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

Interactions
PK
Renal impairment
References

Bezlotoxumab

Generic name
Bezlotoxumab
Brand name
ATC Code
J06BC03

Pharmacokinetics in children

  1-4 years (n=20) 4-7 years (n=13) 7-12 years (n=21) 12-18 years (n=37)
                                   Geometric mean (%CV)
Cmax (mcg/ml) 112 (37,4%) 136 (32,2 %) 143 (24,0 %) 155 (28,2 %)
T1/2 (days) 18,4 (32 %) 17,6 (36,6 %) 18,2 (35,3 %) 21,7 (22,1 %)*
Clearance (l/day) 0,07 (33,2 %) 0,116 (44,2 %) 0,171 (45 %) 0,24 (33,7 %)*
Volume of distribution (l) 1,85 (39,1 %) 2,95 (36,8 %) 4,51 (27,7 %) 7,5 (33,3 %)*

*- n=36; FK parameters, except Cmax, could not be determined in one person due to an
incomplete concentration-time profile
Source: SmPC Zinplava

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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

Prevention of recurrence of Clostridium difficile infection
  • Intravenous
    • 1 year up to 18 years
      • 10 mg/kg/dose, once only. infusion in 60 minutes.

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Renal impaiment in children > 3 months

GFR ≥10 ml/min/1.73m2: Dose adjustment not required.

GFR <10 ml/min/1.73m2: A general recommendation on dose adjustment cannot be provided.

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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

The safety profile in children matches that of adults.

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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

No information available on specific warnings and precautions in children.

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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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Reference

  1. Merck Sharp & Dohme B.V., SmPC Zinplava (EU/1/16/1156/001-2) Rev 10; 18-07-2023, www.ema.europa.eu

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Changes

Changes