Cysteamine Hydrochloride
Jeneng merek: Cystaran
Kelas obat:
Agen Antineoplastik , Agen Antineoplastik
Panganggone Cysteamine Hydrochloride
Akumulasi Kristal Cystine Kornea
Pengobatan akumulasi kristal cystine kornea ing pasien karo cystinosis (ditunjuk minangka obat yatim piatu dening FDA kanggo panggunaan iki).
Amarga cysteamine oral ora mbalikke kornea akumulasi kristal cystine ing pasien cystinosis, cysteamine ophthalmic bebarengan perlu.
Sauntara nyuda pembentukan kristal cystine kornea ing pasien karo cystinosis; kepatuhan sing ketat lan panggunaan terus-terusan perlu kanggo efektifitas sing tetep.
Kasedhiya sacara komersial ing AS minangka solusi mata 0,44% (saka cysteamine) sing ngandhut benzalkonium klorida (Cystaran) pengawet. Macem-macem formulasi ophthalmic liyane (contone, 0,11%, 0,55%, tanpa pengawet) diteliti sajrone program uji klinis ing AS.
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Carane nggunakake Cysteamine Hydrochloride
Umum
Kasedhiya mung liwat apotek khusus. Telpon Hotline Cystaran ing 800-440-0473 utawa bukak [Web] kanggo informasi tartamtu.
Administrasi
Administrasi Ophthalmic
Aplikasi topikal kanggo saben mripat minangka solusi ophthalmic; solusi kasebut mung kanggo panggunaan ophthalmic topikal.
Kanggo nyilikake risiko kontaminasi, aja ndemek kelopak mata, area sekitar mripat, utawa permukaan liyane kanthi ujung penetes botol. Tansah botol ditutup kanthi rapet nalika ora digunakake. (Deleng Saran kanggo Pasien.)
Copot lensa kontak sadurunge saben dosis (amarga pengawet benzalkonium klorida bisa diserap dening lensa alus); bisa nglebokake maneh lensa 15 menit sawise administrasi.
Kanggo informasi panyimpenan sing tepat, deleng Panyimpenan ing Stabilitas lan uga deleng Saran kanggo Pasien.
Dosis
Kasedhiya minangka cysteamine hydrochloride ; dosis ditulis ing istilah cysteamine.
Saben 6,5 mg cysteamine hidroklorida padha karo 4,4 mg cysteamine.
Pasien Anak
Kornea Cystine Crystal Akumulasi Ophthalmic1 tetes solusi 0,44% ing saben mripat saben jam tangi.
Terapi terus dibutuhake amarga kristal cystine kornea akumulasi nalika terapi dihentikan.
Dewasa
Kristal Cystine Kornea Akumulasi Ophthalmic1 tetes larutan 0,44% ing saben mripat saben jam tangi.
Terapi terus perlu amarga kristal cystine kornea akumulasi nalika terapi dihentikan.
Populasi Khusus
Ora ana rekomendasi dosis populasi khusus ing wektu iki. (Deleng Gagal Ginjal ing Caution.)
Pènget
Kontraindikasi
Pènget/PanandhapHipertensi Intrakranial Jinis
Hipertensi intrakranial jinak (utawa pseudotumor cerebri) lan/utawa papilledema sing dilapurake kanthi terapi cysteamine bitartrate oral. Hipertensi intrakranial jinak uga dilapurake karo cysteamine ophthalmic, nanging kabeh pasien bebarengan nampa terapi cysteamine oral.
Populasi Tertentu
KandhutanKategori C.
LaktasiOra dingerteni manawa cysteamine oral disebar menyang susu manungsa. Paparan sistemik samesthine bakal diabaikan sawise administrasi ophthalmic. Mungkasi nyusoni utawa obat kasebut.
Panggunaan PediatrikKeamanan lan khasiat ditetepake ing pasien pediatrik; tamba wis disetujoni kanggo nggunakake ing patients kuwi. Mayoritas pasien ing uji klinis cysteamine ophthalmic yaiku pasien pediatrik.
Panggunaan GeriatrikOra dievaluasi; pangarep-arep urip suda saka cystinosis ora ngidini kanggo nyakup pasien geriatrik ing populasi studi klinis.
Gagal ginjelEfek saka gangguan ginjel ing farmakokinetik cysteamine sawise administrasi ophthalmic ora dievaluasi amarga paparan ophthalmic bisa diabaikan dibandhingake karo paparan sistemik. Nanging, mayoritas pasien ing studi klinis ophthalmic dianggep duwe sawetara tingkat gangguan ginjel amarga penyakit sing ndasari. (Deleng Populasi Khusus miturut Dosis lan Administrasi.)
Efek Umum sing Sabar
Fotofobia (sensitivitas marang cahya), abang mata (kalebu konjungtiva), nyeri mata lan/utawa iritasi, sirah, cacat lapangan pandang.
Apa obatan liyane bakal mengaruhi Cysteamine Hydrochloride
Ora ana interaksi obat sing dikawruhi. Interaksi sing penting sacara klinis karo obat-obatan sing diwenehake sacara sistemik ora mungkin amarga paparan sistemik cysteamine sing bisa diabaikan sawise aplikasi ophthalmic topikal.
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