Medicine details

Image Pegferon
Name Pegferon 180
Dosage Injection
Generic Name Peginterferon Alfa-2a
Classes Antiinfective Agent
Antiviral Agent
Antiviral Combination
Diseases Hepatitis B
Hepatitis C
Infectious Disease
Company Healthcare Pharmaceuticals Ltd.

Drug Package Details

Strength 180 mcg/vial
Storage Condition
Origin Country Bangladesh
Commercial Pack 1
Price per pack 15,000.00
Cost per pack 13,200.00
Package unit 180 mcg pre filled syringe
Price per unit 15,000.00
Cost per unit 13,200.00
Discount 0
Coupon
Remarks

Peginterferon Alfa-2a

Interferon alpha 2a is recombinant interferon, a cytokine. Peginterferon Alfa-2a refers to polyethylene glycated interferon. Peginterferon Alfa-2a's biological activity is derived from its recombinant human interferon-2a moiety. Peginterferon-2a binds to the human type 1 interferon receptor, causing it to dimerize. Multiple intracellular signal transduction pathways are activated by receptor dimerization, which is initiated by the JAK/STAT pathway. Peginterferon-2a is expected to have pleiotropic biological effects in the body due to the diversity of cell types that respond to interferon-2a and the multiplicity of potential intracellular responses to interferon receptor activation.

  • Interferon alpha 2a is administered by subcutaneous injection.
  • In adult patients with chronic hepatitis C or chronic hepatitis B, Interferon alpha 2a is dosed as 180 mcg per week and the duration of treatment depends on indication, genotype, and whether it is administered with Ribavirin.
  • In pediatric patients with CHC, Interferon alpha 2a is dosed as 180 mcg/1.73 m2 x BSA per week, in combination with Ribavirin, and the duration of treatment depends on genotype.
  • Dose reduction is recommended in patients experiencing certain laboratory abnormalities, adverse reactions or renal impairment.

The most common adverse reactions are-

  • fatigue
  • asthenia
  • pyrexia
  • myalgia
  • headache

It has the potential to cause or worsen fatal or life-threatening neuropsychiatric, autoimmune, ischemic, and infectious disorders. With persistently severe or worsening signs or symptoms of the aforementioned disorders, discontinue therapy.

Ribavirin use:

  • Ribavirin may cause birth defects and fetal death; female patients and female partners of male patients should avoid pregnancy.
  • Birth defects and fetal death: patients must have a negative pregnancy test prior to therapy, use 2 or more forms of contraception, and have monthly pregnancy tests 
  • Hemolytic anemia 
  • History of significant or unstable cardiac disease 

Patients exhibiting the following events should be closely monitored and may require dose reduction or discontinuation of therapy:

  • Neuropsychiatric events
  • Autoimmune and endocrine disorders (including thyroid disorders; hyperglycemia) 
  • Ophthalmologic disorders 
  • Cerebrovascular disorders
  • Hepatic decompensation in cirrhotic patients. Exacerbation of hepatitis during hepatitis B treatment.
  • Pulmonary disorders
  • Infections (bacterial, viral, fungal) 
  • Bone marrow suppression 
  • Colitis and pancreatitis 
  • Hypersensitivity and serious skin reactions including Stevens-Johnson syndrome 
  • Growth impairment with combination therapy in pediatric patients 
  • Peripheral neuropathy when used in combination with telbivudine

Contraindication

Contraindicated in-

  • Autoimmune hepatitis 
  • Hepatic decompensation in patients with cirrhosis
  • Use in neonates/infants