国: イギリス
言語: 英語
ソース: MHRA (Medicines & Healthcare Products Regulatory Agency)
Amphotericin B liposomal
Gilead Sciences Ltd
J02AA01
Amphotericin B liposomal
50mg
Powder for dispersion for infusion
Intravenous
No Controlled Drug Status
Caution - AMP level prescribing advised
BNF: 05020300; GTIN: 5391507144447
PACKAGE LEAFLET: INFORMATION FOR THE USER AMBISOME 50 MG POWDER FOR SOLUTION FOR INFUSION LIPOSOMAL AMPHOTERICIN B READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU ARE GIVEN THIS MEDICINE BECAUSE IT CONTAINS IMPORTANT INFORMATION FOR YOU. -Keep this leaflet. You may need to read it again. -If you have any further questions, ask your doctor. -If you get any side effects, talk to your doctor. This includes any possible side effects not listed in this leaflet. See section 4. WHAT IS IN THIS LEAFLET 1. What AmBisome is and what it is used for 2. What you need to know before you are given AmBisome 3. How to use AmBisome 4. Possible side effects 5. How to store AmBisome 6. Content of the pack and other information 1. WHAT AMBISOME IS AND WHAT IT IS USED FOR AMBISOME IS AN ANTIFUNGAL ANTIBIOTIC. The active ingredient in AmBisome is amphotericin B. AMBISOME IS GIVEN AS AN INFUSION into a vein (a drip) in hospital by a doctor or nurse. AmBisome is used to treat serious infections caused by fungi: FUNGAL INFECTIONS OF ONE OR MORE DEEP ORGANS OF THE BODY. SUSPECTED FUNGAL INFECTIONS in patients with a RAISED TEMPERATURE AND NEUTROPENIA. Neutropenia is a reduced number of white blood cells called neutrophils. These are important in fighting infections. Neutropenia can be a side effect of cancer treatments. Before you are given AmBisome your doctor will check that your fever is not due to bacteria or viruses. You will probably have had one or more antibiotics already. A fever which continues despite treatment may be due to a fungal infection. It’s difficult to confirm this with current tests, however. VISCERAL LEISHMANIASIS, a disease caused by a parasite. 2. WHAT YOU NEED TO KNOW BEFORE YOU ARE GIVEN AMBISOME BEFORE YOUR FIRST TREATMENT Before your first treatment your doctor may give you a small amount of AmBisome. They will then wait for approximately 30 minutes to see whether you have an allergic reaction, before continuing the infusion of the full dose. YOUR DOCTOR WILL NOT GIVE YOU AMBISOME IF YOU ARE ALL 完全なドキュメントを読む
OBJECT 1 AMBISOME Summary of Product Characteristics Updated 04-Apr-2017 | Gilead Sciences Ltd 1. Name of the medicinal product AmBisome 50 mg Powder for solution for infusion 2. Qualitative and quantitative composition Each vial contains 50 mg of amphotericin (50,000 units) encapsulated in liposomes. After reconstitution, the concentrate contains 4 mg/mL amphotericin B. Excipient with known effect: For a full list of excipients, see section 6.1. 3. Pharmaceutical form Sterile, powder for solution for infusion. Yellow lyophilised cake or powder. 4. Clinical particulars 4.1 Therapeutic indications AmBisome is indicated in adults and children aged 1 month to 18 years old for: • the treatment of severe systemic and/or deep mycoses • the treatment of visceral leishmaniasis in immunocompetent patients including both adults and children • the empirical treatment of presumed fungal infections in febrile neutropenic patients, where the fever has failed to respond to broad spectrum antibiotics and appropriate investigations have failed to define a bacterial or viral cause. Infections successfully treated with AmBisome include: disseminated candidiasis, aspergillosis, mucormycosis, chronic mycetoma, cryptococcal meningitis and visceral leishmaniasis. AmBisome should not be used to treat the common clinically inapparent forms of fungal disease which show only positive skin or serologic tests. 4.2 Posology and method of administration Posology Treatment of mycoses Therapy is usually instituted at a daily dose of 1.0 mg/kg of body weight, and increased stepwise to 3.0 mg/kg, as required. Data are presently insufficient to define total dosage requirements and duration of treatment necessary for resolution of mycoses. However, a cumulative dose of 1.0 - 3.0 g of amphotericin B as AmBisome over 3 - 4 weeks has been typical. Dosage of amphotericin B as AmBisome must be adjusted to the specific requirements of each patient. Mucormycosis The recommended starting dose is 5 mg/kg/day. The duration of therapy should be determine 完全なドキュメントを読む