Monural
Application instruction:
Monural – the antibiotic drug used at treatment of diseases of urinogenital system.
Form of release and structure
Monural release in the form of granules for preparation of solution for intake: white, with a tangerine smell (on 2 or 3 g in the laminated multilayer packages, on 1 or 2 packages in a cardboard pack).
Is a part of 1 g of granules:
- Active agent: фосфомицин – 2 or 3 g (in the form of a trometamol of a fosfomitsin – 3,754 or 5,631 g according to);
- Auxiliary components: saccharin, tangerine and orange fragrances, sucrose.
Indications to use
- Bacterial nonspecific urethritis;
- Bacterial cystitis (acute current);
- Recurrent bacterial cystitis (bad attacks);
- Infections of urinary tract in the postoperative period;
- Asymptomatic massive bacteriuria at pregnant women;
- Infections of urinary tract when carrying out surgical interventions and transurethral diagnostic testings (for prevention).
Contraindications
- Heavy degree of a renal failure (at clearance of creatinine it is less than 10 ml in a minute);
- Age up to 5 years;
- Hypersensitivity to drug components.
To the feeding and pregnant women Monural appoint only in cases if the estimated advantage of therapy is higher possible harming for the child and a fruit.
Route of administration and dosage
Monural accept inside, having dissolved in 1/3 glasses of water, on an empty stomach – in 2 hours prior to or after meal (it is more preferable – in the evening before going to bed), previously having emptied a bladder.
The adult, as a rule, appoint once 3 g of drug in 1 reception. At treatment of heavy or recurrent infections, and also repeated reception of Monural in 24 hours in the same dose can be required by elderly patients.
For prevention of infection of urinary tract at diagnostic transurethral procedures and surgical interventions in 3 hours prior to their carrying out and in 24 hours after the first reception appoint 3 g of drug.
To children of 5 years Monural appoint only once in a dose 2 g.
Patients with a renal failure need to lower a dose and to increase a break between administrations of drug.
Side effects
- Alimentary system: heartburn, nausea, diarrhea;
- Others: allergic reactions, skin rash.
Special instructions
Sick diabetes mellitus at Monural's appointment it is necessary to consider that 2,1 g of sucrose, on 3 g – 2, 213 g of sucrose are a part of granules of one package on 2 g.
Medicinal interaction
At the combined Monural's use with Metoclopramidum concentration of a fosfomitsin in urine and blood serum can decrease (the combination of drugs is not recommended).
Terms and storage conditions
To store in the place, unavailable to children, in usual conditions.
Period of validity – 3 years.
Name of drug
Price
Drugstore
Monural of a granule for mixture a pack ice of 2 g No. 1, Zambon Group
402 rub.
Network of the Moscow drugstores of IFCMonural of a granule for mixture a pack ice of 3 g No. 1, Zambon Group
525 rub.
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