Interferon Gamma
Jeneng merek: Actimmune
Kelas obat:
Agen Antineoplastik
Panganggone Interferon Gamma
Penyakit Granulomatous Kronis
Ngurangi frekuensi lan keruwetan infeksi serius ing pasien karo penyakit granulomatous kronis (ditunjuk minangka obat yatim piatu dening FDA kanggo panggunaan iki).
Osteopetrosis
Pengobatan kanggo nundha wektu kanggo perkembangan penyakit ing pasien kanthi osteopetrosis ganas sing abot (ditunjuk minangka obat yatim piatu dening FDA kanggo panggunaan iki).
Fibrosis Pulmonary Idiopatik
Interferon gamma-1b diselidiki ing pasien karo fibrosis paru idiopatik† [off-label] (IPF) kanthi gangguan fungsi paru-paru entheng nganti moderat ing studi INSPIRE; sinau iki mungkasi awal nalika analisis data interim dituduhake lack saka entuk manfaat ing patients nampa tamba. Analisis interim uga nuduhake yen 14,5% pasien sing nampa interferon gamma 1-b mati dibandhingake karo 12,7% sing nampa plasebo.
Interferon gamma-1b ora disetujoni kanggo digunakake ing pasien karo IPF. FDA nyaranake manawa profesional perawatan kesehatan kudu ngrembug asil uji coba iki karo pasien sing nampa obat kanggo IPF lan nimbang kanthi ati-ati apa dheweke kudu terus nampa perawatan interferon gamma-1b.
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Carane nggunakake Interferon Gamma
Umum
Administrasi
Administrasi Sub-Q
Administrasi kanthi injeksi sub-Q 3 kaping saben minggu (contone, Senin, Rebo, Jumuah).
Situs paling optimal kanggo injeksi sub-Q kalebu deltoid tengen lan kiwa lan paha anterior.
Kanggo nyilikake risiko sindrom kaya flu, gunakake nalika turu lan/utawa wenehi acetaminophen kanggo nyegah utawa nyuda sebagian demam lan sirah.
Botol ora ana pengawet; Mbuwang sisa solusi sing isih ana ing vial sawise administrasi dosis tunggal.
Dosis
Saben mg interferon gamma-1b kira-kira padha karo 20 yuta unit internasional (padha karo jumlah sing biyene digambarake minangka 30 yuta unit).
Pasien Pediatrik
Penyakit Granulomatous Kronis Sub-Q50 mcg/m2 (1 yuta unit internasional per m2) kaping 3 saben minggu kanggo pasien kanthi area lumahing awak (BSA) > 0,5 m2 lan 1,5 mcg/kg 3 kaping saben minggu kanggo sing duwe area lumahing awak ≤0,5 m2.
Yen reaksi salabetipun abot (contone, gejala kaya flu), ngurangi dosis nganti 50% utawa mungkasi tamba nganti reaksi salabetipun abates.
Osteopetrosis Sub-Q50 mcg/m2 (1 yuta unit internasional per m2) 3 kaping saben minggu kanggo pasien karo area lumahing awak >0,5 m2 lan 1,5 mcg /kg 3 kaping saben minggu kanggo sing duwe area lumahing awak ≤0,5 m2.
Yen reaksi salabetipun abot (contone, gejala kaya flu), suda dosis nganti 50% utawa mungkasi tamba nganti reaksi salabetipun abates.
Wong diwasa
Penyakit Granulomatosa Kronis Sub-Q50 mcg/m2 (1 yuta unit internasional per m2) kaping telu saben minggu.
Yen ana reaksi ala sing abot (contone, gejala kaya flu), suda dosis nganti 50% utawa mandhegake obat nganti reaksi salabetipun abates.
Osteopetrosis Sub-Q50 mcg/m2 (1 yuta unit internasional per m2) 3 kaping saben minggu.
Yen reaksi salabetipun abot (contone, gejala kaya flu ) kedadeyan, nyuda dosis nganti 50% utawa mandhegake obat nganti reaksi salabetipun suda.
