biotclarcin, Bremon, Bremon unidia, Ciclinil, Cidoclar, Clabact, Clabel, Clacee, Clacina, Clacine, Clactirel, Clamycin, Clarimac, Clarimax, Clarimed, Clarimycin, Claripen, Clariston, Claritab, Claritron, Claritrox, Claritt, Clariva, Clariwin, Clarix, Clarocin, Clarogen, Claromac, Claromycin, Claron, Clarosip, Claryl, Clarytas, Clasine, Clathrocyn, Clatic, Claxid, Cleanomisin, Cleron, Clonocid, Clormicin, Derizic, Egelif, Eliben, Emimycin, Eracid, Euromicina, Ezumycin, Finasept, Fromilid, Geromycin, Gervaken, Glartin, Hecobac, Heliclar, Helimox, Helozym, Infex, Iset, Italclar, Kailasa, Kalecin, Kalixocin, Karid, Karin, Klabax, Klabet, Klabion, Klarifor, Klarigen, Klariger, Klarimac, Klarimax, Klarit, Klarith, Klarithran, Klarithrin, Klaritpharma, Klax, Klaz, Klazidem, Klerimed, Kleromicin, Klonacid, Kofron, Krobicin, Laricid, Larithro, Larizin, Laromin, Lekoklar, Likmoss, Lyoclar, Macladin, Maclar, Macrobid, Macrol, Macromicina, Mononaxy, Monozeclar, Naxy, Neo-clarosip, Neo-klar, Nexium hp7, Nutabact, Odycin, Onexid, Opeclacine, Orixal, Pre-clar, Preclar, Quedox, Rocin, Rodizim, Rolacin, Rolicytin, Synclar, Taclar, Uniklar, Veclam, Vikrol, Xylar, Zeclar, Zeclaren

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Also known as:  Clarithromycin.

Description

Biaxin is used to treat many different types of bacterial infections affecting the skin and respiratory system. Biaxin is also used together with other medicines to treat stomach ulcers caused by Helicobacter pylori.

Biaxin fights bacteria in the body.

Biaxin is also known as Clarithromycin, Maclar, Klaricid, Klacid, Clarimac, Claribid.

Dosage

Biaxin is available in tablets.

Take Biaxin orally.

Take Biaxin with full glass of water.

Take Biaxin with or without food.

Do not crush, chew, or break the Biaxin tablet. Swallow the pill whole.

Shake the Biaxin oral suspension well before measuring a dose. Measure the Biaxin oral suspension with a marked measuring spoon or medicine cup.

Take Biaxin for for 7 to 14 days.

The dosage and the kind of medication depend on the disease and its prescribed treatment.

Do not stop taking Biaxin suddenly.

Overdose

If you overdose Biaxin and you don't feel good you should visit your doctor or health care provider immediately. Symptoms of Biaxin overdosage: nausea, vomiting, diarrhea, abdominal discomfort.

Storage

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F) away from moisture and heat. Keep container tightly closed. Protect from light. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Biaxin are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.

Contraindications

Do not take Biaxin if you are allergic to its components or to clarithromycin or to similar medicines such as azithromycin (Zithromax), dirithromycin (Dynabac), erythromycin (E.E.S., E-Mycin, Ery-Tab, Erythrocin), troleandomycin (Tao).

Do not take Biaxin if you're pregnant or you plan to have a baby, or you are a nursing mother.

Do not take Biaxin if you take astemizole (Hismanal), cisapride (Propulsid), ergot medicine such as ergotamine (Ergomar, Ergostat, Cafergot, Ercaf, Wigraine), or dihydroergotamine (D.H.E. 45, Migranal Nasal Spray), pimozide (Orap), terfenadine (Seldane).

Do not take Biaxin if you have liver disease, kidney disease, myasthenia gravis, porphyria; personal or family history of "Long QT syndrome".

Try to be careful with Biaxin usage in case you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement.

Avoid consuming alcohol.

It can be dangerous to stop Biaxin taking suddenly.

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Five patients failed the sequential therapy. All of them experienced between two and four failures of traditional therapy prior to the sequential treatment protocol. The only patient who succeeded on the sequential therapy had just one previous failure. All of our patients who had failed sequential therapy achieved eradication of the bacteria with quadruple therapy.

