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At a glance

Miltefosine is an antibiotic drug used for the treatment of Kala-azar (Leishmaniasis).

Indications
  • Visceral Leishmaniasis (Kala-azar)
  • Cutaneous Leishmaniasis
  • Mucosal Leishmaniasis
Pharmacology

Miltefosine kills parasites by affecting apoptosis and lipid-dependent cell signalling pathways.

Dosage

Adult Dose (Oral):

  • 30-44 kg: 50 mg capsule twice daily (28 days)
  • 45 kg or greater: 50 mg capsule three times daily (28 days)

Child Dose: 2.5 mg/kg/day (in 2 divided doses)

Adolescents (≥12 years): 30-44 kg: 100 mg/day; >45 kg: 150 mg/day

Side effects

Common Side Effects (≥2%):

  • Nausea and vomiting
  • Diarrhea
  • Headache
  • Decreased appetite
  • Dizziness
  • Abdominal pain
  • Pruritus
  • Somnolence
  • Elevated transaminases
  • Elevated creatinine
Use in pregnancy

Use in Pregnancy: Unsafe. Contraindicated during pregnancy. Perform pregnancy test before treatment.

Pregnancy Category: D — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Contraindicated in pregnancy - perform pregnancy test before treatment
  • Use effective contraception during and for 5 months after treatment
  • Monitor serum creatinine
  • Monitor transaminases and bilirubin
  • Encourage fluid intake
  • Discontinue if Stevens-Johnson syndrome occurs
Overdose effects

No overdose information available. Doses up to 8 mg/kg used in clinical trials.

Storage conditions

Keep below 30°C temperature away from light and moisture. Keep out of reach of children.

Miltefosine — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.