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Hence, these compounds are highly polar, poorly membrane permeable, and not absorbed enterally. Neomycin and paromomycin are given orally to eradicate intestinal bacteria (prior to bowel surgery or for reducing NH3 formation by gut bacteria in hepatic coma). Aminoglycosides for the treatment of serious infections must be injected (e. g. , gentamicin, tobramycin, amikacin, netilmicin, sisomycin).
An injectable solution must be free of infectious agents, pyrogens, or suspended matter. It should have the same osmotic pressure and pH as body fluids in order to avoid tissue damage at the site of injection. Solutions for injection are preserved in airtight glass or plastic sealed containers. |
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