杨雅琴的老公:超难的啊!帮帮忙吧!

来源:百度文库 编辑:中科新闻网 时间:2024/05/09 15:01:21
4.6孕妇及哺乳期妇女用药:曾用猴进行繁殖研究,剂量高达人用量的10倍,发现本品可致流产。该剂量在猴的血浆峰浓度(Cmax)约为人的2倍。本品在动物中并未证实有致畸作用。然而,在孕妇并未进行合适的、有良好对照的研究,因此本品不宜用于孕妇。本品是否经乳汁分泌尚缺乏资料。当乳妇应用200mg本品时,乳汁中不能检出该药。然而,由于研究剂量较小,且本类药物的其他品种经乳汁分泌,加之对新生儿及婴幼儿潜在的严重不良反应,乳妇应避免应用本品或于应用时停止哺乳。
4.7驾驶机、车、船、从事高空作业:无影响。
4.8不良反应:(1).胃肠道反应较为常见,可表现为腹部不适或疼痛、腹泻、恶心或呕吐。(2).中枢神经系统反应 可有头昏、头痛、嗜睡或失眠。(3).过敏反应 皮疹、皮肤瘙痒,偶可发生渗出性多性红斑及血管神经性水肿。少数患者有光敏反应。(4).偶可发生:(1)癫痫发作、精神异常、烦躁不安、意识障碍、幻觉、震颤。(2)血尿、发热、皮疹等间质性肾炎表现。(3)静脉炎。(4)结晶尿,多见于高剂量应用时。(5)关节疼痛。(5).少数患者可发生血清氨基转移酶升高、血尿素氮增高及周围血象白细胞降低,多属轻度,并呈一过性。
4.9药物过量:小鼠及大鼠单剂口服本品剂量达4g/kg,未发现致死作用。急性药物过量时需进行催吐或洗胃促使胃排空,仔细观察病情变化,予以对症处理及支持疗法。必须维持适当的补液量。
5、药理特性
5.1药理毒理:本品为氟喹诺酮类抗菌药,具广谱抗菌作用,尤其对需氧革兰阴性杆菌的抗菌活性高,对下列细菌在体外具良好抗菌作用:肠杆菌科的大部分细菌,包括枸椽酸杆菌属、阴沟肠杆菌、产气肠杆菌等肠杆菌属、大肠埃希菌、克雷伯菌属、变形菌属、沙门菌属、志贺菌属、弧菌属、耶尔森菌等。诺氟沙星体外对多重耐药菌亦具抗菌活性。对青霉素耐药的淋病奈瑟菌、流感嗜血杆菌和卡他莫拉菌亦有良好抗菌作用。诺氟沙星为杀菌剂,通过作用于细菌DNA螺旋酶的A亚单位,抑制DNA的合成和复制而导致细菌死亡。
5.2药代动力学:空腹时口服吸收迅速但不完全,约为给药量的30%~40%;广泛分布于各组织、体液中,如肝、肾、肺、前列腺、睾丸、子宫及胆汁、痰液、水疱液、血、尿液等,但未见于中枢神经系统。血清蛋白结合率为10%~15%,血消除关衰期(t1/2)为3~4小时,肾功能减退时可延长至6~9小时。单次口服本品400mg和800mg,经1~2小时血药浓度达峰值,血药峰浓度(Cmax)分别为1.4~1.6mg/L和2.5mg/L。肾脏(肾小球滤过和肾小管分泌)和肝胆系统为主要排泄途径,26%~32%以原形和小于10%以代谢物形式自尿中排出,自胆汁和(或)粪便排出占28%~30%。尿液pH影响本品的溶解度。尿液pH7.5时溶解最少,其他pH时溶解增多。
5.3临床前安全系数资料:
翻译成英语!

