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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1983-10-8
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pubmed:abstractText |
A double-blind study was designed to test the hypothesis that local side-effects during i. v. administration of erythromycin lactobionate depend on the drug concentration and that they can therefore be minimized by dissolving erythromycin in a larger infusion volume. Forty healthy students were assigned in a randomized sequence to four 30 min infusions: 120 and 250 ml of erythromycin lactobionate (1 g in 0.9% NaCl) and 120 and 250 ml of placebo (0.9% NaCl). An unexpectedly high incidence (95% and 80% for the infusion volumes of 120 and 250 ml, respectively) of severe systemic side-effects was observed during the first 79 infusions. Because all of these systemic side-effects were associated with the infusion of erythromycin, the study was terminated at this point. Side-effects included abdominal cramps, nausea, vomiting, dizziness and profuse sweating. The postulated positive effect of lower erythromycin concentrations in the infusion on local side-effects (pain at the infusion site, erythema) was marginal (63% vs. 45%). Compared to the systemic side-effects, the problem of local tolerance is less important. In young adults, 30 min infusions of 1 g erythromycin lactobionate are associated with a high incidence of systemic side-effects which may be due to an age-dependent effect of the drug on smooth muscle.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0300-8126
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
161-3
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:6885176-Adult,
pubmed-meshheading:6885176-Dizziness,
pubmed-meshheading:6885176-Double-Blind Method,
pubmed-meshheading:6885176-Erythema,
pubmed-meshheading:6885176-Erythromycin,
pubmed-meshheading:6885176-Female,
pubmed-meshheading:6885176-Humans,
pubmed-meshheading:6885176-Hyperhidrosis,
pubmed-meshheading:6885176-Infusions, Parenteral,
pubmed-meshheading:6885176-Male,
pubmed-meshheading:6885176-Muscle Cramp,
pubmed-meshheading:6885176-Nausea,
pubmed-meshheading:6885176-Random Allocation
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pubmed:articleTitle |
Side-effects due to the intravenous infusion of erythromycin lactobionate.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|