Basiliximab
Basiliximab
CLINICAL USE
Chimeric murine/human monoclonal anti CD25 antibody:
Prophylaxis of acute allograft rejection in combination with maintenance immunosuppression DOSE IN NORMAL RENAL FUNCTION
20 mg 2 hours before transplant and 20 mg 4 days after transplant PHARMACOKINETICS
Molecular weight                           :Approx 144 000 %Protein binding                           : %Excreted unchanged in urine     : No data Volume of distribution (L/kg)       :4.5–12.7 litreshalf-life – normal/ESRD (hrs)      :4–10.4 days/Unchanged DOSE IN RENAL IMPAIRMENT
GFR (mL/MIN)
20 to 50     : Dose as in normal renal function 10 to 20     : Dose as in normal renal function <10           : Dose as in normal renal function DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES
CAPD                :Not dialysed. Dose as in normal renal function HD                     :Not dialysed. Dose as in normal renal functionHDF/high flux   :Unknown dialysability. Dose as in normal renal functionCAV/VVHD      :Not dialysed. Dose as in normal renal function IMPORTANT DRUG INTERACTIONS
Potentially hazardous interactions with other drugsCiclosporin: may alter ciclosporin requirementsTacrolimus: may alter tacrolimus requirements ADMINISTRATION
Reconstition
Reconstitute each vial with 5 mL water for injection then dilute to 50 mL or greater with sodium chloride 0.9% or glucose 5% Route
IV infusion
Rate of Administration
20–30 minutes Comments
– OTHER INFORMATION
cinIn vitro studies indicate that basiliximab binds only to activated lymphocytesBasiliximab is detectable in serum for up to 3 months after 15–25 mg dosesUse with caution in patients who have previously had basiliximab due to increased risk of developing hypersensitivity reactions.
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