드러그인포 약품요약정보 - 테라코트릴눈귀약

허가정보

항목

내용

청구코드(KD코드)
비급여점검코드
상한금액

비급여
[상병코드조회]
[질병코드조회]

빠른조회


요약정보	[효능] [용법] [금기] [신중투여] [이상반응]

상세정보	[효능] [용법] [경고] [금기] [신중투여] [이상반응] [일반주의] [상호작용] [임산부] [수유부] [소아] [고령자] [신장애환자] [간장애환자] [적용주의] [과량투여] [임상검사치] [보관] [기타]

제품성상

황색의 유성현탁액 [제형정보 확인]

포장·유통단위

1, 10병

효능효과

[적응증 별 검색]

안검장애 : 안검염-급성, 만성, 국소자극에 의한 경련성 안검내반증.
결막장애 : 결막염-급성, 만성, 수포성, 비특이성 결막염.
각막장애 : 각막궤양, 간질성각막염, 비특이성각막염, 안부대상수포진, 수포성각막결막염, 주피좌창각막염, 경화성각막염.
공막장해 : 공막염, 상공막염.
홍채장애 : 홍체염-급성, 만성, 외상성, 모양체염.
기 타 : 외청도 감염증, 절다발증, 농가진, 범발성 외이염, 대상수포진, 알러지성 외이염, 과민성 외이염, 심한 염증성반응, 소양증, 외이청도의 만성습진.

용법용량

* 절대 임의복용하지 마시고 반드시 의사 또는 약사와 상담하시기 바랍니다.

[처방약어]

눈질환: 감염된 눈에 1-2방울씩 1일 3회 눈에 넣습니다.
귀질환: 외이도의 감염증을 치료하려면 2-4방울씩 1일 3회 귀에 넣거나 의사의 처방에 따라 투여하는 것이 권유됩니다.

점적기가 감염된 부위에서 나오는 분비물로 오염되지 않도록 환자에게 주의를 주어야 하며, 사용 직후에 점적기를 다시 병 속에 넣어두어야 합니다

[BMI지수 계산] [Body Surface Area 계산] [Cockcroft-Gault GFR 계산] [MDRD GFR 계산]

주요약물 상호작용

[조회]

금기

본 제제는 눈의 감염성 결핵성질환, 각막이나 결막의 바이러스성 질환이 있는 환자나 과민반응의 경력이 있는 환자에게는 사용금기입니다.
귀의 고막이 파열된 환자에게는 사용금기입니다. 수지상 각막염, 종두증, 수두, 미코박테륨 속에 의한 안검염, 안구조의 진균성질환, 각막의 이물만을 단순히 제거한 후에는 사용 금기입니다.

이상반응

눈의 포진, 후부피막에의 백내장과 각막이 연화된 환자에게 사용할시 파열이 일어날 수 있습니다.

[주요 이상반응정보]

