藥品參考
Glucarpidase
Glucarpidase is a medicine in the class miscellaneous. It is used for overdose and poisoning.
- 藥物類別: Miscellaneous
- 用途: overdose and poisoning
最後更新 來源: US FDA label
僅供醫療專業人員參考。本頁為簡要摘要，並非醫療建議，亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。
本頁的臨床內容僅提供英文版。
重點資訊
- 藥物類別
- Miscellaneous
- ATC 代碼
- V03AF09
- 常見劑型
- 注射劑
- 已知交互作用
- 5 (嚴重: 1 · 中度: 2 · 輕微: 2)
- 商品名
- 2
- 國家與市場
- 2
用途
作用方式
Recombinant bacterial enzyme that hydrolyzes the carboxyl-terminal glutamate residue from folic acid and classical antifolates such as methotrexate, converting methotrexate to inactive metabolites DAMPA and glutamate.
成人常用劑量（仿單摘要）
Toxic plasma methotrexate concentration with delayed clearance due to impaired renal function: 50 Units/kg as a single intravenous injection over 5 minutes; flush IV line before and after.
懷孕與哺乳
- 懷孕
- Unknown No human or animal data. Glucarpidase is given to clear toxic methotrexate levels; methotrexate itself can cause fetal harm, so follow the methotrexate label. Give when clearly needed for methotrexate toxicity.
- 哺乳
- Unknown No data on milk levels or infant effects. It is given with methotrexate, which is not compatible with breastfeeding; follow the methotrexate advice.
已通報的副作用
- Paresthesia
- Flushing
- Nausea and/or vomiting
- Hypotension
- Headache
哪些人需要特別留意
- Serious hypersensitivity reactions occurred in less than 1% of patients.
- DAMPA metabolite interferes with immunoassays, overestimating methotrexate concentration for up to 48 hours after a dose; a chromatographic method is preferred.
請告知藥師或醫師您是否懷孕或哺乳、是否患有腎臟或肝臟疾病、是否有過敏，以及您正在使用的所有其他藥物或保健品。
重要交互作用 (5)
- Glucarpidase + Leucovorin Major
- Folic acid + Glucarpidase Moderate
- Glucarpidase + Methotrexate Moderate
- Glucarpidase + Pemetrexed Minor
- Glucarpidase + Pralatrexate Minor
Pro+ 會員專屬
解鎖完整頁面
建立帳號並開始 Pro+ 試用，即可開啟 Glucarpidase 的完整藥品專論：劑量、懷孕與哺乳、副作用、警示及所有交互作用。
- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Paediatric dosing
- How to give it
- Pharmacokinetics
- Patient counselling points
- IV preparation and dilution
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常見問題
What is Glucarpidase used for?
Glucarpidase is a medicine in the class miscellaneous. It is used for Overdose and poisoning.
What side effects have been reported with Glucarpidase?
Paresthesia, Flushing, Nausea and/or vomiting, Hypotension, Headache.
Can Glucarpidase be taken in pregnancy or while breastfeeding?
Pregnancy: Unknown. No human or animal data. Glucarpidase is given to clear toxic methotrexate levels; methotrexate itself can cause fetal harm, so follow the methotrexate label. Give when clearly needed for methotrexate toxicity. Breastfeeding: Unknown. No data on milk levels or infant effects. It is given with methotrexate, which is not compatible with breastfeeding; follow the methotrexate advice.
What does Glucarpidase interact with?
MediHelp lists 5 known interactions for Glucarpidase. Major: 1 · Moderate: 2 · Minor: 2. The most serious include Leucovorin, Folic acid, Methotrexate.
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