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The efficacy of rabeprazole-based triple regimens is less affected by the CYP2C19 genotype, the RAC regimen can be considered in Chinese.

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Median follow up was 44.6 (12-89) months. H pylori was successfully eradicated in 88 patients (98%); in two patients eradication therapy failed. Long term outcome was characterised by complete regression of lymphoma in 56 patients (62%), minimal residual disease in 17 patients (18%), partial remission in 11 patients (12%), no change in four patients (4%), and progressive disease in two patients (2%). Four patients with complete remission relapsed after 6, 8, 8, and 15 months, one revealing reinfection by H pylori. Regression rate was higher in stage I1 disease compared with stage I2, as diagnosed by endoscopic ultrasound.

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Resistance to antibiotics, especially clarithromycin, is the major cause of the failure to eradicate Helicobacter pylori. There are few studies in children concerning fluoroquinolone activity against H. pylori. Primary resistance to antibiotics including fluoroquinolones was studied in 55 H. pylori strains isolated from Japanese children. DNA sequences of the gyrA gene in fluoroquinolone-resistant strains were determined. Twelve strains (21.8%) were resistant to clarithromycin and three (5.5%) were resistant to both levofloxacin and ciprofloxacin. Out of 12 clarithromycin-resistant strains, 11 (91.7%) were susceptible to levofloxacin and ciprofloxacin. Sequence analysis in three fluoroquinolone-resistant strains showed point mutations of the gyrA gene at G271A, G271T and A272G, indicating mutations of the codon Asp91 in the fluoroquinolone-resistance-determining region of the DNA gyrase. The results suggest that fluoroquinolones should be considered as an option for second- or third-line H. pylori eradication therapy in children.

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Recent pertussis outbreaks have prompted re-examination of post-exposure prophylaxis (PEP) strategies, when immunization is not immediately protective. Chemoprophylaxis is recommended to household contacts; however there are concerns of clinical failure and significant adverse events, especially with erythromycin among infants who have the highest disease burden. Newer macrolides offer fewer side effects at higher drug costs. We sought to determine the cost-effectiveness of PEP strategies from the health care payer perspective.

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Even with a short course of treatment against H. pylori, a high rate of eradication rate can be achieved in populations at high risk for stomach cancer. Serum antibodies are useful in assessing efficacy of therapy.

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The behaviour of residues of antibiotic drugs during bank filtration was studied at a field site in Berlin, Germany, where bank-filtered water is used for the production of drinking water. The neighbouring surface water used for bank filtration is under the influence of treated municipal wastewater. Seven out of 19 investigated antimicrobial residues were found in the surface water with median concentrations between 7 and 151ngL(-1). Out of the seven analytes detected in the surface water only three (anhydroerythromycin, clindamycin and sulfamethoxazole) were found with median concentrations above their limits of quantitation in bank filtrate with a travel time of one month or less. With the exception of sulfamethoxazole, none of the 19 analytes were present in bank filtrate with a residence time larger than one month or in the water-supply well itself. Sulfamethoxazole found with a median concentration of 151ngL(-1) in the surface water was the most persistent of all antimicrobial residues. Nevertheless, it was also removed by more than 98% and only found with a median concentration of 2ngL(-1) in the water-supply well. The degradation of clindamycin and sulfamethoxazole appear to be redox-dependent. Clindamycin was eliminated more efficiently under oxic infiltration conditions while sulfamethoxazole was eliminated more rapidly under anoxic infiltration conditions. A slight preference for an improved degradation under oxic (clarithromycin and roxithromycin) or anoxic (anhydroerythromycin) conditions was also observed for the macrolide antibiotics. Nevertheless, all macrolides were readily removable by bank filtration both under oxic and anoxic conditions.

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A literature search was performed by the relevant keywords like "N-acetyl cysteine", "Sulfur mustard" and "Lung injury" in databases such as Scopus, Medline, Embase and ISI Web of Knowledge. No time limitation was considered. Nineteen articles were selected for review.

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Eradication of Helicobacter pylori cures and prevents the relapse of duodenal ulceration and also results in histological resolution of chronic active gastritis.

