Critical Care

Critical Care

 

BRUFUNGIN-50/70(Caspofungin Acetate)

Introduction:

BRUFUNGIN 50mg/70mg (caspofungin acetate) is a sterile, lyophilized product for intravenous (IV) infusion that contains a semisynthetic lipopeptide (echinocandin) compound synthesized from a fermentation product of Glarealozoyensis.

BRUFUNGIN 50mg/70mg is a member of a class of antifungal drugs (echinocandins) that inhibits the synthesis of β (1, 3)-D-glucan, an integral component of the fungal cell wall. Caspofungin is a lipopeptide antifungal drug. It is a member of new class of antifungal termed as echinocandins. Caspofungin is antifungal agent with broad spectrum activity against all candida species.

Therapy Area: Antifungal

Form: Vial/Injection

Packaging: 1X1 Vial

COMPOSITION:Caspofungin 50 mg & 70 mg

MODE OF ACTION: Fungal cell has 2 components which work as protective  barrier as follows

Fungal cell wall   2. Fungal cell membrane

Beta 1,3 glucan is main component of fungal cell wall. Fungal cell membrane or plasma membrane has an enzyme known as Beta Glucan Synthase which further helps in formation of Beta 1,3 Glucan. Beta 1,3 Glucan Further combines with Chitin (Fibrillar Polysaccharide) which increases strength of fungal cell wall.

Caspofungin block the synthesis of beta 1,3 glucan of the fungal cell wall by which cell deficiency takes place. Cell wall synthesis inhibits due to Caspofungin antifungal drug.

INDICATIONS

  • Invasive Aspergillosis
  • Invasive Candidiasis i.e. Intra-abdominal abscesses, peritonitis and pleural space infections
  • Febrile Neutropenia
  • Esophageal Candidiasis

Dosage:

Loading dose of 70 mg on day 1 followed by maintenance dose of 50 mg once a day

Disclaimer:

This information is for registered medical practitioner only. Anyone other than medical practitioner should consult medical practitioner before using this product.

BRUMICA(MICAFUNGIN Sodium 50mg/100mg Lyophilized Injection)

Introduction:

BRUMICA 50/100mg (Micafungin sodium) is a sterile, lyophilized intravenous (IV) infusion. Micafungin sodium is a semisynthetic lipopeptide (echinocandin) synthesized by a chemical modification of a fermentation product of Coleophoma empetri F-11899.

Micafungin inhibits the synthesis of 1, 3-β-D-glucan, an integral component of the fungal cell wall.  Intravenous micafungin an echinocandin, is approved in the EU for  the treatment of adult (aged ‡16 years) and paediatric patients  with invasive candidiasis and for the treatment of adult patients  with oesophageal candidiasis It does not require dose adjustments for renal or moderate hepatic  dysfunction. It’s safety record, favorable tolerability profile, and few drug  interactions make it an important agent for the treatment of  invasive fungal infections

Therapy Area: Antifungal

Form: Vial injection

Packaging: 1×1 Vial

COMPOSITION: Micafungin Sodium 50 mg

Mode of Action: Micafungin, the active ingredient in BRUMICA, inhibits the synthesis of 1,3-β-D glucan, an essential component of fungal cell walls, which is not present in mammalian cells. Micafungin is a semisynthetic lipopeptide synthesized from a fermentation product of Coleophoma empetri that works as an antifungal agent. It is a glucan synthesis inhibitor of the echinocandin structural class.

INDICATIONS and DOSAGE

  • Treatment of Candidemia, Acute Disseminated Candidiasis, Candida Peritonitis and Abscesses

100 mg/day IV infusion x10-47 days (mean 15 days)

  • Treatment of Oesophageal Candidiasis

150 mg/day IV infusion x10-30 days (mean 15 days)

  • Prophylaxis of Candida Infections in HSCT Recipients

50 mg/day IV infusion x6-51 days (mean 19 days)

  • Candida Auris

100 mg IV QD

Disclaimer:

This information is for registered medical practitioner only. Anyone other than medical practitioner should consult medical practitioner before using this product.

