৳ 25/unit
Pack: ৳ 175
৳ 25/unit
Pack: ৳ 175
At a glance
Ribavirin is an antiviral used in combination with Peginterferon alfa-2a or Interferon alfa for the treatment of chronic hepatitis C (CHC) virus infection in patients 5 years and older with compensated liver disease.
Indications
- Chronic hepatitis C (CHC) virus infection (in combination with Peginterferon/Interferon)
Pharmacology
Ribavirin is a synthetic nucleoside that interferes with viral nucleic acid synthesis. The mechanism of action is not fully clear, but it may act through cellular enzymes. The mono- and triphosphate derivatives are responsible for the antiviral activity.
Dosage
Adult Dose (Oral):
- In combination with Peginterferon/Interferon: 800-1200 mg daily in two divided doses (morning and evening)
- Treatment duration: 24-48 weeks (Genotypes 2 and 3: 24 weeks)
- Renal impairment (CrCl ≤50 mL/min): Dose reduction required
Pediatric Dose (≥5 years):
- Same as adult (based on weight and genotype)
Side effects
Side Effects:
- Hemolytic anemia (primary adverse reaction)
- Cough
- Anxiety
- Depression
- Dizziness
- Nausea
- Vomiting
- Flu-like symptoms (fever, chills, sore throat, muscle aches)
- Headache
- Abdominal pain
- Diarrhea
- Constipation
- Chest pain
- Tachycardia
- Dyspnea
- Neutropenia
- Thrombocytopenia
Use in pregnancy
Use in Pregnancy: Highly unsafe during pregnancy; teratogenic effects; negative pregnancy test required before treatment; monthly pregnancy tests and contraception during and for 6 months after treatment.
Pregnancy Category: X — always consult a doctor before taking during pregnancy.
Precautions & warnings
- Ribavirin monotherapy is not effective; do not use alone
- Cardiac disease may be worsened by anemia; ECG before treatment
- Monitor hemoglobin, CBC, platelets, liver function, electrolytes, creatinine
- Pregnancy: Highly unsafe; effective contraception during and for 6 months after treatment
- Lactation: Avoid use
Overdose effects
No overdose information available; consult your doctor if taken in excess.
Storage conditions
Store at temperature not exceeding 30°C in a dry place; protect from light; keep out of reach of children.