Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Pyridoxalphospate

Generic name
Pyridoxalphospate
Brand name
ATC Code
A11HA06

Pharmacokinetics in children

No data available

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

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Available formulations

No information is present at this moment.

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Dosages

Pyridoxine-dependent epilepsy
  • Oral
    • 0 years up to 18 years
      • Initial dose: 10 mg/kg/day in 1 dose
      • Maintenance dose: When effect is lacking within 24 hours, increase the dose to: 30 - 50 mg/kg/day in 4 - 6 doses.
      • Treatment by of after consultation of paediatric specialist who has experience in using pyridoxalphosphate for this indication.
        CAVE: When switching from pyridoxine to pyridoxal phosphate, pyridoxine should be discontinued.

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Renal impaiment in children > 3 months

No information available on dose adjustment in renal impairment.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects in children

Apnea, prolonged cerbral depression after initial dose.

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions in children

Resuscitation and intensive care facilities should be available when pyridoxalphosphate is used intravenously due to the risk of apnea and cerebral depression.

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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References

  1. Blau, Hoffmann, Leonard and Clarke, Physicians guide to the treatment and follow-up of metabolic diseases,, Springer, 2006
  2. Baxter P., Pyridoxine or pyridoxal phosphate for intractable seizures?, Arch Dis Child, 2005, May;90(5), 441-2
  3. Wang HS et al, Pyridoxal phosphate is better than pyridoxine for controlling idiopathic intractable epilepsy, Arch Dis Child., 2005, May;90(5), 512-5

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Changes

Changes