VORIFUN(Voriconazole 200 mg Lyophilized Injection/Tablet)

Introduction:

VORIFUN 200 mg Lyophilized Injection/Tablet(Voriconazole) is a triazole antifungal agent, is available as a lyophilized powder for solution for intravenous infusion, film-coated tablets for oral administration.

Therapy Area: Antifungal

Form: Vial Injection

Packaging: 1×1 Vial

Composition: Voriconacole 200 mg Injection/Tablet

Mode of Action: The mode of action of voriconazole is the inhibition of fungal cytochrome P450 mediated 14-alpha lanosterol demethylation, which causes damage in the structure and the loss of cell membrane function.Voriconazole is a broad spectrum antifungal agent indicated for the treatment of candidiasis also caused by fluconazole-resistant C. glabrata and C. krusei

Indications

  • Esophageal Candidiasis
  • Candidemia
  • Emerging Fungal Infection
  • Invasive Pulmonary Adpergillosis

Dosage:

6 mg/kg IV q12hr for first 24 hours,

Then 4 mg/kg IV q12hr or 200 mg PO q12hr

Disclaimer:

This information is for registered medical practitioner only. Anyone other than medical practitioner should consult medical practitioner before using this product.

BRUPARIN-40/60(Enoxaparin Sodium 40 mg/60 mg Injection)

Introduction:

BRUPARIN- 40/60 mg Lyophilized Injection is an anticoagulant that helps to prevent the formation of blood clots. Enoxaparin is used to treat or prevent a type of blood clot called deep vein thrombosis (DVT), which can lead to blood clots in the lungs (pulmonary embolism).

A DVT can occur after certain types of surgery, or in people who are bed-ridden due to a prolonged illness.

Enoxaparin is also used to prevent blood vessel complications in people with certain types of angina (chest pain) or heart attack.

Enoxaparin was first made in 1981 and approved for medical use in 1993 and is derived from heparin.

Enoxaparin Sodium is the sodium salt of a low molecular weight heparin, obtained by alkaline depolymerisation of the benzyl ester of heparin sodium from porcine intestinal mucosa

Therapy Area: Medicine

Form: Injection

Packaging: 1 X 1 Ampoule

COMPOSITION: Enaxoparin 60 mg / Enaxoparin 40 mg

MODE OF ACTION: Enoxaparin is a type of low molecular weight heparin (LMWHs) with a mean molecular weight of 4000 to 5000.

It has an immediate onset of action when given in the intravenous form. It binds to and potentiates antithrombin III, a serine protease inhibitor, to form a complex that irreversibly inactivates factor Xa. The mechanism of action of enoxaparin is antithrombin-dependent.

It acts mainly by accelerating the rate of the neutralization of certain activated coagulation factors by antithrombin, Enoxaparin potentiates preferentially the inhibition of coagulation factors Xa and IIa

INDICATIONS

  • Acute Coronary Syndrome such as ST-elevation myocardial infarction, Non-ST elevation myocardial infarction, and unstable angina
  • Deep venous thrombosis (DVT) treatment
  • Deep venous thrombosis (DVT) prophylaxis
  • Treatment for pulmonary embolism (PE)
  • Venous thromboembolism secondary to malignancy

Dosage:

Treatment of DVT

Adult: 1 mg/kg every 12 hours

Pediatric < 2 months: 1.5 mg/kg sc every 12 hrs

2 months to 17 years: 1 mg/kg sc every 12 hrs

Unstable Angina and Non-Q-wave MI

1 mg/kg every 12 hours

Treatment of Acute STEMI

A single I.V. bolus of 30 mg plus a 1 mg/kg SC dose followed by a 1 mg/kg SC dose every 12 hours

Disclaimer:

This information is for registered medical practitioner only. Anyone other than medical practitioner should consult medical practitioner before using this product.

BRUP-TAZ(PIPERACILLIN 4 gm + Tazobactam 500 mg Injection)

Introduction:

BRUP-TAZ Lyophilized Injection is an injectable combination of two antibiotics, piperacillin and tazobactam, with broad spectrum activity against an extended range of bacterial species. Piperacillin is an extended-spectrum penicillin antibiotic, but it can be destroyed by an enzyme produced by bacteria called beta lactamase. Tazobactam inhibits beta lactamase and prevents the destruction of piperacillin. Therefore, tazobactam is given with piperacillin to enhance the activity of piperacillin in eradicating bacterial infections. In-vitro studies of piperacillin and tazobactam have shown that the combination has activity against a variety of gram-positive and gram-negative aerobic and anaerobic bacteria.