Related FDA Approved Drug

기준 성분:OXYTETRACYCLINE HYDROCHLORIDE
OXY-KESSO-TETRA (OXYTETRACYCLINE HYDROCHLORIDE)
OXYTETRACYCLINE HYDROCHLORIDE (OXYTETRACYCLINE HYDROCHLORIDE)
TERRA-CORTRIL (HYDROCORTISONE ACETATE; OXYTETRACYCLINE HYDROCHLORIDE)
TERRAMYCIN (OXYTETRACYCLINE HYDROCHLORIDE)
TERRAMYCIN W/ POLYMYXIN (OXYTETRACYCLINE HYDROCHLORIDE; POLYMYXIN B SULFATE)
TERRAMYCIN W/ POLYMYXIN B SULFATE (OXYTETRACYCLINE HYDROCHLORIDE; POLYMYXIN B SULFATE)
TERRAMYCIN-POLYMYXIN (OXYTETRACYCLINE HYDROCHLORIDE; POLYMYXIN B SULFATE)
기준 성분:HYDROCORTISONE ACETATE
BACITRACIN-NEOMYCIN-POLYMYXIN W/ HYDROCORTISONE ACETATE (BACITRACIN; HYDROCORTISONE ACETATE; NEOMYCIN SULFATE; POLYMYXIN B SULFATE)
CARMOL HC (HYDROCORTISONE ACETATE; UREA)
CHLOROMYCETIN HYDROCORTISONE (CHLORAMPHENICOL; HYDROCORTISONE ACETATE)
COLY-MYCIN S (COLISTIN SULFATE; HYDROCORTISONE ACETATE; NEOMYCIN SULFATE; THONZONIUM BROMIDE)
COR-OTICIN (HYDROCORTISONE ACETATE; NEOMYCIN SULFATE)
CORTEF ACETATE (HYDROCORTISONE ACETATE)
CORTIFOAM (HYDROCORTISONE ACETATE)
CORTISPORIN (HYDROCORTISONE ACETATE; NEOMYCIN SULFATE; POLYMYXIN B SULFATE)
CORTRIL (HYDROCORTISONE ACETATE)
DRICORT (HYDROCORTISONE ACETATE)
EPIFOAM (HYDROCORTISONE ACETATE; PRAMOXINE HYDROCHLORIDE)
HEMSOL-HC (HYDROCORTISONE ACETATE)
HYDROCORTISONE ACETATE (HYDROCORTISONE ACETATE)
HYDROCORTISONE ACETATE 1% AND PRAMOXINE HYDROCHLORIDE 1% (HYDROCORTISONE ACETATE; PRAMOXINE HYDROCHLORIDE)
HYDROCORTONE (HYDROCORTISONE ACETATE)
MICORT-HC (HYDROCORTISONE ACETATE)
NEO-CORTEF (HYDROCORTISONE ACETATE; NEOMYCIN SULFATE)
OPHTHOCORT (CHLORAMPHENICOL; HYDROCORTISONE ACETATE; POLYMYXIN B SULFATE)
ORABASE HCA (HYDROCORTISONE ACETATE)
PRAMOSONE (HYDROCORTISONE ACETATE; PRAMOXINE HYDROCHLORIDE)
PROCTOFOAM HC (HYDROCORTISONE ACETATE; PRAMOXINE HYDROCHLORIDE)
U-CORT (HYDROCORTISONE ACETATE; UREA)

정보요약

드럭인포 의약품 요약/상세정보

코드 및 분류정보

항목	내용
BIT 약효분류	안과용 항알러지제(Eye steroids & antiallergics)
ATC 코드	Hydrocortisone and antiinfectives / S03CA04 [코드분류상세설명] [ATC코드예측]
복지부분류코드	139 (기타의 감각기관용약 )
Drugs By Indication	[전체보기]
Drugs By Classification	[전체보기]

제품정보

항목	내용
청구코드(KD코드) 비급여점검코드 상한금액	비급여 [상병코드조회] [질병코드집 다운로드]
제품성상	황색의 유성현탁액 [제형정보 확인]
포장·유통단위	1, 10병
보관방법	기밀용기, 냉소보관

복약정보

항목

내용

LACTmed 바로가기

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약리작용

유료정보입니다.

복약지도

유료정보입니다.

임부에대한투여

*	전체임신 기간별로 여러등급이 존재할 수 있으며 가장 위험도가 높은 정보만 보여집니다. 단, 복합제의 경우 모든 복합제성분에 대한 임부투여등급이 표시된것은 절대 아니며 표시된것중에 가장 위험도가 높은 정보만 나타납니다.

FDA : D등급
(cortisone;oxytetracycline;tetracycline; )

*	상기 임부투여에 대한 정보는 전산처리 되면서 입력 오류 가능성이 존재합니다. 오류 가능성을 최소화하기 위하여 많은 노력을 기울이고 있으나, 그 정확성에 대하여 확신을 드릴 수 없습니다. 이에 대해 회사는 책임을 지지 않습니다.
*	반드시 공신력 있는 문헌을 다시 한번 참고 하시기 바라며 의사 또는 약사의 판단에 따라 투여여부가 결정되어야 합니다.

신장애, 간장애시
용량조절

유료정보입니다.

Pharmacokinetics

유료정보입니다.

