Sirolimus

Overview

Sirolimus is a potent non-calcineurin inhibiting immunosuppressant. Sirolimus is given after kidney transplant to keep body from rejecting the new kidney. It can cause hyperlipidemias. It has been shown to possess antifungal and antineoplastic properties. Sirolimus is often given in conjunction with cyclosporin.
Everolimus A derivative of the natural macrocyclic lactone sirolimus with immunosuppressant and anti-angiogenic properties. In cells, everolimus binds to the immunophilin FK Binding Protein-12 (FKBP-12) to generate an immunosuppressive complex that binds to and inhibits the activation of the mammalian Target of Rapamycin (mTOR), a key regulatory kinase. Inhibition of mTOR activation results in the inhibition of T lymphocyte activation and proliferation associated with antigen and cytokine (IL-2, IL-4, and IL-15) stimulation and the inhibition of antibody production. Check for active clinical trials or closed clinical trials using this agent.

Categories

Primary Characterstics

Indications

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Pharmacokinetics

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Contraindications

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Drug Interactions

Sirolimus is known to interact with other drugs, the details of drug interactions is as follows:

Severity N/A

Cyclosporin A

Interaction of Cyclosporin A with Sirolimus

VORICONAZOLE

Interaction of VORICONAZOLE with Sirolimus

Details: Voriconazole may increase the serum concentration of sirolimus.
Management: Consider alternate therapy or reduce the dose
Simeprevir

Interaction of Simeprevir with Sirolimus

Details: Concomitant use with sirolimus may result in mildly increased or decreased plasma concentrations of sirolimus
Management: monitor closely

These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.

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Side Effects

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Dosage

Pseudoephedrine (HCl)'s dosage details are as follows:
Dose Single Dose Frequency Route Instructions

Adult Dosage

No data regarding the Adult dosage details of Pseudoephedrine (HCl) is available.

Paedriatic Dosage (20kg)

No data regarding the Paedriatic dosage details of Pseudoephedrine (HCl) is available.

Neonatal Dosage (3kg)

No data regarding the neonatal dosage details of Pseudoephedrine (HCl) is available.

High Risk Groups

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Warning / Precautions

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Storage Conditions

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Interference in Pathology

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Brands / Trade Names of Pseudoephedrine (HCl)

Click on the desired strength of the dosage form to view its available brands.

Single Ingredient

Tabs: 5 mg, 10 mg, 0.25 mg, 0.75 mg,

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Manufacturers of Sirolimus in Pakistan

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