Carbofer 500 mg/10 ml (IV Injection or Infusion)

10 ml vial: ৳ 700.00

Medicine Details

Title

  • Carbofer

Categories

  • Medical Supplies
  • Pharmaceuticals

Description

  • Colloidal iron (III) hydroxide in complex with Carboxymaltose, a Carbohydrate polymer that releases iron.

Indications

  • Treatment of iron deficiency anaemia in adult patients
  • Intolerance to oral iron
  • Non-dialysis dependent chronic kidney disease

Dosage & Administration

  • Stepwise approach for determination of the individual iron need and calculation and administration of the iron dose(s)

Interaction

  • No formal drug interaction studies performed

Contraindications

  • Hypersensitivity to the active substance or any of its excipients
  • Serious hypersensitivity to other parenteral iron products
  • Anaemia not attributed to iron deficiency
  • Evidence of iron overload or disturbances in the utilisation of iron

Side Effects

  • Nausea
  • Headache
  • Dizziness
  • Hypertension
  • Injection site reactions
  • Nausea
  • Increased alanine aminotransferase
  • Hypophosphataemia
  • Hypersensitivity
  • Dysgeusia
  • Tachycardia
  • Hypotension
  • Flushing
  • Dyspnoea
  • Dyspepsia
  • Abdominal pain
  • Constipation
  • Diarrhea
  • Pruritus
  • Urticaria
  • Erythema
  • Rash
  • Myalgia
  • Back pain
  • Arthralgia
  • Muscle spasms
  • Pyrexia
  • Fatigue
  • Chest pain
  • Peripheral edema
  • Chills
  • Increased aspartate aminotransferase
  • Increased gamma glutamyl transferase
  • Increased blood lactate dehydrogenase
  • Increased blood alkaline phosphatase
  • Anaphylactoid reactions
  • Loss of consciousness
  • Anxiety
  • Phlebitis
  • Syncope
  • Presyncope
  • Bronchospasm
  • Flatulence
  • Angioedema
  • Pallor
  • Face edema
  • Rigors
  • Malaise
  • Influenza-like illness

Pregnancy & Lactation

  • No adequate and well-controlled trials in pregnant women
  • Animal data suggest that iron released from Ferric Carboxymaltose can cross the placental barrier
  • Use confined to the second and third trimester if benefit is judged to outweigh the potential risk
  • Unlikely to represent a risk to the breast-fed child based on limited data on breastfeeding women

Precautions & Warnings

  • Serious hypersensitivity reactions reported
  • Monitor for signs and symptoms of hypersensitivity
  • Administer only when personnel and therapies are immediately available for the treatment of serious hypersensitivity reactions
  • Transient elevations in systolic blood pressure may occur
  • Laboratory assays may overestimate serum iron and transferrin bound iron

Use in Special Populations

  • A single maximum daily injection dose of 200 mg iron should not be exceeded in haemodialysis-dependent chronic kidney disease patients
  • Not recommended in children under 14 years

Overdose Effects

  • Excessive dosages may lead to accumulation of iron in storage sites potentially leading to hemosiderosis
  • Monitoring of iron parameters advised
  • Treat according to standard medical practice if iron accumulation has occurred

Therapeutic Class

  • Parenteral Iron Preparations

Storage Conditions

  • Cool & dry place, away from light
  • Do not freeze
  • Keep out of the reach of children

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