Roxatat 50 mg (Tablet)

Unit Price: ৳ 350.00 (1 x 3: ৳ 1,050.00)
Strip Price: ৳ 1,050.00

Medicine Details

Indications

  • Treatment of symptomatic anemia associated with chronic kidney disease (CKD)

Description

  • First-in-class HIF-PH inhibitor
  • Orally administered
  • Promotes erythropoiesis
  • Increases endogenous production of erythropoietin
  • Improves iron regulation
  • Downregulates hepcidin
  • Reduces EPO-suppressive effects of inflammation

Pharmacology

  • Orally bioavailable
  • Hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI)
  • Increases endogenous erythropoietin production
  • Reduces expression of hepcidin
  • Improves iron availability
  • Boosts hemoglobin levels
  • Regulates gene expression for erythropoiesis and iron metabolism
  • Induces coordinated erythropoiesis
  • Maintains plasma erythropoietin levels
  • Reduces dysregulation of iron metabolism associated with CKD
  • Reduces cholesterol levels

Dosage & Administration

  • Oral administration
  • Taken three times per week
  • Individualized dose for target Hb levels of 10 to 12 g/dL
  • Different starting doses for patients not on erythropoiesis-stimulating agents and those switching from such agents
  • Dose adjustments according to specific conditions
  • Specific sequence for dose adjustments
  • Guidelines for missed dose

Interaction

  • Potential drug-drug interactions
  • Specific interactions with phosphate binders, gemfibrozil, probenecid, and OATP1B1 or BCRP substrates

Side Effects

  • Common adverse reactions include hypertension, vascular access thrombosis, diarrhea, peripheral edema, hyperkalemia, and nausea

Pregnancy & Lactation

  • Contraindicated during pregnancy
  • Contradicative for breastfeeding

Precautions & Warnings

  • Use with caution in patients with pre-existing risk factors for thrombotic vascular events
  • Caution in patients with a history of seizures
  • Not to be administered in case of serious infection or liver disorder
  • Not to be initiated in pregnant women

Use in Special Populations

  • Not indicated in children
  • Not recommended for patients with severe hepatic impairment

Overdose Effects

  • Symptoms include increased heart rate and excessive hemoglobin concentration
  • Treatment involves appropriate dose reduction or interruption

Therapeutic Class

  • Drugs for Haemolytic Hypoplastic & Renal Anemia

Storage Conditions

  • Store below 30°C
  • In a cool, dry place away from light and moisture
  • Keep out of the reach of children

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