Cafcit 5 mg Solution for IV infusion or Oral administration.
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of primary apnoea of premature newborns.
Dosage (summary)
Loading dose: 20 mg/kg IV over 30 mins; Maintenance: 5 mg/kg IV or orally every 24 hours.
Onset of Action / Duration
Onset: minutes, Duration: prolonged half-life in neonates.
Special Populations
- Hepatic impairment
- Renal impairment
Pregnancy & Breastfeeding
Caffeine crosses placenta and is excreted in breast milk; breastfeeding mothers should avoid caffeine.
Key Drug Interactions
- Theophylline
- Cimetidine
- Ketoconazole
- Phenobarbital
- Phenytoin
Contraindications
- Hypersensitivity to caffeine citrate
Common side effects
- Irritability
- Jitteriness
- Tachycardia
- Hypoglycaemia
- Necrotising enterocolitis
Counselling Points
- Monitor for apnoea recurrence
- Avoid caffeine in breastfeeding
- Report any unusual symptoms
Serious warnings
- Monitor plasma caffeine levels
- Risk of seizures
- Caution in cardiac disease
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