دواعي استعمال ريفامبيسين 150مجم 8 كبسول
معلومات من نشرات دوائية ومراجع موثقة، مع مصدر كل معلومة. السعر الحالي: 6.45ج.م.
دواعي الاستعمال
- Treatment of all forms of tuberculosis, as part of a multidrug regimen (e.g. with isoniazid and pyrazinamide in the initial phase).DailyMed (U.S. National Library of Medicine)
- Asymptomatic carriers of Neisseria meningitidis, to eliminate meningococci from the nasopharynx (not for treatment of meningococcal infection).DailyMed (U.S. National Library of Medicine)
الآثار الجانبية
- Gastrointestinal effects (heartburn, epigastric distress, anorexia, nausea, vomiting, flatulence, cramps, diarrhoea); pseudomembranous colitis reported.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Hepatic (transient LFT abnormalities, hepatitis), haematologic (thrombocytopenia, leukopenia, haemolytic anaemia), CNS (headache, drowsiness, dizziness, fatigue), flushing/itching and hypersensitivity reactions.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
موانع الاستعمال
- Hypersensitivity to rifampin, any component, or any rifamycin.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Concomitant ritonavir-boosted saquinavir (severe hepatocellular toxicity).نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Concomitant atazanavir, darunavir, fosamprenavir, saquinavir, tipranavir, cabotegravir, fostemsavir or lenacapavir (loss of antiviral efficacy).نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Concomitant praziquantel.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Concomitant lurasidone.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
تحذيرات واحتياطات
- Hepatotoxicity (hepatocellular, cholestatic or mixed), ranging up to fulminant liver failure and death; in hepatic impairment use only when necessary with liver monitoring every 2-4 weeks.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Systemic hypersensitivity reactions and severe cutaneous adverse reactions (SJS, TEN, AGEP, DRESS); discontinue if they occur.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Vitamin K-dependent coagulation disorders and bleeding; avoid high-dose cefazolin co-use in patients at bleeding risk.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Pulmonary toxicity (interstitial lung disease), thrombotic microangiopathy, porphyria exacerbation and paradoxical drug reactions have been reported.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
التداخلات الدوائية
- Drugs metabolised by CYP1A2, 2B6, 2C8, 2C9, 2C19, 3A4, UGT or transported by P-gp/MRP2Rifampin induces these enzymes/transporters and may decrease concentrations and effect of many co-administered drugs; adjust doses per their labeling.DailyMed (U.S. National Library of Medicine)
- Isoniazid / halothane / other hepatotoxic drugsIncreased potential for hepatotoxicity; avoid halothane and monitor closely with isoniazid.DailyMed (U.S. National Library of Medicine)
الحمل والرضاعة
- No adequate well-controlled studies in pregnant women; rifampin crosses the placenta; decades of data have not established an association with major birth defects; use only if benefit outweighs risk.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Because of tumorigenicity potential in animal studies, decide whether to discontinue nursing or the drug.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
المتابعة أثناء العلاج
- Monitor for liver injury; in hepatic impairment check liver function before therapy and every 2-4 weeks; obtain cultures/susceptibility before and during therapy.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
كيف يعمل الدواء
- Inhibits bacterial DNA-dependent RNA polymerase (rifamycin antibiotic).
المصادر
- السعر: قوائم أسعار الأدوية المنشورة في مصر.
- DailyMed (U.S. National Library of Medicine)