Penicillamine
【Product name】 Cuprimine
[English common name] Penicillamine
[Chinese common name]Penicillamine
[English name]3,3-Dimethyl-D-cysteine
[Chinese other name]3,3-dimethyl-D-cysteine
[Indications] Suitable for heavy metal poisoning,Hepatolenticular degeneration(Wilson's disease), cystineuria and its stones, and also treat serious activities that are ineffective against other drugs.Rheumatoid arthritis.
[Usage and Dosage] Oral, 0.5g-1.5g (4-12 tablets) a day, divided into divided doses. The treatment of hepatolenticular degeneration is 20 mg per kilogram of body weight per day, taken in 3 divided doses. For chronic lead, mercury poisoning is 1g (8 tablets) per day, divided into 3-4 times, 5-7 days for a course of treatment, 2 days after stopping the drug to start the next course of treatment, generally 1-3 courses. The treatment of immune diseases is 1.5g (12 tablets) per day, taken in 3-4 times. Reduce the amount of children used, or follow the doctor's advice.
[Storage] sealed and stored.
[Tips] Some of the information on this site comes from the Internet and is only used internally by pharmacists or medical staff. It is not a substitute for doctors to diagnose face to face. Please consult a professional pharmacist for specific medications. Please refer to the actual product manual or the actual product for the product content.
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Chronic myeloid leukemia , Gastrointestinal stromal tumor (GIST)
Imatinib
【Product name】Imatinib
[English common name]GLEEVEC
[Chinese common name]Imatinib
[English name]Imatinib intermediates, imatinib
[Chinese other name]Imatinib intermediate, imatinib
[indications]
Imatinib mesylate capsule: for treatmentChronic myeloid leukemia(CML) chronic phase, accelerated phase, or chronic phase after failure of alpha-interferon therapy; malignancy that cannot be surgically removed or metastasizedGastrointestinal stromal tumor (GIST)patient.
Imatinib mesylate tablets: for the treatment of chronic chromosome patients with chronic myeloid leukemia (CML) in Philadelphia, in the blast phase, accelerated phase, or chronic phase after failure of alpha-interferon therapy.
Adult patients for the treatment of malignant gastrointestinal stromal tumors (GIST) that cannot be removed and/or metastasized.【Dosage】
Imatinib mesylate capsule: starting dose: for patients with blast crisis and accelerated phase of chronic myeloid leukemia, the recommended dose of imatinib mesylate is 600 mg/day; for chronic patients who have failed interferon therapy, and For patients with malignant gastrointestinal stromal tumors (GIST) who cannot be surgically removed or metastasized, the recommended dose is 400 mg/day, which is taken once a day. It is advisable to take the medicine at mealtime and drink a large glass of water. It should be taken continuously.
If the blood picture permits, there is no serious adverse drug reaction, the dose can be considered to increase from 400mg / day to 600mg / day, or from 600mg / day to 800mg / day (400mg, divided into 2 times) in the following cases: disease progression, treatment A satisfactory hematologic response was not obtained after at least 3 months, and the hematologic response that had been obtained disappeared again.
The dose must be adjusted in the following cases: if a serious non-hematologic adverse reaction (such as severe water retention) occurs during the treatment, the drug should be discontinued until the adverse reaction disappears, and then the dose is adjusted according to the severity of the adverse reaction.
Dose adjustment in severe liver toxicity: If the bilirubin rises more than 3 times the upper limit of the normal range or the transaminase rises more than 5 times the upper limit of the normal range, the drug should be discontinued until the above indicators fall to 1.5 or 2.5 times the upper limit of the normal range. the following.
Adjustment of dose during neutropenia or thrombocytopenia: accelerated or blast phase: if severe neutrophils and thrombocytopenia occur (neutrophils <0.5×109/L and/or platelets<10×109/L The recommended dose is reduced to 400 mg / day. If the blood cells continue to decrease for 2 weeks, further reduce the dose to 300 mg / day, if the blood cells continue to decrease for 4 weeks, it is advisable to stop the drug until neutrophils ≥ (greater than or equal to ) 1.0 × 109 / L and platelets ≥ (greater than or equal to) 20 × 109 / L. When used again, the dose is 300 mg / day.
Patients with chronic phase after failure of α-interferon therapy: neutrophils <1.0×109/L and/or platelets <50×109/L should be discontinued, only in granulocyte ≥ (greater than or equal to) 1.5 When x109/L and platelet ≥ (greater than or equal to) 75×109/L, the dosage is 400 mg/day. If the neutrophils or platelets are reduced to the above values, the dosage will be restored. Reduced to 300 mg / day.
