Pedea 5 mg, 10 mg Solution for injection
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of haemodynamically significant patent ductus arteriosus in preterm newborns <34 weeks gestational age.
Dosage (summary)
IV: 10 mg/kg (1st dose), 5 mg/kg (2nd & 3rd doses) at 24-hour intervals.
Special Populations
- Preterm infants
- Neonates
Key Drug Interactions
- Diuretics
- Anticoagulants
- Corticosteroids
- Nitric oxide
- Other NSAIDs
- Zidovudine
- Ritonavir
- Aminoglycosides
Contraindications
- Hypersensitivity to ibuprofen
- Life-threatening infection
- Active bleeding
- Thrombocytopenia
- Significant renal impairment
- Congenital heart disease requiring ductus arteriosus patency
- Necrotising enterocolitis
Common side effects
- Thrombocytopenia
- Intraventricular haemorrhage
- Bronchopulmonary dysplasia
- Necrotising enterocolitis
- Oliguria
Counselling Points
- Administer in neonatal intensive care unit
- Monitor for signs of bleeding
- Avoid prophylactic use in preterm infants
- Discard unused solution after opening
Serious warnings
- Increased risk of pulmonary and renal adverse events in preterm infants <28 weeks
- Risk of bilirubin encephalopathy
- Serious skin reactions
- Monitor for bleeding
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