Novo-Rythro Estolate suspension
This product is taken orally.
Why is it prescribed?
Erythromycin is used to treat many infections caused by susceptible bacteria. This material will be limited to the treatment of infections of the respiratory tract (e.g. pneumonia, tonsilitis) and the middle ear.
Use exactly as prescribed.
Novo-Rythro Estolate suspension must be shaken before use. It can be stored at room temperature but refrigeration gives it a better taste.
Novo-Rythro Estolate is best taken with food to help avoid possible stomach upset.
It is unacceptable to dilute the medication in large volumes of liquid that will not be consumed immediately (e.g. baby's bottle). If you are having difficulty giving a child the medication, ask your pharmacist for suggestions.
To measure the prescribed dose, it is important that you have an appropriate measuring device. If you do not already have one, ask your pharmacist to help you select one.
Take Novo-Rythro Estolate at even intervals around the clock as prescribed (e.g. every 6 hours translates to 4 times a day) until finished. Failure to take the complete course can result in incomplete elimination of the bacteria which can lead to a relapse of the infection. The prescribed course generally lasts a few days longer than symptoms of the infection (e.g. fever). Treatment usually lasts 10 days. If you miss a dose, take it as soon as possible. If it is almost time for your next dose do not take 2 doses at once (unless you have been instructed to do so). Contact your pharmacist if you are not sure what to do.
Novo-Rythro Estolate may produce an allergic reaction which can range in severity from a mild rash or itching to a life-threatening reaction. Contact your doctor or pharmacist if you experience rash, itching, fever, difficulty breathing, chest tightness or anything else that alarms you.
It is not unusual to experience the more common, unwanted effects with Novo-Rythro Estolate (e.g. nausea, diarrhea etc.). Contact your doctor or pharmacist if they are severe, persist or become bothersome.
See other products used in the treatment of •bronchitis •middle ear infections •pharyngitis •pneumonia •respiratory tract infections •sinus infections •sinusitis •sore throat •tonsilitis •upper respiratory tract infections •
The dose will depend on the type and severity of the infection. The usual adult dose for respiratory tract infections is 250 mg every 6 hours. The usual dose for children is 15 mg to 20 mg for each kilogram of body weight daily divided into 4 equal doses (every 6).
Erythromycin is an antibiotic. It inhibits the growth and replication of susceptible bacteria through blocking protein synthesis. This reduces bacterial growth or causes bacterial cell death. Erythromycin does not kill or suppress growth of all types of bacteria, but only those that have a sensitivity to this antibiotic. Infections caused by bacteria that are not sensitive to erythromycin will not show improvement after taking this medication.
Along with its needed effects, erythromycin may cause some unwanted or undesirable effects. Generally, erythromycin is well tolerated and many people will not experience unwanted effects. The frequency and severity of these effects is dependant on many factors including dose, duration of therapy and individual susceptibility. Possible unwanted effects include:
- appetite loss
- stomach cramps
- difficult breathing
- hearing loss (reversible)
- yellow discoloration of skin or eyes
- irregular or slow heartbeat
Allergic reactions can occur with erythromycin use. People with a history of allergy, asthma, hay fever or hives seem to be more susceptible to these reactions. The reaction can be immediate and severe. Allergic symptoms include wheezing, hives, itching, swelling, joint and muscle pain, difficulty breathing, fever and skin rashes. Nausea and vomiting are not symptoms of an allergic reaction.
Taking the antibiotic repeatedly or for prolonged periods may result in bacterial or fungal overgrowth which can lead to a second infection. When this occurs, the erythromycin may need to be stopped and another antibiotic prescribed to treat the new infection.
Diarrhea often develops while taking erythromycin. This is sometimes caused by an overgrowth of bacteria in the gut that are not killed by the antibiotic. In severe cases, this may be life threatening and would require treatment with other antibiotics. In mild cases, symptoms disappear shortly after the drug is discontinued.
Drug Interactions: It is important to tell your doctor and pharmacist of any prescription or over-the-counter medications you are taking. In some cases the dose of one or both drugs may need to be altered or another drug may be prescribed.
The following drugs or drug classes have been known to interact with erythromycin.
- warfarin (e.g. Coumadin®)
- carbamazepine (e.g. Tegretol®)
- cyclosporine (e.g. Neoral®)
- clozapine (e.g. Clozaril®)
- digoxin (e.g. Lanoxin®)
- ergotamine (e.g. Cafergot®)
- theophylline (e.g. Theo-Dur®)
- triazolam (e.g. Halcion®)
- phenytoin (e.g. Dilantin®)
- cholesterol reducing medications (e.g. Lipitor®)
Use is not recommended in the following situations:
- allergy to erythromycin or any component of the preparation
- people concurrently taking ergot alkaloids and clozapine
Caution is recommended in the following situations:
- liver disease
- cardiac arrhythmias or QT prolongation
Use in pregnancy: Erythromycin crosses the placenta however, most erythromycins can be used in pregnancy. The exception is erythromycin estolate which should not be used in the 2nd and 3rd trimesters. Consult your doctor or pharmacist if you suspect you may be pregnant.
Use while breastfeeding: Erythromycin does pass into the breast-milk, but is considered safe to use. Consult your doctor or pharmacist before you take erythromycin if you are breastfeeding.