Itrazen 100 mg (Capsule)

Unit Price: ৳ 17.00 (4 x 6: ৳ 408.00)
Strip Price: ৳ 102.00

Medicine Details

Category Details
Generic Itraconazole
Company Beacon pharmaceuticals plc
Also available as

Product Title

  • Itrazen 100 mg Capsule

Categories

  • Antifungal Medication
  • Therapeutic Drugs
  • Pharmaceuticals

Description

  • Itrazen 100 mg Capsule is an antifungal medication used for the treatment of various fungal infections in different parts of the body. It inhibits Cytochrome P-450 dependent enzymes, impairing the biosynthesis of ergosterol, a major component of the cell membrane of yeast and fungal cells, leading to the inhibition of growth and abnormal cell wall formation.

Dosage Options

  • 100 mg
  • 200 mg
  • 65 mg
  • 130 mg

Dosage & Administration

  • Vulvovaginal candidiasis: 200 mg twice daily for 01 day (100 & 200 mg preparation)
  • Pityriasis versicolor: 200 mg once daily for 07 days (100 & 200 mg preparation)
  • Tinea corporis, tinea cruris: 100 mg once daily for 15 days or 200 mg once daily for 7 days (100 & 200 mg preparation)
  • Tinea pedis, tinea manuum: 100 mg once daily for 30 days (100 & 200 mg preparation)
  • Oropharyngeal candidiasis: 100 mg once daily for 15 days, increase dose to 200 mg once daily for 15 days in AIDS or neutropenic patients due to impaired absorption (100 & 200 mg preparation)
  • Onychomycosis (toenails with or without fingernail involvement): Either 200 mg daily for 3 months or course of 200 mg twice daily for 7 days, subsequent courses repeated after 21 days' interval (100 & 200 mg preparation)
  • Aspergillosis: 200 mg once daily for 2-5 months, increase dose to 200 mg twice daily in case of invasive or disseminated disease (100 & 200 mg preparation)
  • Candidiasis: 100-200 mg once daily for 3 weeks-7 months, increase dose to 200 mg twice daily in case of invasive or disseminated disease (100 & 200 mg preparation)
  • Non-meningeal Cryptococcosis: 200 mg once daily for 10 weeks (100 & 200 mg preparation)
  • Cryptococcal meningitis: 200 mg twice daily for 2-6 months (100 & 200 mg preparation)
  • Histoplasmosis: 200 mg once daily twice daily for 8 months (100 & 200 mg preparation)
  • Maintenance in AIDS: 200 mg once daily until immune recovery (100 & 200 mg preparation)
  • Prophylaxis in neutropenia: 200 mg once daily until immune recovery (100 & 200 mg preparation)
  • Vulvovaginal candidiasis: 130 mg twice daily for 1 day (65 mg & 130 mg preparation)
  • Pityriasis versicolor: 65 mg twice daily for 7 days (65 mg & 130 mg preparation)
  • Tinea corporis and tinea cruris: 65 mg daily for 15 days OR 65 mg twice daily for 7 days (65 mg & 130 mg preparation)
  • Tinea pedis and tinea manuum: 65 mg once daily for 30 days (65 mg & 130 mg preparation)
  • Oropharyngeal Candidiasis: 65 mg once daily for 15 days, increase dose to 65 mg twice daily for 15 days in AIDS or neutropenic patients due to impaired absorption (65 mg & 130 mg preparation)
  • Onychomycosis (toenails with or without fingernail involvement): Either 65 mg twice daily for 3 months or course of 130 mg twice daily for 7 days, subsequent courses repeated after 21 days interval (65 mg & 130 mg preparation)
  • Aspergillosis: 65 mg twice daily for 2-5 months.Increase dose to 130 mg twice daily in case of invasive or disseminated disease (65 mg & 130 mg preparation)
  • Candidiasis: 65-130 mg once daily for 3 weeks-7 months. Increase dose to 65 mg twice daily in case of invasive or disseminated disease (65 mg & 130 mg preparation)
  • Non-meningeal Cryptococcosis: 65 mg twice daily for 10 weeks (65 mg & 130 mg preparation)
  • Cryptococcal meningitis: 130 mg twice daily for 2-6 months (65 mg & 130 mg preparation)
  • Histoplasmosis: 130 mg once daily-twice daily for 8 months (65 mg & 130 mg preparation)
  • Maintenance in AIDS: 65 mg twice daily until immune recovery (65 mg & 130 mg preparation)
  • Prophylaxis in neutropenia: 65 mg twice daily until immune recovery (65 mg & 130 mg preparation)
  • Pediatric use: The efficacy and safety of the Itraconazole capsule have not been established in pediatric patients.

Mode of Action

  • Inhibition of Cytochrome P-450 dependent enzymes
  • Impairment of the biosynthesis of ergosterol
  • Cascade of abnormalities in permeability, membrane bound enzyme activity, and coordination of chitin synthesis
  • Inhibition of growth, abnormal cell wall formation, and accumulation of intracellular lipids and membranous vesicles
  • Utilizes SUBA (Super Bio-available) technology for enhancing bioavailability of poorly soluble drugs
  • Utilizes solid dispersion of drug in a polymer to improve dissolution of poorly soluble drugs compared to their normal crystalline form

Interaction Warnings

  • Concurrent use with drugs like terfenadine, astemizole, cisapride, HMG-CoA reductase inhibitors such as simvastatin, oral midazolam or triazolam should be avoided
  • Significant interactions observed during co-administration of rifampin, phenytoin, phenobarbital, digoxin, and calcium channel blockers

Contraindications

  • Known hypersensitivity to the drug or any ingredient in the formulation
  • Severe hepatic disease
  • Simultaneous use with rifampin, which initially inhibits and then enhances the metabolism of Itraconazole

Side Effects

  • Nausea
  • Abdominal pain
  • Dyspepsia
  • Constipation
  • Headache
  • Dizziness
  • Raised liver enzymes
  • Menstrual disorders
  • Allergic reactions (including pruritus, rash, urticaria, and angioedema)
  • Hepatitis and cholestatic jaundice
  • Peripheral neuropathy
  • Stevens-Johnson syndrome
  • Hypokalaemia
  • Oedema
  • Hair loss

Pregnancy & Lactation

  • Contraindicated in pregnancy
  • Not recommended during breastfeeding

Precautions & Warnings

  • Absorption is impaired when gastric acidity is reduced
  • Administration of acid neutralizing medicines (e.g. aluminium hydroxide) should be done at least 2 hours after the intake of Itrazen
  • Administer after a full meal
  • Monitor liver function in patients receiving continuous treatment of more than one month

Therapeutic Class

  • Drugs for subcutaneous and mycoses

Storage Conditions

  • Store below 25°C
  • In a cool & dry place
  • Keep away from light
  • Keep all the medicine out of the reach of children

Commonly Asked Questions

  • Duration of effect: Lasts up to 16 to 28 hours
  • Onset of action: Peak effect observed to be in 2 hours
  • Pregnancy warnings: Not recommended during pregnancy
  • Breastfeeding warnings: Not recommended during breastfeeding

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