Desirox (Deferasirox)

Medicine OverView

Product Code:
328
Country of Origin :
India
Dosage Form :
Tablet
Indication :
Iron overload, Transfusion dependent thalassemia
Packaging :
30 tablets in 1 bottle
Active Ingredient :
Deferasirox
Manufacturer :
Cipla Limited
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Product of India
Manufactured by:
Cipla Limited

Desirox
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Product of India
Manufactured by:
Cipla Limited

Desirox
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Description

Buy Desirox 250mg and 500mg Tablet Generic drug of Deferasirox Dispersible online at a reasonable price from most trusted pharmacy to cure Iron overload, Transfusion dependent thalassemia. Get all information regarding this medicine like a review, uses side effect, dosage (Missed/Over), Composition, Substitutes, Precautions, manufactured by Cipla Limited, India, how it works, how long does last. You can also get speedy delivery in UK, USA, France, Australia, China.

This medicine is used for the Iron overload, Transfusion dependent thalassemia. Desirox Tablet manufactured by Cipla Limited. The Dosage Form is Tables for oral suspension. This medicine is a composition of the generic deferasirox 250mg and 500mg; it is an active ingredient. It is available in various strengths:250mg and 500mg.

DESIROX 250mg(deferasirox) pill is indicated for the treatment of chronic iron overload due to blood transfusions (transfusional hemosiderosis) in patients two year of age and older. In these patients, deferasirox has been appeared to decrease liver iron fixation and serum ferritin levels. Clinical preliminaries to exhibit expanded survival or to affirm clinical advantage have not been finished.

Individualize the decision to initiate deferasirox therapy based on consideration of the anticipated clinical benefit and risks of the treatment, taking into consideration factor such as the life expectancy and comorbidities of the patient.

The safety and efficacy of deferasirox medicine, when administered with other iron chelation therapy, have not been established.

Generic drug of Deferasirox is an orally active chetor that is selective for iron (as Fe³⁺). It is a tridentate ligand that ties press with high liking in a 2: 1 proportion, Although Deferasirox has a low partiality for zinc and copper there is a variable abatement in the serum grouping of these follow metals after the organization of deferasirox. The clinical importance of this reduction is dubious.

Pharmacodynamics impact tried in an iron equalization metabolic examination demonstrated that deferasirox (10, 20 and 40 mg/kg every day) could instigate a mean net iron discharge (0.119, 0.329 and 0.445 mg Fe/kg body weight every day separately) inside the clinically applicable range (0.1-0.5 mg/kg every day). Press discharge was transcendently fectal. The proper information about how long does it last is printed on the tablet box/bottle, in the one bottle 30 tablets are available.

Before starting this drug, obtain iron levels and baseline serum ferritin. The risk( fear) for toxicity may be increased when this medicine is given to patients with low iron burden ferritin levels are only slightly elevated.

The recommended initial daily dose of this drug is 20 mg/kg body weight.

Take Desirox 500mg once every day on an unfilled(empty) stomach no less than 30 minutes before sustenance, ideally in the meantime every day. Try not to bite tablets or gulp down them. Try not to take this drug with aluminum-containing acid neutralizer items. Ascertain measurements (mg/kg every day) to the closest entire tablet.

Scatter tablets by blending in water, squeezed orange, or a squeezed apple until the point when a fine suspension is acquired. Scatter measurements of <1 g in 3.5 ounces of fluid and medicines of ≥ g in 7.0 ounces of liquid. In the wake of gulping the suspension, resuspend any buildup in a little volume of fluid and swallow.

Missed Dose

If you miss a dose of Deferasirox pill, take it as soon as possible you remember. However, if it is around time for your next treatment, skip the missed dose and go back to your regular schedule. Do not double the dose.

OverDose

Cause of overdose (2-3 times the prescribed dose for the several weeks) have been reported. An example of one situation, this resulted in hepatitis which resolved without long-time consequence after a dose interruption. Single treatment up to 80 mg/kg-day in iron-overloaded beta-thalassemic patients has been tolerated with nausea and diarrhea noted. In case of overdose. Induce vomiting and employ gastric lavage.

As per the expert’s review, there are some side effects of these tablets. They are as follows:

Minor side effect

  • Nausea
  • A headache
  • Vomiting
  • Rash
  • Dyspepsia
  • Abdominal pain
  • Diarrhea

Major side effect

  • Constipation
  • Itching
  • Increased liver enzymes
  • Abdominal distension

General Instructions

Renal

Intense renal disappointment, lethal in a few patients and requiring dialysis in others, have been accounted for following the postmarketing utilization of deferasirox. Most by far of the fatalities occurred in patients with various comorbidities and who were in bleeding edge periods of their hematological issue. Screen serum creatinine and creatinine leeway in patients who: are at expanded danger of entanglements, have previous renal conditions, are elderly, have comorbid conditions, or are getting therapeutic items that discourage renal capacity. Nearly screen the renal capacity of patients with creatinine leeway among 40 and under 60 mL/min, especially in a circumstance where patients have an extra hazard factor that may additionally hinder renal capacity, for example, associative drug, parchedness, or serious diseases.

Hepatic dysfunction and failure

Avoid the use of Desirox 250mg tablet in patients with severe (Child-Pugh C) Hepatic impairment. For sufferers with moderate (Child-Pugh B) hepatic impairment, a 50% reduction in the starting dose is suggested. Nearly screen patients with moderate (Child-Pugh An) or moderate (Child-Pugh B) hepatic weakness for viability and unfriendly response that may require treatment titration.

