Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Paromomycin

Generic name
Paromomycin
Brand name
ATC Code
A07AA06

Pharmacokinetics in children

Paromomycin is absorbed to a small extent.

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

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Available formulations

No information is present at this moment.

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Dosages

Amoebiasis, Dientamoeba fragilis
  • Oral
    • 1 month up to 18 years
      [1] [2] [3] [5] [6]
      • 25 - 35 mg/kg/day in 3 doses. Max: 1.500 mg/day.
      • Duration of treatment:

        7 days

      • Only very few studies have been carried out into the use of paromomycin in children.

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Renal impaiment in children > 3 months

No information available on dose adjustment in renal impairment.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects in children

Tetany has been reported after intramuscular administration [Thakur 2008].
Based on the available data, the same side effect profile is expected in children and adolescents as in adults. [SmPC Humatin]

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions in children

Caution is needed in cases of renal function disorders; the possibility of accumulation cannot be excluded.

 

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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References

  1. Hartwig NC et al, Vademecum Pediatrische Antimicrobiele Therapie, 2005
  2. Frisari L, et al, An open, controlled study of two non-absorbable antibiotics for the oral treatment of paediatric infectious diarrhoea., Curr Med Res Opin, 1997, 14(1), 39-45
  3. Vandenberg O, et al, Treatment of Dientamoeba fragilis infection with paromomycin. , Pediatr Infect Dis J. , 2007 , Jan;26(1), 88-90
  4. Thakur CP. , Tetany in kala azar patients treated with paromomycine, Indian J Med Res, 2008, May;127(5), 489-93
  5. Pfizer, SmPC Humatin® Kapseln, 250 mg Hartkapseln (6419615.00.00), 11/2018
  6. Pfizer, SmPC Humatin® Pulvis, 1.000 mg Pulver zur Herstellung einer Lösung zum Einnehmen (40332.00.00), 11/2018

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Changes

Changes