병용금기 및 연령대금기 근거조회

[병용금기 및 연령대금기 근거조회]

제형별 복약지도

[점이]

보관상 주의

조제시 주의

심사정보

항목	내용
DUR 관련 고시	[병용연령금기 의약품 / 임부금기 의약품 / 비용효과적 함량 의약품 / 안전성 관련 급여중지 의약품]

학술정보

항목	내용
DUR (의약품사용평가)	병용금기 : 고시된 병용금기 내용은 없습니다. [상호작용/병용금기검색] 연령대금기 : 고시된 연령금기 내용은 없습니다. [연령대금기상세검색]
독성정보	Oxytetracycline에 대한 독성정보 : 정보보기 출처: 국립독성과학원 독성물질정보DB : http://www.nitr.go.kr/nitr/contents/m134200/view.do
Mechanism of Action	Hydrocortisone에 대한 Mechanism_Of_Action 정보 Hydrocortisone binds to the cytosolic glucocorticoid receptor. After binding the receptor the newly formed receptor-ligand complex translocates itself into the cell nucleus, where it binds to many glucocorticoid response elements (GRE) in the promoter region of the target genes. The DNA bound receptor then interacts with basic transcription factors, causing the increase in expression of specific target genes. The anti-inflammatory actions of corticosteroids are thought to involve lipocortins, phospholipase A2 inhibitory proteins which, through inhibition arachidonic acid, control the biosynthesis of prostaglandins and leukotrienes. Specifically glucocorticoids induce lipocortin-1 (annexin-1) synthesis, which then binds to cell membranes preventing the phospholipase A2 from coming into contact with its substrate arachidonic acid. This leads to diminished eicosanoid production. The cyclooxygenase (both COX-1 and COX-2) expression is also suppressed, potentiating the effect. In another words, the two main products in inflammation Prostaglandins and Leukotrienes are inhibited by the action of Glucocorticoids. Glucocorticoids also stimulate the lipocortin-1 escaping to the extracellular space, where it binds to the leukocyte membrane receptors and inhibits various inflammatory events: epithelial adhesion, emigration, chemotaxis, phagocytosis, respiratory burst and the release of various inflammatory mediators (lysosomal enzymes, cytokines, tissue plasminogen activator, chemokines etc.) from neutrophils, macrophages and mastocytes. Additionally the immune system is suppressed by corticosteroids due to a decrease in the function of the lymphatic system, a reduction in immunoglobulin and complement concentrations, the precipitation of lymphocytopenia, and interference with antigen-antibody binding. Oxytetracycline에 대한 Mechanism_Of_Action 정보 Oxytetracycline inhibits cell growth by inhibiting translation. It binds to the 30S ribosomal subunit and prevents the amino-acyl tRNA from binding to the A site of the ribosome. The binding is reversible in nature. Oxytetracycline is lipophilic and can easily pass through the cell membrane or passively diffuses through porin channels in the bacterial membrane.
Pharmacology	Hydrocortisone에 대한 Pharmacology 정보 Hydrocortisone is the most important human glucocorticoid. It is essential for life and regulates or supports a variety of important cardiovascular, metabolic, immunologic and homeostatic functions. Topical hydrocortisone is used for its anti-inflammatory or immunosuppressive properties to treat inflammation due to corticosteroid-responsive dermatoses. Glucocorticoids are a class of steroid hormones characterised by an ability to bind with the cortisol receptor and trigger a variety of important cardiovascular, metabolic, immunologic and homeostatic effects. Glucocorticoids are distinguished from mineralocorticoids and sex steroids by having different receptors, target cells, and effects. Technically, the term corticosteroid refers to both glucocorticoids and mineralocorticoids, but is often used as a synonym for glucocorticoid. Glucocorticoids suppress cell-mediated immunity. They act by inhibiting genes that code for the cytokines IL-1, IL-2, IL-3, IL-4, IL-5, IL-6, IL-8 and TNF-alpha, the most important of which is the IL-2. Reduced cytokine production limits T cell