🩺 OTHER ALIMENTARY TRACT PREPS 🏷️ Enzyme produced by recombinant DNA technology 💊 Imiglucerase
👨‍⚕️ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
📅 Reviewed: November 2026 • 🔍 Authority: DRAP / WHO ATC
📦 Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Inj 400IU 107918 1 Vial — Rs.219544.80 258288.00

📋 Indications & Clinical Dosage

*Non-neurological manifestations of type I and type III Gauchers disease (specialist use only):* BY IV INF: Adult: Initially 60 units/kg every 2 weeks; maintenance dose to be adjusted according to response, 15 units/kg once every 2 weeks may improve haematological parameters and organomegaly.

💊 Mode of Administration

For IV infusion give intermittently in Sodium chloride 0.9%; initially reconstitute with water for injections (400 units in 10.2 ml) to give 40 units/ml solution; dilute requisite dose with infusion fluid to a final volume of 100–200 ml and give initial dose at a rate not exceeding 0.5 units/kg/minute, subsequent doses to be given at a rate not exceeding 1 unit/kg/minute; administer within 3 hours after reconstitution.

⛔ Contraindications

Life threatening hypersensitivity (anaphylactic reaction) to the substance

⚠️ Precautions & Warnings

Monitor for immunoglobulin G (IgG) antibodies to imiglucerase. Whenstabilised,monitorallparametersandresponseto treatment at intervals of 6–12 months.

⚠️ Adverse Reactions / Side Effects

Abdominal cramps, angioedema, cough, dyspnoea, hypersensitivity, skin reactions, arthralgia, back pain, chest discomfort, chills, cyanosis, diarrhoea, dizziness, fatigue, fever, flushing, headache, hypotension, nausea, paraesthesia, tachycardia, vomiting

🤰 Pregnancy & Lactation Safety

Pregnancy Risk:
Use with caution, treatment should not be withheld
Lactation / Breastfeeding:
Avoid breast feeding during treatment

📚 Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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