Kraj: Singapur
Język: angielski
Źródło: HSA (Health Sciences Authority)
Mesna
DCH AURIGA SINGAPORE
V03AF01
INJECTION, SOLUTION, CONCENTRATE
Mesna 400 mg/4 ml
INTRAVENOUS
Prescription Only
Haupt Pharma Wolfratshausen GmbH
ACTIVE
2016-04-25
MESNA STADA ® 400 MG/4ML CONCENTRATED SOLUTION FOR INJECTION recommended that after administration of 20% MESNA Stada (related to the total dose of oxazaphosphorine) at time 0, the remaining calculated dose should be given continuously IV over a period of 24 hrs with a perfusor. Alternatively, an intermittent bolus injection is possible: For adults 3 x 40% (at times 0, 4, 8 hrs) or 4 x 40% (at times 0, 3, 6, 9 hrs), respectively. For children due to more frequent micturition, the bolus injections should always be given in 3-hr intervals (eg, 20% at times 0, 1, 3, 6, 9, 12 hrs). Instead of a bolus injection, short infusions of 15-min duration are possible. With a continuous infusion of ifosfamide (Holoxan), it has been shown to be of benefit to give MESNA Stada at time zero following the initial 20% bolus injection (start of infusion, time 0), followed by infusion to up to 100% of the ifosfamide dose, and to continue uroprotection for a further 6 to 12 hours after termination of the ifosfamide infusion. CONTRAINDICATIONS Known hypersensitivity to mesna, other thiol compounds or to any of the excipients. As mesna is only indicated in combination with oxazaphosphorines, the contraindications which apply to cyclophosphamide, ifosfamide and trofosfamide should also be observed. SPECIAL WARNINGS AND PRECAUTIONS FOR USE The protective effect of MESNA Stada applies only to the urinary tract. Other precautions and concomitant measures recommended for the use of oxazaphosphorines (ifosfamide, cyclo- phosphamide, trofosfamide) are not affected and should be continued. A false-positive detection of urinary ketones may arise during the treatment with MESNA Stada. The colour is red- violet rather than violet, it is less stable and it will fade immediately on the addition of glacial acetic acid. This medicinal product contains less than 1 mmol sodium (23 mg) per 1ml solution for injection. The occurrence of hypersensitivity reactions (hyperegic reactions) following MESNA Stada therapy has been reported more frequently in patie Przeczytaj cały dokument