Actemra 400 mg/20 ml (IV Infusion)

20 ml vial: ৳ 49,242.00

Medicine Details

Indications

  • Rheumatoid Arthritis
  • Polyarticular Juvenile Idiopathic Arthritis
  • Systemic Juvenile Idiopathic Arthritis
  • COVID-19 Treatment
  • Cytokine Release Syndrome
  • Giant Cell Arteritis
  • Systemic Sclerosis-Associated Interstitial Lung Disease

Pharmacology

  • Recombinant humanized anti-human interleukin 6 (IL-6) receptor monoclonal antibody
  • Immunoglobulin IgG1K subclass
  • Binds to soluble and membrane-bound IL-6 receptors
  • Inhibits IL-6-mediated signaling
  • Produced by a variety of cell types

Dosage & Administration

  • Intravenous infusion
  • As monotherapy or with other non-biologic DMARDs
  • Recommended dosage based on body weight
  • Different dosage regimens for different conditions
  • Maximum dosage for specific conditions

Interaction

  • Cautions for coadministering with CYP3A4 substrate drugs
  • Effect on CYP450 enzyme activity

Contraindications

  • Known hypersensitivity to Tocilizumab

Side Effects

  • Common adverse reactions
  • Specific adverse reactions in COVID-19 patients

Pregnancy & Lactation

  • Potential fetal harm based on animal data
  • Use during pregnancy if benefits justify risks
  • Consideration for breastfeeding individuals with COVID-19

Precautions & Warnings

  • Do not administer during active infection
  • Evaluation for tuberculosis risk factors
  • Caution in patients at increased risk of gastrointestinal perforation
  • Monitoring for signs and symptoms of hepatic injury
  • Hypersensitivity reactions and anaphylaxis
  • Avoidance of live vaccines
  • Initiation criteria based on blood counts and liver function tests

Use in Special Populations

  • Safety and effectiveness in pediatric and geriatric patients
  • Caution in treating the elderly
  • Safety and efficacy in hepatic and renal impairment

Overdose Effects

  • Patient monitoring for adverse reactions

Therapeutic Class

  • Drugs used for Rheumatoid Arthritis

Storage Conditions

  • Temperature range for storage
  • Avoid freezing

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