Pneumo-23
0.5mlRx৳ 1,926.88/unit
Pack: ৳ 1,926.88
৳ 1,926.88/unit
Pack: ৳ 1,926.88
At a glance
Pneumococcal polysaccharide unconjugated Vaccine (23-valent) is used for prevention of pneumococcal disease in persons aged 2 years or older, especially those at high risk such as those with sickle cell disease, HIV infection, or other immunocompromising conditions.
Indications
- Prevention of pneumococcal disease (in persons aged 2 years or older at high risk)
Pharmacology
The vaccine is prepared from 23 pneumococcal capsular polysaccharide serotypes: 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19F, 19A, 20, 22F, 23F, 33F. It stimulates active immune response against S. pneumoniae capsular antigens, producing endogenous antibodies.
Dosage
Adults and Children (>2 years):
- High-risk patients: Single dose of 0.5 mL (IM) as 23-valent vaccine
- Should be given at least 2 weeks before elective splenectomy, chemotherapy, or immunosuppressive treatment
- Revaccination generally not required; may be considered after 5 years in patients with asplenia, splenic dysfunction, or nephrotic syndrome
Side effects
Common Side Effects:
- Injection site pain, erythema (redness), induration, and edema
- Moderate and transient hyperthermia (fever) sometimes >39°C
- Adenopathy, rashes, arthralgia
- Allergic reactions (urticaria, Quincke's edema, anaphylactoid reactions)
- Headache, muscle pain, malaise, fatigue (rare)
Use in pregnancy
Use in Pregnancy: Information regarding use during pregnancy is not available; consult your doctor.
Pregnancy Category: B — always consult a doctor before taking during pregnancy.
Precautions & warnings
- Caution in severe renal, hepatic, cardiac, vascular &/or pulmonary dysfunction
- Patients on immunosuppressants may be unable to attain required antibody titres
- Caution in pregnancy and lactation
- Efficacy may be reduced in multiple myeloma, Hodgkin's and non-Hodgkin's lymphoma (especially during treatment and chronic alcoholism)
- Vaccine should be given 2 weeks before starting immunosuppressive treatment or at least 3 months after treatment completion
Overdose effects
No overdose information available; consult your doctor if overused.
Storage conditions
Store refrigerated at 2-8°C; protect from light.