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Capastat (Capreomycin Sulfate) - Summary

 

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WARNINGS

The use of Capastat® Sulfate (Capreomycin for Injection, USP) in patients with renal insufficiency or preexisting auditory impairment must be undertaken with great caution, and the risk of additional cranial nerve VIII impairment or renal injury should be weighed against the benefits to be derived from therapy.

Refer to ANIMAL PHARMACOLOGY for additional information.

Since other parenteral antituberculosis agents (streptomycin, viomycin) also have similar and sometimes irreversible toxic effects, particularly on cranial nerve VIII and renal function, simultaneous administration of these agents with Capastat Sulfate is not recommended. Use with nonantituberculosis drugs (polymyxin A sulfate, colistin sulfate, amikacin, gentamicin, tobramycin, vancomycin, kanamycin, and neomycin) having ototoxic or nephrotoxic potential should be undertaken only with great caution.

Usage in Pregnancy: The safety of the use of Capastat Sulfate in pregnancy has not been determined.

Pediatric Usage: Safety and effectiveness in pediatric patients have not been established.

 

CAPASTAT SUMMARY

CAPASTAT® SULFATE
CAPREOMYCIN FOR INJECTION, USP

For Intramuscular and Intravenous Infusion Only

NOT FOR PEDIATRIC USE

Capastat Sulfate is a polypeptide antibiotic isolated from Streptomyces capreolus. It is a complex of 4 microbiologically active components which have been characterized in part; however, complete structural determination of all the components has not been established. Capreomycin is supplied as the disulfate salt and is soluble in water. In complete solution, it is almost colorless. Each vial contains the equivalent of 1 g capreomycin activity.

Capastat Sulfate, which is to be used concomitantly with other appropriate antituberculosis agents, is indicated in pulmonary infections caused by capreomycin–susceptible strains of M. tuberculosis when the primary agents (isoniazid, rifampin, ethambutol, aminosalicylic acid, and streptomycin) have been ineffective or cannot be used because of toxicity or the presence of resistant tubercle bacilli.

Susceptibility studies should be performed to determine the presence of a capreomycin–susceptible strain of M. tuberculosis.

CAPASTAT NEWS HIGHLIGHTS

Media Articles Related to Capastat (Capreomycin)

Tuberculosis Skin Test (PPD Skin Test)
Source: MedicineNet Cancer Specialty [2008.09.02]

Extensively Drug-Resistant Tuberculosis Found In California
Source: MRSA / Drug Resistance News From Medical News Today [2008.08.14]

Treatment Outcomes Highlight Dangers Of Extensively Drug-Resistant Tuberculosis
Source: MRSA / Drug Resistance News From Medical News Today [2008.08.07]

Tuberculosis
Source: MedicineNet Erythema Nodosum Specialty [2008.01.17]

Extensively Drug-Resistant Tuberculosis (XDR TB)
Source: MedicineNet ICU Psychosis Specialty [2007.05.30]

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Published Studies Related to Capastat (Capreomycin)

Inhaled large porous particles of capreomycin for treatment of tuberculosis in a guinea pig model. [2007.08]

Preparation of large porous biodegradable microspheres by using a simple double-emulsion method for capreomycin sulfate pulmonary delivery. [2007.03.21]

Unilamellar vesicles as potential capreomycin sulfate carriers: preparation and physicochemical characterization. [2004.12.31]

UV spectroscopy and reverse-phase HPLC as novel methods to determine Capreomycin of liposomal fomulations. [2004.10.29]

[A study on the clinical efficacy of a combination regimen with levofloxacin and capreomycin in the treatment of multi-drug resistant pulmonary tuberculosis] [2003.08]

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Clinical Trials Related to Capastat (Capreomycin)

A Prospective Study of Multidrug Resistance and a Pilot Study of the Safety of and Clinical and Microbiologic Response to Levofloxacin in Combination With Other Antimycobacterial Drugs for Treatment of Multidrug-Resistant Pulmonary Tuberculosis (MDRTB) in HIV-Infected Patients. [Completed]

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Page last updated: 2008-09-02

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