4.6 pregnant women and the breast-feeding period woman apply drugs: Once used the monkey to conduct the reproduction research, dosage reaching as high as person amount used 10 times, discovered this might send the miscarriage. This dosage in monkey's blood plasma peak density (Cmax) approximately manner 2 times. This in the animal confirmed by no means has sends is unbalanced the function. However, carries on by no means in the pregnant woman appropriately, has the good comparison research, therefore this uses in the pregnant woman not suitably. This whether passed through the milk secretion still to lack the material. When the young woman applies 200mg this, in the milk cannot pick out this medicine. However, because the research dosage is small, also this kind of medicine other varieties after the milk secretion, add it latent serious responded not good to the newborn and the babies and infants, the young woman should avoid applies this or in the application when stopping nursing.
4.7 driving machine, the vehicle, the ship, are engaged in the work high above the ground: Does not have the influence.
4.8 responded not good that,The (1). gastro-intestinal tract response is common, may display for the abdomen ill or the ache, the diarrhea, disgusting or the vomit. The (2). central nervous system responded may have dizzy, the headache, be addicted to rests or loses sleep. The (3). allergic reaction skin rash, the skin sao itch, the partner may have the leachability multi-red spot and blood vessel nervous dropsy. The minority patient has the photosensitized reaction. The (4). partner may occur: (1) epileptic paroxysm, the spirit exceptionally, are agitated restlessly, consciousness barrier, the illusion, tremble. (2) hematuria, gives off heat, the skin rash and so on nature nephritis displays. (3) phlebitis. (4) crystallization urine, sees in the high dose application when. (5) joint ache. The (5). minority patient may have the blood serum amino transferase ascension, the blood urea nitrogen markup and periphery the blood picture white blood cell reduces, is mildly, and assumes one.
4.9 medicines excessive: The mouse and big mouse Shan Ji takes orally this dosage to reach 4g/kg, has not discovered the lethal function. Acute medicine excessive when must carry on urges to spit or the gastric lavage urges the stomach evacuation, observes the condition change carefully, gives just right for the illness processing and the support therapy. Must maintain the suitable fluid infusion quantity.
5th, pharmacology characteristic
5.1 pharmacology toxicologies: This for the fluorine kui promise ketones antibiotics, has the broad spectrum resist bacteria function, especially to needs the oxygen leather blue negative bacillus resist bacteria activeness to be high, has the good resist bacteria function to the following bacterium in vitro: The intestines bacteriaceae majority of bacteria, including the citric acid pole bacteria, the sewer intestines bacillus, produce were mad intestines pole bacterias, large intestine Egypt and so on intestines bacillus hope the fungus, the gram Reber bacteria, the distortion bacteria, the monk bacteria, the will celebrate the bacteria, the vibrio, Ye you the woods fungus and so on. Outside the promise fluorine sand photostar to multiple bears the medicine fungus also to have the resist bacteria activeness. Bears the medicine to the penicillin gonorrhea napier Chinese zither fungus, flu bloodthirsty bacillus and the catarrh Morrah fungus also has the good resist bacteria function. Promise fluorine Sha Xingwei disinfectant, through function in bacterium DNA spiral enzyme A Asia unit, suppresses DNA the synthesis and the duplication causes the bacterium death.
5.2 medicine generation of dynamics: When empty stomach but takes orally the absorption rapidly not to be incomplete, approximately for gives the dose 30%~40%; Widely distributes in each organization, the body fluid, like liver, kidney, lung, prostate gland, testicle, womb and bile, sputamentum, Shui Paoye, blood, urine and so on, but has not seen in the central nervous system. The serum albumin union rate is 10%~15%, the blood eliminates Guan Shuaiqi (t1/2) is 3~4 hours, when the kidney function decrease may lengthen to 6~9 hours. Single oral administration this 400mg and 800mg, reach the peak value after 1~2 hour blood medicine density, blood medicine peak density (Cmax) respectively are 1.4~1.6mg/L and 2.5mg/L. The kidney (renal glomerulus has filtered and tubulus renalis secretion) and the courage system for the main excretion way, 26%~32% and is smaller than 10% by the primary form to discharge by the metabolite form from the urine in, and (or) the excrement discharges from the bile accounts for 28%~30%. Urine pH affects this solubility. When urine pH7.5 dissolves few, when other pH dissolves increases.
5.3 clinical front safety coefficient materials: