靜脈輸注。
Intravenous (IV) infusion.0.9% 氯化鈉注射液 (Normal Saline)。
0.9% Sodium Chloride Injection (Normal Saline).將計算好之藥量由輸注袋中抽出相同體積之 0.9% 氯化鈉注射液,再將藥液加入輸注袋中。第一劑通常使用 1,000 mL 稀釋液;若第一劑耐受良好,第二劑可使用 500 mL 稀釋液;後續劑量則固定使用 500 mL 稀釋液。
W第一劑:前 60 分鐘以 50 mL/hr 輸注,若耐受良好,每小時可增加 50 mL/hr,最高速率為 200 mL/hr。第二劑:前 60 分鐘以 50 mL/hr 輸注,若耐受良好,每小時可增加 50 mL/hr,最高速率為 200 mL/hr。後續劑量:前 60 分鐘以 100 mL/hr 輸注,若耐受良好,每小時可增加 50 mL/hr,最高速率為 200 mL/hr。
First infusion: 50 mL/hr for the first 60 minutes; if tolerated, increase by 50 mL/hr every hour to a maximum of 200 mL/hr. Second infusion: 50 mL/hr for the first 60 minutes; if tolerated, increase by 50 mL/hr every hour to a maximum of 200 mL/hr. Subsequent infusions: 100 mL/hr for the first 60 minutes; if tolerated, increase by 100 mL/hr every hour to a maximum of 200 mL/hr.給藥前應使用皮質類固醇、解熱鎮痛藥及抗組織胺劑進行預防性給藥,以降低輸注相關反應 (IRR) 風險。Darzalex 會干擾血型鑑定中的間接抗球蛋白試驗 (Coombs test),必須在首次給藥前完成受贈者之血型鑑定。治療期間應監測 B 型肝炎病毒活化情況,並建議給予抗病毒藥物預防帶狀?疹。
Pre-medicate with corticosteroids, antipyretics, and antihistamines to reduce the risk of infusion-related reactions (IRRs). Darzalex interferes with the indirect antiglobulin test (Coombs test) during blood cross-matching; type and screen must be performed prior to the first dose. Monitor for Hepatitis B virus reactivation during treatment, and antiviral prophylaxis for herpes zoster is recommended.