In study 1, four patients reduced deferasirox due to hepatic variations from the norm (tranquilize prompted hepatitis in 2 patients and expanded serum transaminases in 2 extra patients). There have been postmarketing reports of hepatic disappointment, some with a deadly result, in patients treated with deferasirox. The vast majority of these occasions happened in patients more noteworthy than 55 years old. Most reports of hepatic disappointment included patients with huge comorbidities, including liver cirrhosis and multi-organ disappointment. Serum transaminases and bilirubin ought to be checked before the inception of treatment, at regular intervals amid the first month and month to month from that point. Consider measurement alteration or interference of therapy for serious or industrious rises.

Gastrointestinal

Fatal Gl hemorrhages, especially in elderly patients who had advanced hematologic malignancies and low platelet counts, have been reported. Non-fatal upper GI irritation, hemorrhage and ulceration have been reported in patients, including children and adolescents, receiving deferasirox. Doctor and patients should remain alert for signs and symptoms of GI ulceration and hemorrhage during this medication therapy and promptly initiate and treatment if a serious GI adverse event is suspected. Use caution when administering Desirox in combination with drugs that have ulcerogenic or hemorrhagic potential, such as non-steroidal anti-inflammatory drugs, corticosteroids, oral bisphosphonates, or anticoagulants.

Hypersensitivity

Severe hypersensitivity reactions have been reported in patients receiving deferasirox, with the onset of the reaction occuring in the majority of cases within the first month of treatment. If reactions are severe, discontinue this medicine and institute appropriate medical intervention.

Laboratory Senses

Measure serum ferritin month to month to survey reaction to treatment and to assess for the likelihood of over chelation of iron. On the off chance that the serum ferritin falls reliably underneath 500 mcg/L, consider treatment with Desirox 500mg pill briefly.

When not to use?

Pediatric

Following oral administration of single/multiple doses, systemic exposure of adolescents and children to deferasirox was less than an adult patient. In children less than six yr of age, systemic exposure was about 50 percent lower than in adults.

Geriatric

The pharmacokinetics of deferasirox has not been studied in geriatric patients (65 years of age or older).

Gender

Female have a moderately lower apparent clearance (by 17.5%) for deferasirox compared to males.

Warnings for special population

Pregnancy Category C

There are no sufficient and very much controlled examinations with deferasirox in pregnant ladies. Organization of deferasirox to creatures amid pregnancy and lactation brought about diminished posterity suitability and expansion in renal irregularities in male posterity at the presentation that was not as much as the prescribed human introduction.

DESIROX 250mg drug should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

The attending organization of deferasirox and aluminum-containing stomach settling agent arrangements has not been formal investigations. Even though deferasirox has a lower proclivity for aluminum than for iron, don't regulate DESIROX with aluminum-containing stomach settling agent arrangements.

Interaction with Agent inducing UDP-glucuronosyltransferase (UGT)

Metabolism

In a healthy patient study, the concomitant administration of deferasirox and the potent UDP-glucuronosyltransferase (UGT) inducer rifampicin (600 mg/day for nine days) resulted in a decrease of deferasirox systemic exposure (AUC) by 44%. Therefore, the concomitant use of deferasirox with potent UGT inducer may result in a decrease in deferasirox efficacy.

Interaction with Cholestyramine

The attending utilization of deferasirox with cholestyramine may result in a decline in deferasirox adequacy. In solid volunteers, the organization of cholestyramine after a solitary measurement of this pharmaceutical brought about a 45% diminishing in deferasirox introduction (AUC). Stay away from the attendant utilization of cholestyramine with deferasirox. If you should co-regulate these specialists together, think about expanding the underlying dosage of this solution to 30 mg/kg and screen serum ferritin levels and clinical reactions for further measurements of prescription.

Clinical Trials Experience

A total of 700 adult and pediatric patient were treated with Desirox medicine for 48 weeks in premarketing studies. These include 469 patients with β-thalassemia, 99 with rare anemias, and 132 with sickle cell disease. Of, 45% were male, 70% were Caucasian and 292, patients were <16 years of age. In a sickle cell ailment populace, 89% of patients were dark. Middle treatment span among these sickle cell patients was 51 weeks. Of the 700 patients treated, 469 were gone into expansions of the first clinical conventions. In ongoing extension studies, the median duration of treatment was 88-205 weeks.

Other Adverse Reaction

In the population of more than 5000 patients who have been treated with deferasirox during clinical trials, adverse reaction occuring in 0.1 % to 1 % patients induced edema,gastritis, dizziness,sleep disorder, pigmentation disorder, anxiety, pyrexia , maculopathy, cholelithiasis, fatigue, pharyngolaryngeal pain, early cataract, gastrointestinal hemorrhage, hearing loss, gastric ulcer (including multiple ulcer), duodenal ulcer, and renal tubulopathy (Fanconi’s syndrome). Adverse occuring in 0.01 % to 0.1 % of patients include optic neuritis and esophagitis. The adverse reaction which most frequently led to dose interruption or dose adjustment during clinical trials were rash, gastrointestinal disorder, infection, increased serum creatinine, and increase serum transaminases.

ALTERNATIVE MEDICINE


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