Anemia due to chronic kidney disease (CKD) in adults who have been receiving dialysis for at least three months.
藥理
reversibly inhibits hypoxia-inducible factor prolyl hydroxylase-1 (PH1), PH2, and PH3, which stimulates transcription of the erythropoietin gene in the kidneys and liver, leading to increased levels of endogenous erythropoietin.
藥動學
1. Protein binding: ?99.5%. 2. Metabolism: Hepatic primarily via glucuronidation by UDP-glucuronosyltransferase (UGT) enzymes. 3. Half-life elimination: 9.2 hours (in patients on chronic hemodialysis). 4. Time to peak: ~2 to 3 hours. 5. Excretion: Urine: 58.9% (<1% as unchanged drug); feces: 26.9% (9% as unchanged drug).
禁忌症
uncontrolled hypertension
懷孕分類
Vafseo should only be used during pregnancy if the benefit justifies the potential risk to the fetus.
哺乳分類
Breastfeeding not recommended until two days after the final dose.
副作用
Hypertension, Diarrhea, thrombosis, nausea
劑量和給藥方法
Doses may range from 150 mg to a maximum of 600 mg.
小兒調整劑量
It is not known if VAFSEO is safe and effective in children.
腎功能調整劑量
Not indicated for use in patients with chronic kidney disease not receiving dialysis.
肝功能調整劑量
Not recommended in patients with cirrhosis or active, acute liver disease.