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Spiramycin Adult Medication Guideline Page 2 of 4 Administration Oral: Take on an empty stomach, at least half an hour before food or two hours after food. Monitoring Ultrasound to detect abnormalities and amniocentesis for polymerase chain reaction (PCR) and / or culture at 18 - 20 weeks gestation or if ≥ 4 weeks after maternal infection kapsul garam 500mg