Basiliximab
Basiliximab.JPG

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 litres
  • half-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 function
  • HDF/high flux   :Unknown dialysability. Dose as in normal renal function
  • CAV/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 lymphocytes
  • Basiliximab is detectable in serum for up to 3 months after 15–25 mg doses
  • Use with caution in patients who have previously had basiliximab due to increased risk of developing hypersensitivity reactions.



    See how to identify renal failure stages according to GFR calculation

    See how to diagnose irreversible renal disease

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