Zolvo 200 mg/5 ml (Powder for Suspension)

40 ml bottle: ৳ 1,000.00

Medicine Details

Product Title

  • Zolvo Antifungal Medicine

Categories

  • Antifungal Medicine
  • Pharmaceutical Products
  • Medication
  • Health Care

Description

  • Indicated for invasive aspergillosis
  • Treats candidemia and disseminated candidiasis
  • Esophageal candidiasis treatment
  • Effective against serious infections caused by Scedosporium apiospermum and Fusarium Species
  • Suitable for patients intolerant of or refractory to other therapy
  • Binds and inhibits ergosterol synthesis
  • Depletes ergosterol in fungal cell membrane
  • Oral and injection administration
  • Interaction with CYP3A4, CYP2C9 and CYP2C19 inhibitors and inducers
  • Contraindications due to hypersensitivity to Voriconazole or other components
  • Common side effects include abdominal pain, anemia, blurred vision, headache, chest pain, nausea, and diarrhea
  • Limited studies on pregnancy and lactation
  • Careful assessment for long term exposure
  • Efficacy not established for children under 12 years of age
  • No available data regarding overdose effects
  • Belongs to therapeutic class of other antifungal preparations
  • Instructions for reconstitution of suspension
  • Storage conditions and temperature requirements

Dosage & Administration

  • Loading dose regimen for patients at or over 40 kg body weight: 400 mg or 10 ml every 12 hours for the first 24 hours
  • Maintenance dose for patients at or over 40 kg body weight: 200 mg or 5 ml twice daily after the first 24 hours
  • Loading dose regimen for patients below 40 kg body weight: 200 mg or 5 ml every 12 hours for the first 24 hours
  • Maintenance dose for patients below 40 kg body weight: 100 mg or 2.5 ml twice daily after the first 24 hours
  • Loading dose and maintenance dose for invasive aspergillosis, candidemia, Scedosporiosis, and Fusariosis

Interaction

  • Adjust Zolvo dosage with CYP3A4, CYP2C9 and CYP2C19 inhibitors and inducers
  • Monitoring for adverse reactions with increased concentrations and activity of drugs that are CYP3A4, CYP2C9 and CYP2C19 substrates
  • Increased maintenance oral and intravenous dosage with co-administration of Phenytoin or Efavirenz

Contraindications

  • Co-administration with terfenadine, astemizole, cisapride, pimozide or quinidine, sirolimus
  • Co-administration with rifampin, carbamazepine, long-acting barbiturates, efavirenz, ritonavir, rifabutin, ergot alkaloids, and St. John's Wort

Pregnancy & Lactation

  • Caution for use during pregnancy only if potential benefit justifies potential risk to the fetus

Precautions & Warnings

  • Careful assessment required for long-term exposure (over 180 days)
  • Reported association with squamous cell carcinoma of the skin (SCC) with long-term treatment

Use in Special Populations

  • Efficacy not established for children under 12 years of age

Overdose Effects

  • No available data about overdose

Therapeutic Class

  • Belongs to therapeutic class of other antifungal preparations

Reconstitution

  • Instructions for reconstitution of suspension

Storage Conditions

  • Store in a dry place, below 25°C and protected from light
  • Specific storage requirement for Zolvo powder for suspension: between 2°C to 8°C

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