Amphotericin

Therapeutic Group

Anti-mycotics Systemic Use

Indication Dosage

Severe Invasive Candidiasis, Severe Systemic Fungal Infections Including Invasive Aspergillosis, Cryptococcal Meningitis And Disseminated Cryptococcosis In HIV Patients: 

By IV Infusion: 

  • Adult: Test Dose 1 Mg, To Be Given Over 15 Minutes, Then 5 Mg/kg Once Daily For At Least 14 Days 

Severe Systemic Or Deep Mycoses With Toxicity (particularly Nephrotoxicity), Suspected Or Proven Infection In Febrile Neutropenic Patients Unresponsive To Broad-spectrum Antibacterials: 

By IV Infusion: 

  • Adult: Test Dose 1 Mg, To Be Given Over 10 Minutes, then 3 Mg/kg Once Daily; Maximum 5 Mg/kg Per Day 

Visceral Leishmaniasis (unresponsive To The Antimonialalone): 

By IV Infusion: 

  • Adult: 1-3 Mg/kg Daily For 10-21 Days To A Cumulative Dose Of 21-30 Mg/kg, Alternatively 3 Mg/kg For5 Consecutive Days, Followed By 3 Mg/kg After 6 Days For1 Dose 

Systemic Fungal Infections, Aspergillosis: 

By IV Infusion: 

  • Adult: Test Dose 1 Mg, To Be Given Over 20-30 Minutes, Then 250 Micrograms/kg Daily, Gradually Increased Over 2-4 Days, Increased If Tolerated To 1 Mg/kg Daily, Max. (severe Infection) 1.5 Mg/kg Daily Or On Alternate Days. Prolonged treatment is Usually Necessary; If Interruptedfor Longer Than 7 Days Recommence At 250 Micrograms/kg Daily And Increase Gradually

Content

  • Inj 50mg /100mg: Amphotericin B (liposomal) 50mg /100mg, Powder For Reconstitution.

Pregnancy

Avoid, Use Only When No Safer Alternative Available

Stability

  • Polyene Antifungal

Contra Indications

  • Hypersensitivity To Amphoteric In B Or Any Component Of The Formulation Unless, In The Opinion Of The Treating Physician, The Benefit Of Therapy Outweighs The Risk.

Precautions

  • Hypersensitivity To Amphoteric In B Or Any Component Of The Formulation Unless, In The Opinion Of The Treating Physician, The Benefit Of Therapy Outweighs The Risk.

Lactation

  • Caution Advised, Avoid

Side Effects

  • Abdominal Pain
  • Abnormal Liver Function (discontinue)
  • anaemia
  • Arrhythmias
  • Blood Disorders
  • Blood Pressure Changes
  • Cardiovascular Effects
  • Chest Pain
  • Diarrhoea
  • Disturbances In Renalfunction
  • Dyspnea
  • Electrolyte Disturbances
  • Febrile Reactions
  • Headache
  • Hypokalaemia
  • Hypomagnesaemia
  • Nausea
  • Rash
  • Renal Tubular Acidosis
  • Thrombocytopenia
  • Vomiting
  • Anaphylactoid Reactions
  • Bronchospasm
  • Convulsions
  • Diplopia
  • Encephalopathy
  • Hearing Loss
  • Neurological Disorders
  • Peripheral Neuropathy
  • Tremor
  • Anorexia
  • Arthralgia
  • Myalgia
  • Stevens-johnson Syndrome
  • Toxic Epidermal Necrolysis