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One hundred forty-five children (67 girls/78 boys, median age 9.7 years) fulfilled the inclusion criteria, 118 being infected with a strain susceptible to both clarithromycin and metronidazole, 10 with a clarithromycin resistant, and 17 with a metronidazole resistant strain. A sequential regimen was prescribed in 44, a triple therapy containing clarithromycin in 84 and containing metronidazole in 17. Follow-up data were available for 130/145 and clearance of the infection observed in 105 of them. A concordance of more than 90% between the prescribed and the ingested drugs was observed in 109 children, between 50 and 90% in eight, less than 50% in 11 while these data were unknown for 2/130. A successful eradication was achieved for 89.9% of patients that received at least 90% of the prescribed drugs, whereas the eradication rate for nonadherent patients was 36.6%. Adherence above 90% was significantly higher in the absence of chronic concomitant disease, in the absence of adverse event and results in a significantly higher eradication rate. With the proposed strategy and an adherence higher than 90%, eradication was obtained in 98/109 children, the rate being only significantly superior to 90% with the sequential regimen.

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Helicobacter pylori colonizes the stomach of man, especially during childhood. However, H. pylori strains are not created equal, with major differences in virulence factors such as the vacuolating cytotoxin A and the cytotoxic-associated gene A, probably accounting for different clinical symptoms. The majority of infected subjects remain asymptomatic. Symptoms are aspecific. Helicobacter pylori infection is correlated with socioeconomic conditions and hygienic circumstances, resulting in an extremely high prevalence in children in developing countries. The golden standard technique to diagnose Helicobacter infection is culture of gastric biopsies; specificity and sensitivity of serology are low during childhood. Carbon-13 urea breath tests are a useful in the diagnosis but especially during follow-up. Recommended treatment consists of proton pump inhibitors in combination with two antibiotics out of amoxycillin, clarithromycin and metronidazole. The importance or clinical relevance of Helicobacter infection in asymptomatic individuals remains to be determined.

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Macrolide antibiotics inhibit the secretion of Th1 cytokines while their effects on the release of Th2 cytokines are variable. We investigated molecular and cellular markers of Th1- and Th2-mediated inflammatory mechanisms and the anti-inflammatory activity of azithromycin and clarithromycin in phorbol 12-myristate 13-acetate (PMA) and oxazolone (OXA)-induced skin inflammation. Dexamethasone (50 μg/ear), azithromycin, and clarithromycin (500 μg/ear) reduced TNF-α and interleukin (IL)-1β concentration in ear tissue by inhibiting inflammatory cell accumulation in PMA-induced inflammation. In OXA-induced early delayed-type hypersensitivity (DTH), the macrolides (2 mg/ear) and dexamethasone (25 μg/ear) reduced ear tissue inflammatory cell infiltration and secretion of IL-4 while clarithromycin also decreased IFN-γ concentration. Macrolides showed better activity when administered after the challenge. In OXA-induced chronic DTH, azithromycin (1 mg/ear) reduced the number of ear tissue mast cells and decreased the concentration of IL-4 in ear tissue and of immunoglobulin (Ig)E in serum. Clarithromycin (1 mg/ear) reduced serum IgE concentration, possibly by a mechanism independent of IL-4, while both macrolides attenuated mast cell degranulation. In conclusion, azithromycin and clarithromycin attenuate pro-inflammatory cytokine production and leukocyte infiltration during innate immune reactions, while selectively affecting Th2 rather than Th1 immunity in DTH reactions.

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Increased levels of macrolide-resistant Streptococcus pyogenes in focal regions of the United States have been reported. The purpose of this study was to determine the antimicrobial susceptibility of a large collection of S. pyogenes isolates from throughout the United States and to elucidate the mechanisms of resistance and genetic relatedness of macrolide-resistant isolates.

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Study efforts are showing progress in the prevention and therapy of Mycobacterium avium complex (MAC) infection. A review of recent study developments highlights clinical findings on prophylactic use of rifabutin, clarithromycin, and azithromycin, used both as monotherapies and as combination therapies. Three tables highlight study results from MAC prophylaxis studies, MAC treatment studies, and candidate regimens for MAC prophylaxis in AIDS. Treatment of disseminated MAC is also addressed. The combination of clarithromycin and clofazimine should not be used as initial therapy. Clofazimine's role in initial therapy is uncertain, and combinations of clarithromycin and ethambutol, with or without rifabutin, appear to be the best current treatment options.