proliferation. Glucocorticoids also suppress humoral immunity, causing B cells to express lower amounts of IL-2 and IL-2 receptors. This diminishes both B cell clonal expansion and antibody synthesis. The diminished amounts of IL-2 also leads to fewer T lymphocyte cells being activated. Oxytetracycline에 대한 Pharmacology 정보 Oxytetracycline is known as a broad-spectrum antibiotic due to its activity against such a wide range of infections. It was the second of the tetracyclines to be discovered. Oxytetracycline, like other tetracyclines, is used to treat many infections common and rare. Its better absorption profile makes it preferable to tetracycline for moderately severe acne, but alternatives sould be sought if no improvement occurs by 3 months.
Metabolism	Hydrocortisone에 대한 Metabolism 정보 # Phase_1_Metabolizing_Enzyme:Cytochrome P450 3A4 (CYP3A4)
Protein Binding	Hydrocortisone에 대한 단백결합 정보 95%
Half-life	Hydrocortisone에 대한 반감기 정보 6-8 hours Oxytetracycline에 대한 반감기 정보 Not Available
Absorption	Hydrocortisone에 대한 Absorption 정보 Topical corticosteroids can be absorbed from normal intact skin. Inflammation and/or other disease processes in the skin increase percutaneous absorption.
Pharmacokinetics	Hydrocortisone acetate의 약물동력학자료 흡수 : 직장을 제외한 모든 투여경로에서 빠르게 흡수된다. 대사 : 간에서 대사된다. 생리적 반감기 : 8∼12시간 소실 : 주로 17-hydroxysteroids와 17-ketosteroids의 형태로 신배설된다. 용해성이 큰 다른 약물과 비교했을 때 hydrocortisone acetate는 작용발현시간은 느리지만 작용지속시간이 길다. Hydrocortisone sodium succinate는 물에 쉽게 녹아 빨리 활성화된다. Oxytetracycline HCl의 약물동력학자료 흡수 : 경구 : 75% 까지 IM : 거의 흡수되지 않는다. 분포 : 태반통과, 고농도로 담즙에 분포 대사 : 소량이 간대사 반감기 : 8.5-9.6 시간 (신 손상시 연장) 혈중최고농도 도달시간 : 2-4 시간 이내 소실 : 신배설
Biotransformation	Hydrocortisone에 대한 Biotransformation 정보 Primarily hepatic via CYP3A4 Oxytetracycline에 대한 Biotransformation 정보 Not Available
Toxicity	Hydrocortisone에 대한 Toxicity 정보 Side effects include inhibition of bone formation, suppression of calcium absorption and delayed wound healing Oxytetracycline에 대한 Toxicity 정보 Adverse effects may include stomach or bowel upsets and rarely allergic reactions. Very rarely severe headache and vision problems may be signs of dangerous intracranial hypertenion.
Drug Interactions	Hydrocortisone에 대한 Drug_Interactions 정보 Ambenonium The corticosteroid decreases the effect of anticholinesterasesEdrophonium The corticosteroid decreases the effect of anticholinesterasesNeostigmine The corticosteroid decreases the effect of anticholinesterasesPyridostigmine The corticosteroid decreases the effect of anticholinesterasesAspirin The corticosteroid decreases the effect of salicylatesBismuth Subsalicylate The corticosteroid decreases the effect of salicylatesSalicylate-magnesium The corticosteroid decreases the effect of salicylatesSalicylate-sodium The corticosteroid decreases the effect of salicylatesSalsalate The corticosteroid decreases the effect of salicylatesTrisalicylate-choline The corticosteroid decreases the effect of salicylatesWarfarin The corticosteroid alters the anticoagulant effectAcenocoumarol The corticosteroid alters the anticoagulant effectDicumarol The corticosteroid alters the anticoagulant effectAnisindione The corticosteroid alters the anticoagulant effectCholestyramine Cholestyramine decreases the effect of hydrocortisoneColestipol Cholestyramine decreases the effect of hydrocortisoneAmobarbital The barbiturate decreases the effect of the corticosteroidAprobarbital The barbiturate decreases the effect of the corticosteroidButabarbital The barbiturate decreases the effect of the corticosteroidButalbital The barbiturate decreases the effect of the corticosteroidButethal The barbiturate decreases the effect of the corticosteroidDihydroquinidine barbiturate The barbiturate decreases the effect of the corticosteroidHeptabarbital The barbiturate decreases the effect of the corticosteroidHexobarbital