دواعي استعمال ريميدسيفير 100مجم/20مل امبول محلول وريد
معلومات من نشرات دوائية ومراجع موثقة، مع مصدر كل معلومة. السعر الحالي: 440ج.م.
عن الدواء
Remdesivir 100 mg concentrate (100 mg/20 ml) for intravenous infusion, single vial, marketed in Egypt.
دواعي الاستعمال
- Treatment of COVID-19 in adults and pediatric patients (birth to <18 years, >=1.5 kg) who are hospitalized, or not hospitalized with mild-to-moderate COVID-19 at high risk of progressionDailyMed (U.S. National Library of Medicine)
الآثار الجانبية
- Most common (>=5%, all grades): nausea, ALT increased and AST increased.نشرة دولية لتركيبة مكافئة · DailyMed (U.S. National Library of Medicine)
موانع الاستعمال
- History of clinically significant hypersensitivity reactions to remdesivir or any component of the product.نشرة دولية لتركيبة مكافئة · DailyMed (U.S. National Library of Medicine)
تحذيرات واحتياطات
- Hypersensitivity including infusion-related and anaphylactic reactions; monitor during infusion and for at least 1 hour afterwards.نشرة دولية لتركيبة مكافئة · DailyMed (U.S. National Library of Medicine)
- Transaminase elevations; consider discontinuing if ALT rises above 10 times the upper limit of normal, discontinue if ALT elevation is accompanied by signs of liver inflammation.نشرة دولية لتركيبة مكافئة · DailyMed (U.S. National Library of Medicine)
التداخلات الدوائية
- Chloroquine phosphate / hydroxychloroquine sulfateCo-administration not recommended (possible antagonism of antiviral activity in cell culture).DailyMed (U.S. National Library of Medicine)
الحمل والرضاعة
- Available data have not identified a drug-associated risk of major birth defects, miscarriage or adverse maternal/fetal outcomes after second- and third-trimester exposure; first-trimester data are insufficient.نشرة دولية لتركيبة مكافئة · DailyMed (U.S. National Library of Medicine)
- Remdesivir and its metabolite GS-441524 have been detected in human milk; limited data do not indicate adverse effects in breastfed infants.نشرة دولية لتركيبة مكافئة · DailyMed (U.S. National Library of Medicine)
المتابعة أثناء العلاج
- Hepatic laboratory testing before starting and during treatment; prothrombin time before starting and as clinically appropriate.نشرة دولية لتركيبة مكافئة · DailyMed (U.S. National Library of Medicine)
كيف يعمل الدواء
- Adenosine nucleotide prodrug; the active triphosphate competes with ATP for incorporation into viral RNA by SARS-CoV-2 RNA-dependent RNA polymerase, causing delayed chain termination (per directory pharmacology note and US label).
المصادر
- السعر: قوائم أسعار الأدوية المنشورة في مصر.
- DailyMed (U.S. National Library of Medicine)