Capreomycin
Capreomycin
CLINICAL USE
Antibacterial agent in combination with other drugs:
Tuberculosis that is resistant to first-line drugs DOSE IN NORMAL RENAL FUNCTION
Deep IM injection: 1 g daily (not more than 20 mg/kg) for 2–4 months, then 1 g 2–3 times each week PHARMACOKINETICS
Molecular weight                           :668.7 %Protein binding                           :No data %Excreted unchanged in urine     : 50 Volume of distribution (L/kg)       :0.37–0.42half-life – normal/ESRD (hrs)      :2/55.5 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           : 1 g every 48 hours DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES
CAPD                :Not dialysed. Dose as in GFR <10 mL/min HD                     :Dialysed. Dose as in GFR <10           : mL/min HDF/high flux   :Dialysed. Dose as in GFR <10           : mL/minCAV/VVHD      :Not dialysed. Dose as in normal renal function IMPORTANT DRUG INTERACTIONS
Potentially hazardous interactions with other drugsIncreased risk of nephrotoxicity and ototoxicity with aminoglycosides and vancomycin ADMINISTRATION
Reconstition
Dissolve in 2 mL of sodium chloride 0.9% or water for injection. 2–3 minutes should be allowed for complete dissolution Route
Deep IM injection Rate of Administration
–Comments
– OTHER INFORMATION
Nephrotoxic Check potassium levels as hypokalaemia may occurDesired steady state serum capreomycin level is 10 micrograms/mLDose should not exceed 1 g/day in renal failureCapreomycin sulphate 1 000 000 Units approximately equivalent to capreomycin base 1 g
See how to identify renal failure stages according to GFR calculation
See how to diagnose irreversible renal disease
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