Ferasirrox 250 mg (Dispersible Tablet)

Unit Price: ৳ 85.00 (1 x 10: ৳ 850.00)
Strip Price: ৳ 850.00

Medicine Details

Indications

  • Treatment of chronic iron overload due to blood transfusions
  • Treatment for thalassaemia
  • Treatment for sickle cell disease
  • Treatment for myelodysplastic syndrome
  • Treatment for non-transfusion-dependent thalassemia syndromes

Pharmacology

  • Highly selective chelator for iron
  • Binds iron with high affinity
  • Promotes excretion of iron in the faeces
  • Low affinity for zinc and copper

Dosage

  • Initial daily dose of 20-40 mg/kg body weight
  • To be taken on an empty stomach
  • Tablets dispersed in water or juice
  • Serum ferritin to be monitored every month

Administration

  • To be taken once daily on an empty stomach
  • Tablets dispersed in water or juice
  • Not to be taken with carbonated drinks or milk

Interaction

  • Not to be taken with aluminium-containing antacids
  • Caution with drugs metabolized through CYP3A4
  • Dose adjustments with concomitant use of certain drugs
  • Caution with drugs with ulcerogenic potential or anticoagulants

Contraindications

  • Hypersensitivity to the active substance or excipients
  • Creatinine clearance less than 40 ml/min
  • Serum creatinine >2 times the upper limit of normal

Side Effects

  • Cytopenias
  • Gastrointestinal effects (diarrhea, constipation, vomiting, etc.)
  • Abdominal pain, distension, dyspepsia
  • Headache and dizziness
  • Elevation of hepatic transaminases
  • Stevens-Johnson syndrome and skin rash
  • Auditory and ocular disturbances

Pregnancy & Lactation

  • Pregnancy Category C
  • Caution in pregnancy due to potential risk to the fetus
  • Not known if excreted in human milk

Precautions & Warnings

  • Gastrointestinal bleeding and ulceration may occur
  • Cytopenias including agranulocytosis and neutropenia
  • Serious hypersensitivity reactions reported

Use in Special Populations

  • Similar safety and efficacy in pediatric patients
  • Elderly patients at increased risk for toxicity
  • Not studied in patients with renal or hepatic impairment

Overdose Effects

  • Maximal dose of 40 mg/kg body weight
  • No information about overdose available

Therapeutic Class

  • Antidote preparations

Storage Conditions

  • Store below 25°C
  • Protect from light
  • Keep out of the reach of children

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