Vcand 200 mg/5 ml (Powder for Suspension)

40 ml bottle: ৳ 1,000.00

Medicine Details

Indications

  • Invasive aspergillosis
  • Candidemia
  • Disseminated candidiasis
  • Esophageal candidiasis
  • Scedosporium apiospermum infections
  • Fusarium Species infections
  • Intolerant or refractory to other therapy

Pharmacology

  • Triazole antifungal medication
  • Inhibition of ergosterol synthesis
  • Inhibition of CYP450-dependent 14-alpha sterol demethylase

Dosage & Administration

  • Oral administration
  • Loading dose based on body weight
  • Maintenance dose based on body weight
  • Injection for Invasive Aspergillosis, Candidemia, Scedosporiosis, and Fusariosis

Interaction

  • CYP3A4, CYP2C9, and CYP2C19 inhibitors and inducers can affect dosage
  • May increase concentrations of CYP3A4, CYP2C9, and CYP2C19 substrates
  • Increased maintenance dosage with Phenytoin or Efavirenz co-administration

Contraindications

  • Hypersensitivity to Voriconazole or components
  • Co-administration with specific drugs like terfenadine and rifampin

Side Effects

  • Abdominal pain
  • Anemia
  • Blurred vision
  • Headache
  • Chest pain
  • Nausea
  • Diarrhea

Pregnancy & Lactation

  • Use during pregnancy only if benefit justifies risk

Precautions & Warnings

  • Careful assessment for long term exposure
  • Risk of squamous cell carcinoma with long-term treatment

Use in Special Populations

  • Efficacy not established for children under 12 years of age

Overdose Effects

  • No available overdose data

Therapeutic Class

  • Other Antifungal preparations

Reconstitution

  • Shake bottle to reconstitute powder for suspension
  • Store reconstituted suspension at specific temperatures
  • Discard suspension after 14 days of reconstitution

Storage Conditions

  • Keep out of reach of children
  • Store in dry place below specific temperature
  • Store suspension at different temperature range

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