دواعي استعمال رونيزيروكس 500مجم 10 اقراص
معلومات من نشرات دوائية ومراجع موثقة، مع مصدر كل معلومة. السعر الحالي: 825ج.م.
دواعي الاستعمال
- Chronic iron overload due to blood transfusions (transfusional haemosiderosis)الفئة: Patients 2 years of age and olderDailyMed (U.S. National Library of Medicine)
- Chronic iron overload in non-transfusion-dependent thalassaemia syndromes (LIC at least 5 mg Fe/g dry weight and serum ferritin above 300 mcg/L)الفئة: Patients 10 years of age and olderDailyMed (U.S. National Library of Medicine)
الآثار الجانبية
- Transfusional iron overload: most frequent (more than 5%) adverse reactions are diarrhoea, vomiting, nausea, abdominal pain, skin rashes and increases in serum creatinine.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- NTDT syndromes: most frequent (more than 5%) adverse reactions are diarrhoea, rash and nausea.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
موانع الاستعمال
- Estimated GFR less than 40 mL/min/1.73 m2.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Poor performance status.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- High-risk myelodysplastic syndromes.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Advanced malignancies.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Platelet counts less than 50 x 10^9/L.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Known hypersensitivity to deferasirox or any component.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
تحذيرات واحتياطات
- Boxed warning: may cause acute renal failure and death, hepatic failure and gastrointestinal haemorrhage, particularly in patients with comorbidities or advanced haematologic disorders.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
التداخلات الدوائية
- Hormonal contraceptivesDeferasirox can render hormonal contraceptives ineffective; use non-hormonal contraception.DailyMed (U.S. National Library of Medicine)
- Aluminium-containing antacidsDo not take deferasirox with aluminium-containing antacid products.DailyMed (U.S. National Library of Medicine)
الحمل والرضاعة
- No studies in pregnant women; animal data showed decreased offspring viability and renal anomalies in rats. Use in pregnancy only if the potential benefit justifies the potential risk to the fetus.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- No human data on presence in milk; deferasirox is excreted in rat milk. Decide whether to discontinue breastfeeding or the drug, considering the importance of the drug to the mother.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
المتابعة أثناء العلاج
- Measure serum creatinine in duplicate before starting and monitor renal function at least monthly (weekly for the first month in patients with baseline renal impairment or increased risk); evaluate serum ferritin before starting or increasing dose.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
كيف يعمل الدواء
- Orally active chelator selective for iron (Fe3+); a tridentate ligand binding iron with high affinity in a 2:1 ratio (US label 12.1).
المصادر
- السعر: قوائم أسعار الأدوية المنشورة في مصر.
- DailyMed (U.S. National Library of Medicine)