Miltefosine

Miltefosine, an alkylphospholipid first developed as an anticancer drug, has been shown to have activity against Leis mania species and is a new oral drug for the treatment of visceral leishmaniasis.


Adult Dose
Dose: 2.5 mg/kg/day
Single Dose: 2.5 (2.5)
Frequency: As recommended.
Route: PO
Instructions: Should be given for 28 days.The dose should be adjusted based on patients weight so that a dose of 4mg/kg per day is not exceeded.
Neonatal
Paedriatic
Characteristics
. It is of Synthetic origin and belongs to Phospholipid. It belongs to Antiprotozal Agent pharmacological group.The Molecular Weight of Miltefosine is 407.57.
Contraindications
Miltefosine is contraindicated in conditions like Pregnancy.
Effects
The symptomatic adverse reactions produced by Miltefosine are more or less tolerable and if they become severe, they can be treated symptomatically, these include Diarrhea, Nausea and vomiting, Hepatotoxicity.
Indications
Miltefosine is primarily indicated in conditions like Visceral leishmaniasis, and can also be given in adjunctive therapy as an alternative drug of choice in Colorectal cancer, Metastatic breast cancer.
Interactions
No data regarding the interactions of Miltefosine was found.
Interfrence
Increased in Serum AminotransferaseIncreased level of Blood urea nitrogen (BUN) concentrationsIncreased in serum creatinin
Risks
Drug should not be given to Pregnant Mothers.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Warnings
Precautions should be taken in Handling. Avoid contact with eyes, skin, and clothing. Should be use with caution in patients withwith advanced disease, breastfeeding women, HIV-infected patients, and individuals with significant renal or hepatic insufficiency.
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