Zafirlukast
CLINICAL USE
Prophylaxis of asthma
DOSE IN NORMAL RENAL FUNCTION
20 mg twice daily
PHARMACOKINETICS
Molecular weight                           : 575.7 %Protein binding                           : 99 %Excreted unchanged in urine     : 0 (10% as metabolites) Volume of distribution (L/kg)       : 70 litres half-life – normal/ESRD (hrs)      : 10/Possibly 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, but use with care <10           : Dose as in normal renal function, but use with care DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES
CAPD                : Unlikely to be dialysed. Dose as in normal renal function, but use with care HD                     : Unlikely dialysability. Dose as in normal renal function, but use with care HDF/high flux   : Unknown dialysability. Dose as in normal renal function, but use with care CAV/VVHD      : Unknown dialysability. Dose as in normal renal function, but use with care IMPORTANT DRUG INTERACTIONS
Potentially hazardous interactions with other drugs Analgesics: concentration increased by aspirin Antibacterials: concentration reduced by erythromycin Anticoagulants: may enhance the effects of warfarin Theophylline: zafirlukast possibly increases theophylline concentration; zafirlukast concentration reduced ADMINISTRATION
Reconstition
– Route
Oral Rate of Administration
– Comments
– OTHER INFORMATION
Do not take with food as it reduces bioavailability .
See how to identify renal failure stages according to GFR calculation
See how to diagnose irreversible renal disease
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