Daptomycin

BRANDS OF DAPTOMYCIN IN KENYA

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Daptomycin in Kenya : Chemical Structure, Brands,Cost, Prices
Daptomycin Chemical Structure

DAPTOMYCIN MODE OF ACTION

Daptomycin is a cyclic lipopeptide natural product that is active against Gram positive bacteria only.
The mechanism of action involves binding (in the presence of calcium ions) to bacterial membranes of both growing and stationary phase cells causing depolarisation and leading to a rapid inhibition of protein, DNA, and RNA synthesis. This results in bacterial cell death with negligible cell lysis.

INDICATIONS

Daptomycin is indicated for the treatment of the following infections:.
– Adult and paediatric (1 to 17 years of age) patients with complicated skin and soft-tissue infections (cSSTI).
– Adult patients with right-sided infective endocarditis (RIE) due to Staphylococcus aureus. It is recommended that the decision to use daptomycin should take into account the antibacterial susceptibility of the organism and should be based on expert advice.
– Adult and paediatric (1 to 17 years of age) patients with Staphylococcus aureus bacteraemia (SAB). In adults, use in bacteraemia should be associated with RIE or with cSSTI, while in paediatric patients, use in bacteraemia should be associated with cSSTI.
Daptomycin is active against Gram positive bacteria only . In mixed infections where Gram negative and/or certain types of anaerobic bacteria are suspected, Daptomycin should be co-administered with appropriate antibacterial agent(s).

DOSAGE AND ADMINISTRATION:

– cSSTI without concurrent SAB: Daptomycin 4 mg/kg is administered once every 24 hours for 7-14 days or until the infection is resolved
– cSSTI with concurrent SAB: Daptomycin 6 mg/kg is administered once every 24 hours. The duration of therapy may need to be longer than 14 days in accordance with the perceived risk of complications in the individual patient.
– Known or suspected RIE due to Staphylococcus aureus: Daptomycin 6 mg/kg is administered once every 24 hours. The duration of therapy should be in accordance with available official recommendations.
Daptomycin is administered intravenously in 0.9% sodium chloride . Daptomycin should not be used more frequently than once a day.

CONTRAINDICATIONS:

Daptomycin is contraindicated in patients with known hypersensitivity to it.

DRUG INTERACTIONS:

Daptomycin undergoes little to no Cytochrome P450 (CYP450)-mediated metabolism. It is unlikely that daptomycin will inhibit or induce the metabolism of medicinal products metabolised by the P450 system.
Inhibitors of HMG-CoA reductase may cause myopathy, which is manifested as muscle pain or weakness associated with elevated levels of creatine phosphokinase (CPK).
Caution is warranted when Daptomycin is co-administered with tobramycin.

ADVERSE DRUG REACTIONS:

Infections and infestations
Common: Fungal infections, urinary tract infection, candida infection
Uncommon: Fungaemia
Not known:Clostridium difficile-associated diarrhoea
Blood and lymphatic system disorders
Common: Anaemia
Uncommon: Thrombocythaemia, eosinophilia, international normalised ratio (INR) increased, leukocytosis
Rare: Prothrombin time (PT) prolonged
Not known: Thrombocytopaenia
Immune system disorders
Not known: Hypersensitivity, manifested by isolated spontaneous reports including, but not limited to angioedema, drug rash with eosinophilia and systemic symptoms (DRESS), pulmonary eosinophilia, vesicobullous rash with mucous membrane involvement and sensation of oropharyngeal swelling, anaphylaxis, infusion reactions including the following symptoms: tachycardia, wheezing, pyrexia, rigors, systemic flushing, vertigo, syncope and metallic taste
Metabolism and nutrition disorders
Uncommon: Decreased appetite, hyperglycaemia, electrolyte imbalance
Psychiatric disorders
Common: Anxiety, insomnia
Nervous system disorders
Common: Dizziness, headache
Uncommon: Paraesthesia, taste disorder, tremor, eye irritation
Not known: Peripheral neuropathy
Ear and labyrinth disorders
Uncommon: Vertigo
Cardiac disorders
Uncommon: Supraventricular tachycardia, extrasystole
Vascular disorders
Common: Hypertension, hypotension
Uncommon: Flushes
Respiratory, thoracic and mediastinal disorders
Not known: Eosinophilic pneumonia1, cough
Gastrointestinal disorders
Common: Gastrointestinal and abdominal pain, nausea, vomiting, constipation, diarrhoea, flatulence, bloating and distension
Uncommon: Dyspepsia, glossitis
Hepatobiliary disorders
Common: Liver function tests abnormal2 (increased alanine aminotransferase (ALT), aspartate aminotransferase (AST) or alkaline phosphatase (ALP))
Rare: Jaundice
Skin and subcutaneous tissue disorders
Common:Rash, pruritus
Uncommon: Urticaria
Not known*: Acute generalised exanthematous pustulosis
Musculoskeletal and connective tissue disorders
Common: Limb pain, serum creatine phosphokinase (CPK)2 increased
Uncommon: Myositis, increased myoglobin, muscular weakness, muscle pain, arthralgia, serum lactate dehydrogenase (LDH) increased, muscle cramps
Not known: Rhabdomyolysis
Renal and urinary disorders
Uncommon: Renal impairment, including renal failure and renal insufficiency, serum creatinine increased
Reproductive system and breast disorders
Uncommon: Vaginitis
General disorders and administration site conditions
Common: Infusion site reactions, pyrexia, asthenia
Uncommon: Fatigue, pain

Reporting of suspected adverse reactions:

The PPB Department of Pharmacovigilance was set up with a vision to develop, implement and continuously upgrade an appropriate system for detecting, reporting, and monitoring adverse drug reactions (ADRs) and other relevant problems with medicines in Kenya. The department strives to ensure the safety and efficacy of pharmaceutical products in Kenya.
Reporting suspected adverse reactions after authorization of the medicinal product are important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals/ Patients are encouraged to report any suspected adverse reactions via Pharmacovigilance Yellow Form, pv@pharmacyboardkenya.org or clicking below button:


Daptomycin in Kenya
Daptomycin in Kenya
Daptomycin in Kenya
Daptomycin in Kenya
Daptomycin Prices in Kenya

Clinical | Pharmacokinetic data


Pregnancy Category: B
Routes of Administration: Intravenous
Bioavailability: Not Available
Protein Binding: 90–95%
Metabolosim: Renal (speculative)
Onset of Action: Not Available
Elimination Half life: 7–11 hours (up to 28 hours in renal impairment)
Excretion: Renal (78%; primarily as unchanged drug); faeces (5.7%)

Legal Status | Dosage forms & Strengths


Prescription Category:
Prescription only Medicine (POM) , ℞-only
Narcotic Drugs and Psychotropic Substances (Control ) Act Schedule:
This drug is not a controlled substance under Narcotic Drugs and Psychotropic Substances (Control ) Act
Dosage Forms | Strengths:
Injectable

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