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Urosaph

Urosaph

mesna

Manufacturer:

Sapphire Lifesciences

Distributor:

Nelpa Lifesciences

Marketer:

Ambica
Concise Prescribing Info
Contents
Mesna
Indications/Uses
Prevention of urothelial toxicity including hemorrhagic cystitis, microhematuria, & macrohematuria in patients treated w/ ifosfamide & cyclophosphamide, in doses considered to be urotoxic.
Dosage/Direction for Use
IV bolus 20% given on 3 occasions over 15-30 min at 4-hrly intervals. May be increased to 40% given 4 times at 3-hrly intervals. IV infusion 20% by IV inj followed by 100% of total dose by IV infusion over 24 hr, then followed by 60% by infusion over 12 hr. The final 12-hr infusion may be replaced by 3 inj each of 20% dose at 4-hrly intervals. Intermittent oxazaphosphorine therapy Initial IV inj of 20% followed by oral 40% administered at 2 & 6 hr after initial IV dose. The IV dose may be replaced w/ oral dose 40% 2 hr prior to administration of oxazaphosphorines.
Contraindications
Special Precautions
Severe bullous & ulcerative skin & mucosal reactions; patients w/ history of reaction have shown +ve delayed-type skin test result; may elicit severe skin reaction. Does not prevent hemorrhagic cystitis in all patients. False +ve reactions in nitroprusside Na-based urine tests (including dipstick tests) for ketone bodies; Tillman's reagent-based urine screening tests for ascorbic acid. May affect ability to drive & use machine. Pregnancy & lactation. Childn.
Adverse Reactions
Headache, light-headedness, lethargy/drowsiness; flushing; abdominal pain/colic, nausea, diarrhea; rash; infusion site pruritus/rash; pyrexia, flu-like illness. Lymphadenopathy; decreased appetite, feeling of dehydration; insomnia, nightmare; dizziness, paresthesia, hyperesthesia, syncope, hypoesthesia, disturbance in attention; conjunctivitis, photophobia, blurred vision; palpitations; nasal congestion, cough, pleuritic pain, dry mouth, bronchospasm, dyspnea, laryngeal discomfort, epistaxis; mucosal irritation, flatulence, vomiting, burning pain (substernal/epigastric), constipation, gingival bleeding; increased transaminases; pruritus, hyperhidrosis; arthralgia, back pain, myalgia, pain in extremity/jaw; dysuria; infusion site pain/erythema/urticaria/swelling; rigors, fatigue, chest pain, malaise.
MIMS Class
Antidotes & Detoxifying Agents / Supportive Care Therapy
ATC Classification
V03AF01 - mesna ; Belongs to the class of detoxifying agents used in antineoplastic treatment.
Presentation/Packing
Form
Urosaph soln for inj 100 mg/mL
Packing/Price
4 mL x 10 × 1's;4 mL x 5 × 1's
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