Capreomycin

DEA Class; Rx

Common Brand Names; Capastat

  • Antitubercular Agents

Parenteral polypeptide antibiotic, exact mechanism unknown.
Used as a second line agent in combination with other medications for the treatment of pulmonary tuberculosis.
Practical use is limited by routes of administration, adverse effects of nephrotoxicity and neurotoxicity.

Indicated for treatment of Tuberculosis

Hypersensitivity

Pregnancy

  • Nephrotoxicity, incr BUN (36%)
  • Hearing loss (11% subclinical; 3% clinical)
  • Eosinophilia (dose related, >5%)
  • Incr LFTs
  • Inj site pain/induration
  • Leukopenia
  • Maculopapular rash
  • Urticaria

Renal impairment, auditory impairment, history of allergic rxns

Risk of hypokalemia

Risk of rare but potentially fatal toxic nephritis

Pregnancy Category: C

Lactation: excretion in milk unknown; use with caution

Adults

1 g/day (20 mg/kg/day) or 5 days/week IV/IM or 25 mg/kg/dose IV/IM 3 days/week.

Geriatric

1 g/day (20 mg/kg/day) or 5 days/week IV/IM or 25 mg/kg/dose IV/IM 3 days/week.

Adolescents

Safety and efficacy have not been established; however, 30 mg/kg/day (Max: 1 g/day), 5 days/week, or twice weekly IV/IM has been used off-label.

Children

Safety and efficacy have not been established; however, 30 mg/kg/day (Max: 1 g/day), 5 days/week, or twice weekly IV/IM has been used off-label.

Infants

Safety and efficacy have not been established; however, 30 mg/kg/day, 5 days/week, or twice weekly IV/IM has been used off-label.

Neonates

Safety and efficacy have not been established; however, 30 mg/kg/day IV/IM has been used off-label.

Capreomycin sulfate

powder for injection

  • 1g/vial

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