Exjade 125mg. 250mg. 500mg dispersible tablets
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of chronic iron overload due to blood transfusions and non-transfusion-dependent thalassemia.
Dosage (summary)
Starting dose: 20 mg/kg for transfusion overload; 10 mg/kg for non-transfusion-dependent thalassemia.
Special Populations
- Elderly patients
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Not recommended during pregnancy; safety in breastfeeding not established.
Key Drug Interactions
- NSAIDs
- Corticosteroids
- Oral bisphosphonates
- Anticoagulants
- Repaglinide
- CYP3A4 substrates
Contraindications
- Hypersensitivity
- Creatinine clearance < 60 mL/min
- Severe hepatic impairment
- Pregnancy and lactation
Common side effects
- Gastrointestinal disturbances
- Skin rash
- Increased serum creatinine
- Elevated liver transaminases
Counselling Points
- Take on an empty stomach
- Monitor renal and hepatic function regularly
- Report any signs of severe skin reactions
Serious warnings
- Risk of gastrointestinal ulceration and hemorrhage
- Hepatic failure reports
- Serious skin reactions
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