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To reveal the clinical and epidemiological status of NTM lung disease in Japan.

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biaxin 500 mg generic 2017-01-10

Fifty-two patients with severe Crohn's disease were enrolled in this study. Six (11.5%) were intolerant of the medication and had to be excluded. The remaining 46 patients were treated with rifabutin in combination with a macrolide antibiotic (clarithromycin or azithromycin). Patients were treated for a mean of 18.7 (range 6-35) months and followed up for 25.1 (range 7-41) months. Of the 19 patients who were steroid dependent at the start of this study, only two continued to require steroids when treatment was established. A reduction in the Harvey-Bradshaw Crohn's disease activity index occurred after 6 months' treatment (P = 0.004, paired Wilcoxon test) and was maintained at 24 months (P < 0.001). An improvement in inflammatory parameters was observed as measured by a reduction in erythrocyte sedimentation rate (P = 0.009) and C-reactive protein (P = 0.03) at 18 months compared with pretreatment levels, Tegretol Cr 300 Mg Price and an increase in serum albumin at 12 months (P = 0.04). When subsets of the study population were analysed, patients with pan-intestinal disease achieved better remission at 2 years than did those with less extensive involvement (P = 0.04, Mann-Whitney U-test). No difference in treatment response by age, disease duration, the presence of granulomas on histology, or the occurrence of drug-induced side-effects, was observed. These data suggest that treatment with rifabutin and clarithromycin or azithromycin may result in a substantial clinical improvement in Crohn's disease and justify the conduct of a randomized controlled trial.

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Helicobacter pylori Loperamide Imodium 2 Mg Capsule is an important pathogen responsible for gastroduodenal diseases in humans. Although the eradication of H. pylori using antibiotics often improves gastroduodenal diseases, resistance to the antibiotics is emerging.

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Disseminated Mycobacterium avium intercellulare (MAI) infection is rare in non-AIDS patients. We report a 60-year-old woman with chronic lung disease Celexa Pills who developed vertebral osteomyelitis due to MAI. She was treated successfully with combined therapy consisting of rifampin, ethambutol, and clarithromycin.

biaxin 500 mg side effects 2017-04-19

Utilization of relatively low-cost modification of Fenton reaction for the elimination of selected antibiotics and resistant coliforms in different part of wastewater treatment plant (WWTP) was studied. The concentration of antibiotics and occurrence of resistant gems in different stages of WWTP in the capital city of Slovakia - Bratislava was analyzed by LC-MS/MS technique. Consequently, Fenton-like reaction was applied for the elimination of chemical and biological contaminants. Comparative study with classical Fenton reaction was also done. Very high concentrations of clarithromycin, ciprofloxacin Celebrex 200 Mg Coupons and azithromycin in influent water were found. Coliform bacteria were predominantly resistant to ampicillin, ciprofloxacin and gentamicin. After the mechanical stage, the concentration of antibiotics in water was significantly decreased because of the sorption during this step. Biological step degraded 12 types of antibiotics. Analyses of effluent water showed very bad elimination of azithromycin (919ng/L) and clarithromycin (684ng/L). Contrary, ciprofloxacin was removed with very high efficiency (95%). The number of resistant bacteria was also significantly decreased in effluent water. In the case of Escherichia coli only ampicillin and gentamicin resistance bacteria were detected. Our results show that antibiotics as well as resistant bacteria were eliminated by the modification of classical Fenton reaction with high efficiency. The modification of the Fenton reaction can decrease the process wages, environmental impact. Moreover, the degradation process was easily controlled, monitored and tuned.

biaxin 1000 mg 2016-09-15

A 6-year-old boy was hospitalized because of dark feces and facial pallor of 1 weeks duration. Other gastrointestinal symptoms, including vomiting and abdominal pain, were absent, but he felt dizziness when standing and fatigue on effort. Hematologic studies revealed iron-deficiency anemia, and endoscopy showed gastric erosions and a duodenal ulcer. All test results for Helicobacter pylori infection, including H. pylori antigen in stool, anti-H. pylori IgG immunoassay in serum, and the (13)C-urea breath test, were positive. Because an H. pylori-associated gastric ulcer had been diagnosed with endoscopy in the patients father 3 years earlier, father-son transmission was suspected. The patient was treated with triple- Metaglip User Reviews agent eradication therapy (proton pump inhibitor [lansoprazol], amoxicillin, and clarithromycin) for 2 weeks. One month after therapy was completed, eradication of H. pylori was confirmed by negative results on the stool antigen test. Peptic ulcer disease can occur in young children, as in this case. The stool antigen test kit is a useful and reliable method that can be used even in preschool children to diagnose H. pylori infection.