Therapy Area: Antibiotic (Injectables)

Form: Parentral intravenous injection

Packaging: 1X1 Vial

COMPOSITION: Piperacillin Sodium 4gm + Tazobactum 500mg

MODE OF ACTION: Piperacillin kills bacteria by inhibiting the synthesis of bacterial cell walls. It binds preferentially to specific penicillin-binding proteins (PBPs) located inside bacterial cell walls.

Tazobactam broadens the spectrum of piperacillin by making them effective against organisms that express beta-lactamase and would normally degrade them. This occurs through the irreversible inhibition of beta-lactamase enzymes. In addition, tazobactam may bind covalently to plasmid-mediated and chromosome-mediated beta-lactamase enzymes. Tazobactam is predominantly effective against the OHIO-1, SHV-1, and TEM groups of beta-lactamases, but may also inhibit other beta-lactamases.

INDICATIONS

  • Community Acquired Pneumonia
  • Intra-abdominal Infections
  • Urinary Tract Infections
  • Complicated Skin/Skin Structure Infections

Dosage

Recommended Dosage: 4.5 g IV 6-8 hr; not to exceed 18 g/day

Disclaimer:

This information is for registered medical practitioner only. Anyone other than medical practitioner should consult medical practitioner before using this product.

TIGIBRU(TIGECYCLINE 50 mg Injection)

Introduction:

TIGIBRU Lyophilized Injection (Tigecycline) is the first clinically-available drug in a new class of antibiotics called the glycylcyclines. Glycylcyclines are a new class of antibiotics derived from tetracycline. These tetracycline analogues are specifically designed to overcome two common mechanisms of tetracycline resistance. Tigecycline injection is used to treat bacterial infections in many different parts of the body (eg, infections on the skin, stomach, or lungs). It works by killing bacteria or preventing their growth.

Therapy Area: Antibiotic (Injectable)

Form: Parentral intravenous injection

Packaging: 1×1 vial

COMPOSITION: Tigecycline 50mg

MODE OF ACTION:

Tigecycline, a glycylcycline, inhibits protein translation in bacteria by binding to the 30S ribosomal subunit and blocking entry of amino-acyl tRNA molecules into the A site of the ribosome. This prevents incorporation of amino acid residues into elongating peptide chains.

INDICATIONS & DOSAGE

  • Complicated Intra-abdominal Infections

Initial dose of 100 mg, followed by 50 mg every 12 hours

  • Community Acquired Pneumonia

Initial dose of 100 mg, followed by 50 mg every 12 hours

  • Complicated Skin/Skin Structure Infections   

Initial dose of 100 mg, followed by 50 mg every 12 hours

  • Pediatric Patients

Children 8-11 years of age;  Maximum 50 mg every 12 hours

Disclaimer:

This information is for registered medical practitioner only. Anyone other than medical practitioner should consult medical practitioner before using this product.

BRAWNEM(Meropenem 1 G Injection)

Introduction:

BRAWNEM Lyophilized Injection (Meropenem) is a broad-spectrum carbapenem antibiotic. It is active against Gram-positive and Gram-negative bacteria. Meropenem exerts its action by penetrating bacterial cells readily and interfering with the synthesis of vital cell wall components, which leads to cell death

Therapy Area: Antibiotic (Injectable)

Form: Parentral intravenous injection

Packaging: 1×1 vial

COMPOSITION: 1000 mg Injection

MODE OF ACTION:

The bactericidal activity of meropenem results from the inhibition of cell wall synthesis. Meropenem readily penetrates the cell wall of most Gram-positive and Gram-negative bacteria to reach penicillin-binding- protein (PBP) targets. Its strongest affinities are toward PBPs 2, 3 and 4 of Escherichia coli and Pseudomonas aeruginosa; and PBPs 1, 2 and 4 of Staphylococcus aureus.