Children and adolescents: There are no clinical data on the safety and efficacy of imatinib mesylate in patients under 18 years of age.
Dosage in patients with liver failure: The plasma concentration of imatinib mesylate can be increased in patients with liver damage, so these patients should be cautious when using this drug. There is no liver damage in patients with liver damage. Nie's clinical data, no suggestion for dose adjustment.
Renal failure and dose in elderly patients: creatinine clearance is known to decrease with age, and age has no significant effect on the pharmacokinetics of imatinib mesylate, as it has not been performed in patients with impaired renal function. Clinical trials, so it is not possible to propose a dose adjustment.
Imatinib mesylate tablets: starting dose: The initial treatment should be performed by a physician with experience in treating chronic myelogenous leukemia or GIST.
The product should be taken orally, and it is advisable to take the medicine while eating and drink a large glass of water. Usually adults once a day. Children and adolescents take it once or twice a day (morning and evening).
Patients (children) who cannot swallow tablets can disperse the tablets in water or apple juice. It is recommended that pregnant and lactating women avoid contact with skin or eyes when inhaling capsules, or inhalation (see pregnant and lactating women), and wash hands immediately after touching open capsules.
- therapeutic dose of CML patients
adult
The recommended dose for patients in the chronic phase is 400 mg/day, and for the blast phase and accelerated phase, it is 600 mg/day.
As long as it is effective, it should be taken continuously.
If the blood picture permits, there is no serious adverse drug reaction, the dose can be considered to increase from 400 mg / day to 600 mg / day, or from 600 mg / day to 800 mg / day (400 mg, orally, 2 times) Taking): The disease has not been able to obtain a satisfactory hematologic response after at least 3 months of treatment, and the hematological response has disappeared.
Children and adolescents over 3 years old
So far, children have limited experience in medication. According to the adult dose, the recommended daily dose is: chronic phase 260mg / m2 (maximum dose: 400mg), accelerated phase and blast phase 340mg / m2 (maximum dose: 600mg), the daily recommended dose for children, the calculated dose is generally Should be close to or around 100mg, the dose for children under 12 should generally be as close as possible or around 50mg. There is no experience in treating children under 3 years of age.
- therapeutic dose of GIST patients
For patients with malignant GIST who cannot be removed and/or metastasized, the recommended dose for this product is 400 mg/day.
A satisfactory response was not obtained after treatment. If there were no adverse drug reactions, the dose could be considered to increase from 400 mg/day to 600 mg/day. Treatment time:
For patients with GIST, the product should be treated continuously unless the condition progresses.[Storage]
Imatinib mesylate capsule: should be kept below 30 °C.
Imatinib mesylate tablets should be kept below 30 °C.[Tips] Some of the information on this site comes from the Internet and is only used internally by pharmacists or medical staff. It is not a substitute for doctors to diagnose face to face. Please consult a professional pharmacist for specific medications. Please refer to the actual product manual or the actual product for the product content.
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Hepatolenticular degeneration
Dimercaptopropanol
【Product name】 BAL In Oil
[English common name]Dimercaprol
[Chinese common name]Dimercaptopropanol
[English name]2,3-dimercaptopropanol
[Chinese other name]2,3-dimercaptopropanol
[indications]BAL In Oil(Dimercaptopropanol injection USP) is used to treat arsenic, gold and mercury poisoning. When used simultaneously with the calcium disodium edetate injection USP, it indicates the presence of acute lead poisoning.
[Usage and Dosage] Only through deep intramuscular injection. For mild arsenic or gold poisoning, 2.5 mg / kg body weight, 4 times a day for 2 consecutive days, 2 times for the second time, 1 time thereafter, for 10 consecutive days; for severe arsenic or gold poisoning, every 4 hours 3 mg / kg for 2 consecutive days, 4 times on the 3rd day, then 2 times a day for 10 days. For mercury poisoning, initially 5 mg / kg, then 2.5 mg / kg once or twice daily for 10 days. For acute lead encephalopathy, 4 mg / kg body weight was administered alone in the first dose, and then administered in combination with the USP of ethylenediaminetetraacetate disodium injection administered at a separate site at 4 hour intervals. For less severe poisoning, the dose can be reduced to 3 mg / kg after the first dose. According to the clinical response, the treatment is maintained for 2 to 7 days. Successful treatment depends on starting the injection as early as possible and using a sufficient amount of treatment frequently. Other supportive measures should always be used with BAL in Oil (Dimercaprol Injection USP) therapy.
