1. Absorption: ~4% to 17%
2. Distribution: Vd: ~16 L; Protein binding: <10%
3. Metabolism: None
4. Half-life elimination: 2.5 to 5.1 hours
5. Time to peak, plasma: 1 to 2 hours
6. Excretion: Urine (as unchanged drug); feces (unabsorbed drug)
禁忌症
Hypersensitivity to zanamivir or any component of the formulation (contains milk proteins)
懷孕分類
Although neuraminidase inhibitors are currently recommended for the treatment or prophylaxis of influenza in pregnant women and women up to 2 weeks' postpartum, zanamivir is not the preferred agent.
哺乳分類
Caution be exercised when administering zanamivir to breastfeeding women.
Prophylaxis:
Two inhalations (10 mg) once daily for 7 days after last known exposure Treatment:
1. Two inhalations (10 mg) twice daily for 5 days.
2. Doses on first day should be separated by at least 2 hours; on subsequent days, doses should be spaced by ~12 hours.
3. Begin within 2 days of symptoms; Longer treatment may be considered for patients who remain severely ill after 5 days.
小兒調整劑量
Infants ≥6 months and Children: 12 mg/kg as a single dose; maximum 600 mg/dose
腎功能調整劑量
No dosage adjustment necessary; however, the potential for drug accumulation should be considered.
肝功能調整劑量
There are no dosage adjustments provided in the manufacturer's labeling (has not been studied)