INDICATIONS & DOSAGE

  • Complicated Skin/Skin Structure Infections

500mg IV q8hr; not to exceed 2 g IV q8hr

  • Complicated Intra-abdominal infections

1g IV q8hr; not to exceed 2 g IV q8hr

  • Bacterial Meningitis

2g IV q8hr

  • Community Acquired Pneumonia

500mg IV q8hr for ≤5 days in combination with fluoroquinolone

  • Febrile Neutropenia

1g IV q8hr

Disclaimer:

This information is for registered medical practitioner only. Anyone other than medical practitioner should consult medical practitioner before using this product.

 

AZIBRU(AZITHROMYCIN 500 mg Injection)

Introduction:

Azithromycin is a broad-spectrum macrolide antibiotic with a long half-life and a high degree of tissue penetration. It was initially approved by the FDA in 1991

Azithromycin is a part of the azalide subclass of macrolides, and contains a 15-membered ring, with a methyl-substituted nitrogen instead of a carbonyl group at the 9a position on the aglycone ring, which allows for the prevention of its metabolism. This differentiates azithromycin from other types of macrolides

Therapy Area: Antibiotic (Injectable)

Form: Parentral intravenous injection

Packaging: 1×1 vial

COMPOSITION: Azithromycin 500 mg Injection

MODE OF ACTION:

Azithromycin binds to the 23S rRNA of the bacterial 50S ribosomal subunit. It stops bacterial protein synthesis by inhibiting the transpeptidation/translocation step of protein synthesis and by inhibiting the assembly of the 50S ribosomal subunit. This results in the control of various bacterial infections

Azithromycin is highly stable at a low pH, giving it a longer serum half-life and increasing its concentrations in tissues compared to erythromycin

INDICATIONS & DOSAGE

  • Pelvic Inflammatory Diseases

Cervicitis| Salpingitis| Endometritis| Peritonitis

Dosage: 500mg IV as a single daily dose by IV route followed by 250 mg to

Complete a 7 day course of therapy

  • Community Acquired Pneumonia

Dosage: 500 mg IV X 1 dose on Day 1, Followed by 250 mg IV qDay on Days 2-5

Disclaimer:

This information is for registered medical practitioner only. Anyone other than medical practitioner should consult medical practitioner before using this product.

FIXMAC-B(POLYMIXIN B SULPHATE 500000 IU Injection)

Introduction:

FIXMAC-B(Polymyxin B) is an antibiotic that disrupts the outer cell membrane of Gram negative bacteria, binds and neutralizes lipopolysaccharide, and inhibits respiration of Gram-negative bacterial cells4. Polymyxin B can be given by a number of routes to treat susceptible Gram negative bacterial infections. Absorption of the drug is poor and the excreted drug is unchanged by metabolic processes. Polymyxin B is generally indicated for susceptible Gram negative infections of the urinary tract, meninges, and bloodstream Label.

Therapy Area: Antibiotic (Injectable)

Form: Parentral intravenous injection

Packaging: 1×1 vial

COMPOSITION: POLYMIXIN B SULPHATE 500000 IU Injection

MODE OF ACTION:

Polymyxin is active against common Gram negative bacteria but not Gram negative cocci, Gram positive bacteria, or anaerobic bacteria

Polymyxins interact with lipopolysaccharide (LPS) of the outer membrane of Gram-negative bacteria and is subsequently taken up via the ‘self-promoted uptake’ pathway

INDICATIONS

  • Urinary Tract Infections
  • Bloodstream Infections
  • Meningeal Infections
  • Pneumonia

Dosage

IV(Intravenous)

Dissolve 500,000 polymyxin B (polymyxin b sulfate) units in 300 to 500 ml solutions.

IM(Intramuscular)

Dissolve 500,000 polymyxin B units in 2 mL sterile water for injection

IT(Intrathecal)

Dissolve 500,000 polymyxin B(polymyxin b sulfate) units in 10 mL sodium chloride injection USP

Disclaimer:

This information is for registered medical practitioner only. Anyone other than medical practitioner should consult medical practitioner before using this product.