[Storage] Storage temperature is 20 ° to 25 ° C (68 ° to 77 ° F).
[Tips] Some of the information on this site comes from the Internet and is only used internally by pharmacists or medical staff. It is not a substitute for doctors to diagnose face to face. Please consult a professional pharmacist for specific medications. Please refer to the actual product manual or the actual product for the product content.
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scleroderma
Captopril
【Product name】Captopril
[English common name]Captopril
[Chinese common name]Captopril
[English name]Engraving
[Chinese other name]Engraved
[indications]
1 for the treatment of hypertension, can be used alone or in combination with other antihypertensive drugs such as diuretics;
2 for the treatment of heart failure, can be used alone or in combination with cardiotonic diuretics.
This product is used for mild, moderate, severe hypertension, refractory hypertension, renal vascular hypertension, hypertension caused by chronic renal failure, especially for high renin type hypertension, the best effect of this product, because of its efficacy Significant, wide range of applications, is now the drug of choice in the treatment of hypertension. This product is also suitable for the treatment of acute and chronic congestive heart failure. Adding or switching to a product that is not satisfactory when digitalis, diuretics, or vasodilators are used may often work. This product can prevent the occurrence of congestive heart failure in acute myocardial infarction. It can improve left ventricular function and improve the survival rate after infarction in patients with clinically stable myocardial infarction.【Dosage】
1. Adult dose
1 blood pressure, oral 12.5mg, 2 to 3 times a day, increased to 25mg as needed for 1 to 2 weeks, 2-3 times a day; diuretic drugs can be added when the effect is not satisfactory;
2 treatment of heart failure, start an oral 12.5mg, 2-3 times a day, if necessary, gradually increase to 50mg, 2-3 times a day; if further dosage, it is advisable to observe the effect after 2 weeks. China Medical Health Network
2. The commonly used amount of blood pressure in children and treatment of heart failure, began to use oral weight 0.3mg / kg, 3 times a day, if necessary, increase 0.3mg / kg every 8-24 hours, to obtain the lowest effective amount.[Storage] Do not store above 30oC (86oF). Keep the bottle tight (to prevent moisture).
[Tips] Some of the information on this site comes from the Internet and is only used internally by pharmacists or medical staff. It is not a substitute for doctors to diagnose face to face. Please consult a professional pharmacist for specific medications. Please refer to the actual product manual or the actual product for the product content.
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Hepatolenticular degeneration
D-penicillamine
【Product name】Calcium edetate injection
[English common name]D-Penicillamine
[Chinese common name]D-penicillamine
[English name]3-Mercapto-D-valine
[Chinese other name]3-mercapto-D-proline
[Indications] for the treatment of Wilson's disease, cystineuria and severe.
[Usage and Dosage] Wilson's Disease - The optimal dose can be determined by measuring the measurement of urinary copper excretion and free copper in serum. Urine must be collected in copper-free glassware and copper should be quantified immediately before and after treatment with CUPRIMINE.
Determination of 24-hour urinary copper excretion during the first week of treatment with penicillamine was the most valuable. In the absence of any drug response, a dose between 0.75 and 1.5 g results in over 2 mg of copperuria for the first 24 hours should last for about 3 months, at which time the most reliable method of monitoring maintenance therapy is to determine the serum. Free copper. This is equal to the difference between the total copper and ceruloplasmin-copper quantitatively determined. Well-treated patients usually contain less than 10 mcg of free copper/dL serum. A dose of more than 2 grams per day is rarely required. If the patient is unable to receive CUPRIMINE treatment, the replacement therapy is trientine hydrochloride.
The usual dose of CUPRIMINE for the treatment of cystineuria is 2 g/day for adults, ranging from 1 to 4 g/day. For pediatric patients, the dose can be based on 30 mg / kg / day. The total daily amount should be divided into four doses. If four equal doses are not feasible, give a larger percentage before going to bed. If the adverse reaction requires a dose reduction, it is important to maintain the bedtime dose.
Starting doses of 250 mg/day and gradually increasing to the required amount can more closely control the effects of the drug and may help reduce the incidence of adverse reactions.[Storage] Keep the container closed.
[Tips] Some of the information on this site comes from the Internet and is only used internally by pharmacists or medical staff. It is not a substitute for doctors to diagnose face to face. Please consult a professional pharmacist for specific medications. Please refer to the actual product manual or the actual product for the product content.