義大醫院藥品外觀辨識 暨 處方集 內容
藥品外觀
處方集
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藥品代碼:COBINUT
廠商: 羅氏
規格: 1000mg/40ml/vial
顏色:
形狀:
劑型:
標記:
健保碼:KC00973245
ATC code:L01XC15
學名
Obinutuzumab
商品名
Gazyva
中文名
癌即瓦注射劑
規格含量
1000mg/40ml/vial
藥理分類
04. ANTINEOPLASTIC AGENTS; ;
04.05. MONOCLONAL ANTIBODIES;;
藥理作用
Antineoplastic Agent, Monoclonal Antibody
適應症(藥袋)
標靶藥物
懷孕分級
Fetal risk cannot be ruled out
授乳安全性
Unknown
用法用量
Chronic lymphocytic leukemia (previously untreated; in combination with chlorambucil)
IVF
Cycle 1: 100 mg on day 1 (rate:25mg/hr), followed by 900 mg on day 2 (rate:50mg/hr for 30 minutes; if tolerated, may escalate rate in increments of 50 mg/hour every 30 minutes to a maximum rate of 400 mg/hour.), followed by 1,000 mg weekly for 2 doses (days 8 and 15); treatment cycle is 28 days
Cycles 2 through 6: 1,000 mg on day 1 every 28 days for 5 doses.
Follicular lymphoma
IVF 1000mg
Cycle 1: 1000 mg weekly for 3 doses on day 1, day 8, and day 15; treatment cycle is either 21 or 28 days (depending on combination therapy)
Cycles 2-6 or cycles 2-8: 1000 mg on D1 every 28 days Obinutuzumab monotherapy: 1000 mg every 2 months for 2 years.
rate:50mg/hr for 30 minutes; if tolerated, may escalate rate in increments of 50 mg/hour every 30 minutes to a maximum rate of 400 mg/hour.
副作用
Infusion related reaction, thrombocytopenia, anemia, fever
禁忌
注意事項
1.不可以靜脈推注(push)或灌注方式(bolus)給藥
2.製備輸注液:
(1)慢性淋巴球性白血病(CLL)第1週期第1天: 將4ml(100mg)加入100ml 0.9%NaCl輸注袋稀釋,立即給藥。剩餘36ml(900mg)加入250ml 0.9%NaCl輸注袋稀釋,保存於2-8℃,供第二天使用。
(2)慢性淋巴球性白血病(CLL)第1週期第8、15天、第2-6週期,及濾泡性淋巴瘤(FL): 40ml(1000mg)加入250ml 0.9%NaCl輸注袋稀釋。
3.藥品以0.9%NaCl稀釋濃度至0.4-4mg/mL,於冷藏2-8℃可存放24小時,後再置於室溫≦30℃可存放48小時(含輸注時間)
藥品與食物交互作用
建立者
103617
建立時間
2019-06-24 09:09:50
維護者
103617
維護時間
2020-12-07 08:17:07

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