Amphotericin
Therapeutic Group
Anti-mycotics Systemic UseIndication 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