ADVERSE REACTIONS SECTION.

ADVERSE REACTIONS. Nausea, abdominal cramps, and diarrhea have been reported inpatients on doses over g daily.

CLINICAL PHARMACOLOGY SECTION.

CLINICAL PHARMACOLOGY. The in-vitro and in-vivo antibacterial action of paromomycin closely parallels that of neomycin. It is poorly absorbed after oral administration, with almost 100% of the drug recoverable in the stool.

CONTRAINDICATIONS SECTION.

CONTRAINDICATIONS. Paromomycin sulfate is contraindicated in individuals with history of previous hypersensitivity reactions to it. It is also contraindicated in intestinal obstruction.

DESCRIPTION SECTION.

DESCRIPTION. Paromomycin sulfate is broad spectrum antibiotic produced by Streptomyces riomosus var. paromomycinus. It is white, amorphous, stable, water-soluble product. Paromomycin sulfate is designated chemically as 0-2, 6-Diamino-2, 6-dideoxy- -L-idopyranosyl-(1->3)- 0- -D-ribofuranosyl-(1->5)- 0-[2-amino-2-deoxy- -D-glucopyranosyl-(1->4)]-2-deoxystreptamine sulfate (salt). The molecular formula is 23H 45N 5O 14oxH 2SO 4, with molecular weight of 615.64 (base). Its structural formula is:Each capsule, for oral administration, contains paromomycin sulfate equivalent to 250 mg paromomycin. Each capsule also contains the following inactive ingredients: FD&C Blue 1, D&C Red 28, FD&C Red 40, gelatin and titanium dioxide. The imprinting ink for the 250 mg capsule contains D&C yellow 10, FD&C blue 1, FD&C blue 2, FD&C red 40, iron oxide black, pharmaceutical shellac glaze, and propylene glycol.. image[5].jpg.

DOSAGE & ADMINISTRATION SECTION.

DOSAGE AND ADMINISTRATION. Intestinal amebiasis: Adults and Pediatric Patients: Usual dose--25 to 35 mg/kg body weight daily, administered in three doses with meals, for five to ten days. Management of hepatic coma:Adults: Usual dose--4 daily in divided doses, given at regular intervals for five to six days.

HOW SUPPLIED SECTION.

HOW SUPPLIED. Paromomycin Sulfate Capsules, USP each contain paromomycin sulfate equivalent to 250 mg paromomycin, are supplied as follows:NDC 23155-038-01: Bottles of 100The capsule is Dark Blue Opaque /White Opaque, imprinted with HP 38 in black ink on the cap and on the body.STORAGEStore at 20-25C (68-77F) [See USP controlled Room Temperature] Protect from moisture.Preserve in tight containers as defined in the USP.Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088Manufactured for:Heritage Pharmaceuticals Inc.Eatontown, NJ 07724 1.866.901.DRUG (3784) MF 0241-02 Issued: 10/13.

INDICATIONS & USAGE SECTION.

INDICATIONS AND USAGE. Paromomycin sulfate is indicated for intestinal amebiasis-acute and chronic (NOTE-It is not effective in extraintestinal amebiasis); management of hepatic coma-as adjunctive therapy.To reduce the development of drug-resistant bacteria and maintain the effectiveness of Paromomycin Sulfate Capsules and other antibacterial drugs, Paromomycin Sulfate Capsules should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

INFORMATION FOR PATIENTS SECTION.

Information for Patients. Patients should be counseled that antibacterial drugs including Paromomycin Sulfate Capsules should only be used to treat bacterial infections. They do not treat viral infections (e.g., the common cold). When Paromomycin Sulfate Capsules is prescribed to treat bacterial infection, patients should be told that although it is common to feel better early in the course of therapy, the medication should be taken exactly as directed. Skipping doses or not completing the full course of therapy may (1) decrease the effectiveness of the immediate treatment and (2) increase the likelihood that bacteria will develop resistance and will not be treatable by Paromomycin Sulfate Capsules or other antibacterial drugs in the future.

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL.

Package Labeling:. Paromomycin.

PEDIATRIC USE SECTION.

Pediatric Use. See DOSAGE AND ADMINISTRATION section.

PRECAUTIONS SECTION.

PRECAUTIONS. Prescribing Paromomycin Sulfate Capsules in the absence of proven or strongly suspected bacterial infection or prophylacticindication is unlikely to provide benefit to the patient and increases the risk of the development of drug-resistant bacteria.The use of this antibiotic, as with other antibiotics, may result in an overgrowth of nonsusceptible organisms, including fungi. Constant observation of the patientis essential. If new infections caused by nonsusceptible organisms appear during therapy, appropriate measures should be taken. The drug should be used with caution in individuals with ulcerative lesions of the bowel to avoid renal toxicity through inadvertent absorption.. Information for Patients. Patients should be counseled that antibacterial drugs including Paromomycin Sulfate Capsules should only be used to treat bacterial infections. They do not treat viral infections (e.g., the common cold). When Paromomycin Sulfate Capsules is prescribed to treat bacterial infection, patients should be told that although it is common to feel better early in the course of therapy, the medication should be taken exactly as directed. Skipping doses or not completing the full course of therapy may (1) decrease the effectiveness of the immediate treatment and (2) increase the likelihood that bacteria will develop resistance and will not be treatable by Paromomycin Sulfate Capsules or other antibacterial drugs in the future.. Pediatric Use. See DOSAGE AND ADMINISTRATION section.