Ribavarin: Difference between revisions

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==Administration==
#REDIRECT[[Ribavirin]]
*Type: Antiviral- FDA approved for [[Hepatitis C]], severe [[RSV]] infection. Off-label use: [[herpes simplex]], [[influenza]], [[viral hemorrhagic fever]]
*Dosage Forms: 200 tab, 200 cap
*Routes of Administration: Oral, inhalation
*Common Trade Names: Copegus, Rebetol, Ribasphere
 
==Adult Dosing==
*200-1000mg daily (dose depends on genotype and concurrent treatment with interferon)
 
==Pediatric Dosing==
*Hep C: >2 years old: 15mg/kg daily OR 400-1200mg daily
*RSV (severe cases): 20mg/ml aerosolized over 12-18 hours x 3-7 days
 
==Special Populations==
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]: X
*[[Lactation risk categories|Lactation risk]]: Infant risk cannot be ruled out
*Renal dosing: reduced doses for mild-moderate impairment, do not use if CrCl <50
 
==Contraindications==
*Allergy to class/drug
*[[Autoimmune hepatitis]]
*Coadministration with didanosine
*Hemoglobinopathy (e.g. [[thalassemia]], [[sickle cell]])
*[[Pregnant]] or potentially pregnant women, men who may impregnate someone
*Renal impairment (CrCl <50)
 
==Adverse Reactions==
===Serious===
*[[Hemolytic anemia]], [[TTP]]
*[[Bacterial disease]]
*[[Hepatotoxicity]]
*[[MI]]
*[[Suicide]]
 
===Common===
*[[Neutropenia]]
*[[Nausea]], [[vomiting]], [[diarrhea]]
*Asthenia, [[dizziness]], [[fatigue]]
*Weight loss
*[[Pruritus]]
 
==Pharmacology==
*Half-life: ~300 hours
*Metabolism:
*Excretion: Mostly renal
 
==Mechanism of Action==
*Mechanism not well understood
 
==Comments==
 
==See Also==
*[[Viral hepatitis]]
*[[Hepatitis C]]
 
==References==
<references/>
[[Category:Pharmacology]]

Latest revision as of 04:04, 5 October 2016

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