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This kit is a rapid, culture-independent method for routine application in biopsies from the pediatric population that allows detection of clarithromycin resistance and heterogeneous genotypes. It is important to know the clinical impact Imodium Ad Liquid Review of infection with this type of strains as well as the role in treatment success.

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prospective multicenter Omnicef Liquid Dosage study.

biaxin 500mg clarithromycin dosage 2016-04-20

To investigate the prevalence of Helicobacter pylori ( Prednisone 9 Mg Side Effects Hp) resistant to clarithromycin, amoxicillin and metronidazole in children.

biaxin pediatric dosing 2017-08-29

Qualitative and quantitative evaluation of upper respiratory tract and gastric juice microflora depending on Paracetamol Overdose In Pediatric the change of gastric juice pH, which occurred during treatment with pantoprazole and eradication therapy.

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The eradication rates were 67.0% (Group A) and Vasotec 4 Mg 79.9% (Group B). The eradication rate achieved with 14-days triple therapy was significantly higher than with 7-days triple therapy (OR = 1.96; 95% CI: 1.16-3.30; p = 0.016).

biaxin strep throat dosage 2016-06-15

In-vitro activity of several antimicrobial agents were evaluated against Haemophilus influenzae (n:127) isolated from clinical specimens within the years 2000 and 2002 in a children's hospital. Antimicrobial susceptibility tests were performed by disk diffusion method according to the recommendations of the NCCLS standards and beta-lactamase activity was investigated by nitrocefin test. Resistance rates for the antibiotics were as follows: ampicillin 5.6%, trimethoprim-sulfamethoxazole (TMP/SMX) 27.5%, tetracycline 8.6%, clarithromycin 7%, chloramphenicol 4.7%. Five isolates (3.9%) were found multiple resistant. Beta-lactamase activities were detected in all of the ampicillin resistant isolates. None of the isolates were resistant to ampicillin-sulbactam, cefaclor, cefuroxime, cefprozil, cefpodoksim, cefotaxime, meropenem or ciprofloxacin. According to these results, resistance to ampicillin is low in our H. influenzae isolates compared to other European countries but resistance to TMP/SMX is very high and this finding has to be taken into account in the Neurontin Therapeutic Dose empirical therapy of community acquired respiratory tract infections.

biaxin dose adults 2016-01-02

A follow-up study with 120 children distributed in two cohorts; the first included 80 children without previous H. pylori infection (primo-infection cohort); the second included 40 infected children successfully eradicated (reinfection cohort). Cohorts were monitored during 2 years with urea-breath-test (UBT) at 3, 6, 9, 12, 18 and 24 months for the acquisition of H. pylori infection. We compared the rate of reinfection in eradicated children with the rate of infection in children without previous infection. H. pylori infection during the follow-up was analyzed and compared between cohorts using chi2 and survival curves. A questionnaire was performed for the evaluation of possible risk factors for infection in both cohorts.

biaxin xl pac dosing 2015-09-21

The association of Chlamydia pneumoniae infection with the complications of atherosclerosis, cardiovascular disease, and stroke are well established. C. pneumoniae infection of New Zealand White rabbit respiratory tract can result in early changes of atherosclerosis of the aorta that are not produced by sham infection or by Mycoplasma pneumoniae (which result in similar lung pathology). Early institution of antimicrobials with antichlamydial activity (azithromycin, clarithromycin, moxifloxacin, and doxycycline) within 5 days of infection can largely prevent the aortic lesions (75%-85% efficacy). Early treatment is also effective in suppressing the IgG antibody response to C. pneumoniae. However, delayed treatment (6 weeks after infection) with azithromycin was ineffective in aborting vascular changes but clarithromycin was partially effective (62.5% reduction). These studies support but do not prove that C. pneumoniae can cause atherosclerosis. Antibiotics are potentially useful in this model, but the optimum dose and duration of therapy or use of combination of agents remain to be determined.