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💉 Amphotericin B (Lipid Formulation) – Injection 50 mg
💊 Description:
- Lipid Amphotericin B is a modified formulation where Amphotericin B is combined with lipids to reduce toxicity.
- It appears as a white to pale yellow lyophilized cake or powder, reconstituted before IV infusion.
- The formulation includes lipid complexes or liposomes, depending on the brand (e.g., liposomal, lipid complex, colloidal dispersion).
- Each vial typically contains 50 mg of Amphotericin B embedded in a lipid matrix.
- It retains the broad antifungal spectrum of conventional Amphotericin B with improved tolerability.
🌿 Nature:
- Polyene macrolide antifungal formulated with phospholipids or cholesterol-based carriers.
- Designed for IV administration only, with significantly reduced nephrotoxicity.
- Lipid encapsulation enhances drug delivery to infected tissues, particularly RES organs.
- Has a longer half-life in tissues due to lipid formulation.
- These preparations are less immunogenic and better tolerated during infusion.
✅ Advantages:
- Lower nephrotoxicity compared to conventional Amphotericin B.
- Reduced infusion-related reactions (fever, chills, hypotension).
- Allows higher cumulative doses, beneficial in severe/prolonged infections.
- Better penetration into reticuloendothelial organs (liver, spleen, lungs).
- Suitable for use in critically ill and renal-impaired patients.
🩺 Uses:
- Systemic fungal infections: candidiasis, aspergillosis, mucormycosis, cryptococcosis.
- Fungal infections in neutropenic or immunocompromised patients (e.g., transplant, cancer).
- Treatment of visceral leishmaniasis (especially in HIV co-infected cases).
- Empirical antifungal therapy in febrile neutropenia when other agents fail.
- Used in patients with renal dysfunction, where conventional Amphotericin B is contraindicated.
❄️ Storage:
- Store the unopened vial at 2–8°C (refrigerator); protect from light.
- After reconstitution, use within 24 hours if refrigerated; check product guidelines.
- Do not freeze the reconstituted product.
- Reconstitute using sterile water for injection as per the manufacturer’s instructions.
- Administer via slow IV infusion over at least 2 hours to avoid side effects.
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