BRUTIO(TEICOPLANIN IP 400 mg Injection)

Introduction:

BRUTIO(Teicoplanin) is a glycopeptide antibiotic

Teicoplanin inhibits the growth of susceptible organisms by interfering with cell wall biosynthesis hence, is bactericidal; It is active against staphylococci (including those resistant to methicillin and other βlactam antibiotics), streptococci, enterococci, Listeria monocytogenes, corynebacteria and gram-positive anaerobes including Clostridium difficile and peptococci

Teicoplanin is similar to vancomycin, but has a significantly longer duration of action, allowing once daily administration after the loading doses

Therapy Area: Antibiotic (Injectable)

Form: Parentral intravenous injection

Packaging: 1×1 vial

COMPOSITION: POLYMIXIN B SULPHATE 500000 IU Injection

MODE OF ACTION:

Teicoplanin inhibits peptidoglycan polymerization, resulting in inhibition of bacterial cell wall synthesis and cell death.

It is a glycopeptide antiobiotic extracted from Actinoplanes teichomyceticus, with a similar spectrum of activity to vancomycin

Indications & Dosage

  • Complicated skin and soft tissue infections| Pneumonia| Complicated urinary tract infections

  Loading Dose: 400 mg IV or IM every 12 hours for three administrations

Maintenance Dose: 6mg/kg body weight IV or IM once a day

  • Bone and joint infections| CABG| Infective endocarditis

 Loading Dose: 800 mg IV every 12 hours for three to five administrations

Maintenance Dose: 12 mg/kg body weight IV or IM once a day

Disclaimer:

This information is for registered medical practitioner only. Anyone other than medical practitioner should consult medical practitioner before using this product.

BRUTIKA(TICAGRELOR 90mg Tablets)

Introduction:

BRUTIKA (Ticagrelor) is used to prevent a serious or life-threatening heart attack or stroke, or death in people who have had a heart attack or who have Acute coronary syndrome (ACS; blockage of blood flow to the heart).

Ticagrelor is used to decrease the risk of a first-time heart attack or stroke in people at risk with coronary artery disease (CAD; reduced blood flow to the heart).

Therapy Area: Antibiotic

Form: Tablets

Packaging: 1X10’s

COMPOSITION: Ticagrelor 90mg Tablets

Mode of Action: Ticagrelor is an orally administered direct-acting Platelet P2Y12-receptor antagonist.

In vitro studies have demonstrated that ticagrelor binds reversibly and noncompetitively to the P2Y12 receptor at a site distinct from that of the endogenous agonist adenosine diphosphate (ADP)

The platelet P2Y12 receptor (P2Y12R) for adenosine 5’diphosphate (ADP) plays a central role in platelet function, hemostasis, and thrombosis

Indications:

  • Cardiovascular Disorders

Stroke|Myocardial Infarction|Acute Coronary Syndrome

Dosage:

180mg loading dose followed by maintenance dosage of 90mg twice daily during the first year;

After first year, maintenance dosage of 60mg twice daily is recommended

ALBUMUNE(ALBUMEN Protein Supplement 400 GM Powder)

Introduction:

Albumen also known as egg whites; It is the clear, thick liquid that surrounds the bright yellow yolk of an egg; The majority of egg albumen is water, which ranges approximately from 84% to 89%

Proteins constitute the major portion (10%–11%) of albumen primarily

Other components, such as carbohydrates, lipids, and minerals, form a minor portion of albumen

They are high in protein yet low in calories, fat, and cholesterol

Good source of supplement for those patients having high protein requirements but need low calorie intake

Therapy Area: Nutritional Supplement

Form: Protein Powder

Packaging: 400 GM

COMPOSITION: Albumen Protein Supplement 400 gm Powder

Mode of Action:

Albumen 65%

Controls hypoalbuminemia effectively

Lycopene 10%

Poweful antioxidant; reduces the risk of cancer & cardiovascular disorders

BCAAs

Helps increase muscle growth

L-arginine & L-arginine

Building blocks of protein, helps in glycemic & BP control

Multivitamins & Multiminerals

Reduces inadequacies in micronutrient intake

Indications

  • Liver failure
  • Heart failure
  • Protein losing enteropathy
  • Post-operative care complications
  • Burn sepsis allergic reactions
  • Kidney damage
  • Malnutrition
  • Cancer

Dosage

2 levels scoop ( 30 gm = 2*15 gm )

2 times a day or as recommended by medical practitioner

Translate »