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新藥介紹 / Hematological agents / Coagulation Factor IX (Recombinant) Injection
Coagulation Factor IX (Recombinant) Injection
2008-07-08    彰基藥劑部藥物資訊組       點選: 707
BeneFix

Supply : 5000 IU(Factor IX) / vial                                        <<IVKNR>>

Description: BeneFIX® is produced by a genetically engineered Chinese hamster ovary (CHO) cell line that is extensively characterized and shown to be free of infectious agents. It is a purified protein produced by recombinant DNA technology for use in therapy of factor IX deficiency, known as hemophilia B.

Action: Factor IX is activated by factor VII/tissue factor complex in the extrinsic coagulation pathway as well as by factor XIa in the intrinsic coagulation pathway. Activated factor IX, in combination with activated factor VIII, activates factor X. This results ultimately in the conversion of prothrombin to thrombin. Thrombin then converts fibrinogen to fibrin, and a clot can be formed.

Indication: 適用於控制與預防B型血友病(先天性第九凝血因子缺乏症,或稱聖誕節症)之出血,包括接受外科手術時的出血控制與預防出血。

Dosage and Administration: IV infusion,

Teatment and prevention of bleeding in hemophilia B

Adult, IU required (IU) = BW (kg) x desired increase (% or IU/dL) x 1.2 (IU/kg per IU/dL)

Pediatric (<15 years), IU required (IU) = BW (kg) x desired increase (% or IU/dL) x 1.4 (IU/kg per IU/dL)

Type of Hemorrhage

Factor IX Activity Required

Dosing Interval

Duration of Therapy

Minor

Uncomplicated hemarthroses, superficial muscle, or soft tissue

20 - 30 [% or (IU/dL)]

12 - 24 hrs

1 - 2 days

Moderate

Intramuscle or soft tissue with dissection,mucous membranes, dental extractions, or hematuria

25 - 50 [% or (IU/dL)]

12 - 24 hrs

Treat until bleeding stops and healing begins; about 2 - 7 days

Major

Pharynx, retropharynx,  retroperitoneum, CNS, surgery

50 - 100 [% or (IU/dL)]

12 - 24 hrs

7 - 10 days

Adverse drug reaction:

Rare : headache, fever, chills, flushing, nausea, vomiting, lethargy, or manifestations of allergic reactions

Contraindication: Contraindicated use in patient with known history of hypersensitivity to hamster protein.

Caution: Caution use in patient with factor IX inhibitors, thrombosis, disseminated intravascular coagulation.

Note: Do NOT inject air into the BeneFIX® vial. This may cause partial loss of product.

Preparation of dosage form: Slowly inject the solution intravenously with an infusion kit or with a suitable injection needle. Warm both diluent and Benefix® in unopened vials to room temperature.

Storage & Stability: 2~8℃, or <25°C (6 months); after reconstituted it should be used within 3 hrs.

Pregnancy Category: C

Reference:

1. MICROMEDEX(R) Healthcare Series.2008.

2. Drug package Insert.

 

責任編輯: racer
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