Watesan Resep
Pasien Anak
Sub-Q Penyakit Granulomatous KronisKeamanan lan khasiat saka dosis >50 mcg/m2 3 kaping saben minggu ora ditetepake.
Osteopetrosis Sub-QAman lan khasiat saka dosis >50 mcg/m2 3 kaping saben minggu ora ditetepake.
Dewasa h4> Sub-Q Penyakit Granulomatous Kronis
Keamanan lan khasiat dosis >50 mcg/m2 3 kali seminggu ora ditetepake.
Osteopetrosis Sub-QKeamanan lan khasiat dosis >50 mcg/m2 3 kali saben minggu ora ditetepake.
Pènget
Kontraindikasi
Pènget/PanandhapPènget
Efek Jantung
Sindrom kaya flu akut lan transien utawa gejala konstitusional (contone, hawa adhem, mriyang) sing digandhengake karo dosis saben dina ≥250 mcg/m2 (>10 kaping dosis dianjurake saben minggu) bisa nambah kahanan jantung sing wis ana.
Gunakake kanthi ati-ati ing pasien karo penyakit jantung sing wis ana (contone, aritmia, CHF, gejala iskemia).
Efek CNSKamungkinan kejang, status mental mudhun, pusing, lan gangguan mlaku, utamane ing dosis saben dina> 250 mcg/m2 (>10 kaping dosis sing disaranake saben minggu).
Gunakake kanthi ati-ati ing pasien sing duwe kelainan kejang sing dikenal utawa fungsi CNS sing rusak.
Efek hematologiKamungkinan neutropenia lan trombositopenia sing abot, bisa dibalekake, lan watesan dosis arang banget dilapurake.
Gunakake kanthi ati-ati ing pasien sing ngalami myelosupresi lan sing nampa obat sing bisa dadi myelosuppressive.
Ngawasi jumlah sel getih lan diferensial lan jumlah trombosit sadurunge miwiti interferon gamma-1b lan ing interval 3 sasi sajrone terapi.
Efek GinjalProteinuria jarang dilapurake.
Nglakokake urinalisis lan monitor sing cocog. tes kimia getih sadurunge miwiti interferon gamma-1b lan ing interval 3 sasi sajrone terapi.
Efek HepatikMungkin (nganti 25 kali lipat) peningkatan AST lan/utawa ALT sing dilaporake; bocah-bocah <1 taun paling beresiko (pirsani Panggunaan Pediatrik ing Cautions). Bisa dibalèkaké kanthi nyuda dosis utawa interupsi terapi.
Nindakake tes fungsi ati sadurunge miwiti interferon gamma-1b lan saben wulan (kanggo bocah <1 taun) utawa interval 3 wulan sajrone terapi. Yen ana paningkatan enzim ati sing abot, ganti dosis. (Deleng Dosis ing Dosis lan Administrasi.)
Reaksi Sensitivitas
Reaksi HipersensitivitasYen reaksi hipersensitivitas akut lan serius kedadeyan, langsung mandheg lan miwiti terapi sing cocog.
Populasi Spesifik
KandhutanKategori C.
LaktasiOra dingerteni manawa interferon gamma-1b disebarake menyang susu; mungkasi nyusoni utawa obat kasebut.
Panggunaan PediatrikTambah risiko kenaikan AST lan/utawa ALT ing bocah-bocah <1 taun. Bisa kedadeyan 7 dina sawise miwiti perawatan. (Deleng Efek Hepatik ing Ati-ati.)
Mungkin munggah pangkat alkali fosfatase lan hipokalemia.
Efek Samsaya Awon
Sindrom kaya flu (umpamane, sirah, mriyang, meri, myalgia, lemes), eritema utawa nyeri ing situs injeksi, pendarahan ing situs injeksi, mual, muntah, ruam.
Apa obatan liyane bakal mengaruhi Interferon Gamma
Ora ana studi interaksi obat resmi nganti saiki.
Obat Spesifik
Obat
Interaksi
Komentar
Agen myelosuppressive
Kamungkinan efek myelosuppressive aditif
Gunakake kanthi ati-ati
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