Religrast

Religrast

filgrastim

Manufacturer:

Reliance

Distributor:

Multicare
Concise Prescribing Info
Contents
Filgrastim
Indications/Uses
Treatment & prevention of neutropenia in patients receiving myelosuppressive cancer chemotherapy & to reduce the period of neutropenia in patients undergoing bone marrow transplantation. Mobilize peripheral blood progenitor cells in the management of chronic neutropenia (congenital, cyclic or idiopathic) & persistent neutropenia in patients w/ advanced HIV infection.
Dosage/Direction for Use
Adjunct to antineoplastic therapy 5 mcg/kg daily starting not <24 hr after last dose of antineoplastic, by single SC inj, continuous IV or SC infusion, or by IV infusion daily over 15-30 min. Continue treatment until neutrophil count is stabilized w/in normal range which may take up to ≥14 days. Reduce incidence of neutropenia associated w/ antineoplastic therapy A formulation of filgrastim conjugated w/ monomethoxy polyethylene glycol, given as 6 mg SC single dose, not <24 hr after last dose of antineoplastic. Bone marrow transplantation Initially 10 mcg/kg daily by IV infusion over 30 min or 4 hr, or by continuous IV or SC infusion over 24 hr. Mobilization of peripheral blood progenitor cells 10 mcg/kg daily as single SC inj or by continuous infusion for 4-7 days until leucapheresis. After myelosuppressive chemotherapy 5 mcg/kg daily by SC inj. Patient w/ congenital neutropenia Initially 12 mcg/kg daily. Patient w/ idiopathic or cyclic neutropenia Initially 5 mcg/kg daily SC in single or divided doses. Patient w/ HIV & persistent neutropenia Initially 1 mcg/kg SC inj daily. Max: 4 mcg/kg daily. Maintenance: 300 mcg daily for 1-7 days a wk.
Contraindications
Special Precautions
Avoid simultaneous use of filgrastim w/ chemotherapy & RT. Avoid in patients receiving cytotoxic drugs 24 hr before or after chemotherapy. Potential effect on malignant cells. Regularly monitor patients w/ history of gout or malignancies associated w/ increased uric acid levels. Pregnancy & lactation. Neonates & patients w/ autoimmune neutropenia of infancy. Not to be used in childn & adolescents weighing <4 kg.
Adverse Reactions
Mild to moderate (occasionally severe) medullary bone pain. Pyrexia, vomiting, diarrhea, asthenia, generalized pain, cough, abdominal pain, anemia, pain in extremity, nausea, anorexia, hypoaesthesia, paraesthesia, mucosal inflammation & dysuria.
Drug Interactions
Concomitant use w/ drugs that may potentiate release of neutrophils (eg, lithium).
MIMS Class
Haematopoietic Agents / Supportive Care Therapy
ATC Classification
L03AA02 - filgrastim ; Belongs to the class of colony stimulating factors. Used as immunostimulants.
Presentation/Packing
Form
Religrast soln for inj 300 mcg/0.5 mL
Packing/Price
1's
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