The barbiturate decreases the effect of the corticosteroidMethohexital The barbiturate decreases the effect of the corticosteroidMethylphenobarbital The barbiturate decreases the effect of the corticosteroidPentobarbital The barbiturate decreases the effect of the corticosteroidPhenobarbital The barbiturate decreases the effect of the corticosteroidPrimidone The barbiturate decreases the effect of the corticosteroidQuinidine barbiturate The barbiturate decreases the effect of the corticosteroidSecobarbital The barbiturate decreases the effect of the corticosteroidTalbutal The barbiturate decreases the effect of the corticosteroidRifampin The enzyme inducer decreases the effect of the corticosteroidPhenytoin The enzyme inducer decreases the effect of the corticosteroidMephenytoin The enzyme inducer decreases the effect of the corticosteroidFosphenytoin The enzyme inducer decreases the effect of the corticosteroidEthotoin The enzyme inducer decreases the effect of the corticosteroidMidodrine Increased arterial pressure Oxytetracycline에 대한 Drug_Interactions 정보 Not Available
CYP450 Drug Interaction	[CYP450 Table직접조회]
Food Interaction	Hydrocortisone에 대한 Food Interaction 정보 Take with food to reduce irritation. Calcium, phosphorous, potassium, Vitamin A, C, D and zinc needs increased with long term use. Oxytetracycline에 대한 Food Interaction 정보 Not Available
Drug Target	[Drug Target]
Description	Hydrocortisone에 대한 Description 정보 The main glucocorticoid secreted by the adrenal cortex. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions. [PubChem] Oxytetracycline에 대한 Description 정보 A tetracycline analog isolated from the actinomycete streptomyces rimosus and used in a wide variety of clinical conditions. [PubChem]
Dosage Form	Hydrocortisone에 대한 Dosage_Form 정보 Aerosol RectalCream TopicalEnema RectalLiquid TopicalLotion TopicalOintment OphthalmicOintment TopicalPowder, for solution IntramuscularPowder, for solution IntravenousTablet Oral Oxytetracycline에 대한 Dosage_Form 정보 Not Available
Drug Category	Hydrocortisone에 대한 Drug_Category 정보 Anti-inflammatory Agents Oxytetracycline에 대한 Drug_Category 정보 Anti-Bacterial AgentsTetracyclines
Smiles String Canonical	Hydrocortisone에 대한 Smiles_String_canonical 정보 CC12CCC(=O)C=C1CCC1C3CCC(O)(C(=O)CO)C3(C)CC(O)C21 Oxytetracycline에 대한 Smiles_String_canonical 정보 CN(C)C1C2C(O)C3C(C(=O)C2(O)C(=O)C(C1=O)=C(N)O)=C(O)C1=C(C=CC=C1O)C3(C)O
Smiles String Isomeric	Hydrocortisone에 대한 Smiles_String_isomeric 정보 C[C@]12CCC(=O)C=C1CC[C@H]1[C@@H]3CC[C@](O)(C(=O)CO)[C@@]3(C)C[C@H](O)[C@H]21 Oxytetracycline에 대한 Smiles_String_isomeric 정보 CN(C)[C@H]1[C@@H]2[C@@H](O)[C@H]3C(C(=O)[C@]2(O)C(=O)\C(C1=O)=C(\N)O)=C(O)C1=C(C=CC=C1O)[C@@]3(C)O
InChI Identifier	Hydrocortisone에 대한 InChI_Identifier 정보 InChI=1/C21H30O5/c1-19-7-5-13(23)9-12(19)3-4-14-15-6-8-21(26,17(25)11-22)20(15,2)10-16(24)18(14)19/h9,14-16,18,22,24,26H,3-8,10-11H2,1-2H3/t14-,15-,16-,18+,19-,20-,21-/m0/s1 Oxytetracycline에 대한 InChI_Identifier 정보 InChI=1/C22H24N2O9/c1-21(32)7-5-4-6-8(25)9(7)15(26)10-12(21)17(28)13-14(24(2)3)16(27)11(20(23)31)19(30)22(13,33)18(10)29/h4-6,12-14,17,25-26,28,31-33H,23H2,1-3H3/b20-11-/t12-,13-,14+,17+,21-,22+/m1/s1
Chemical IUPAC Name	Hydrocortisone에 대한 Chemical_IUPAC_Name 정보 (8S,9S,10R,11S,13S,14S,17R)-11,17-dihydroxy-17-(2-hydroxyacetyl)-10,13-dimethyl-2,6,7,8,9,11,12,14,15,16-decahydro-1H-cyclopenta[a]phenanthren-3-one Oxytetracycline에 대한 Chemical_IUPAC_Name 정보 (2Z,4S,4aR,5S,5aR,6S,12aS)-2-(amino-hydroxymethylidene)-4-dimethylamino-5,6,10,11,12a-pentahydroxy-6-methyl-4,4a,5,5a-tetrahydrotetracene-1,3,12-trione
Drug-Induced Toxicity Related Proteins	HYDROCORTISONE 의 Drug-Induced Toxicity Related Protein정보 Replated Protein:Interleukin-8 Drug:hydrocortisone Toxicity:inflammation. [바로가기]

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