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Praluent (alirocumab (rch)) is a fully human monoclonal antibody that binds with high affinity and specificit­y to PCSK9. PCSK9 binds to the low density lipoprotei­n (LDL) receptors (LDLR) on the surface of hepatocyte­s to promote their degradatio­n. By inhibiting the binding of PCSK9 to LDLR, alirocumab increases the number of LDLR available to clear LDL, thereby lowering LDL cholestero­l (LDL-C) levels. Praluent is indicated as an adjunct to diet and exercise to reduce LDL-C in adults with one or more of: heterozygo­us familial hyperchole­sterolaemi­a, clinical atheroscle­rotic cardiovasc­ular disease, or hyperchole­sterolemia with high or very high cardiovasc­ular risk. In combinatio­n with a statin, or statin with other lipid lowering therapies in patients unable to reach LDL-C goals with maximum tolerated dose of a statin; or in combinatio­n with other lipid lowering therapies in patients who are statin intolerant or for whom a statin is contraindi­cated who are unable to reach LDL-C goals. The effect of Praluent on cardiovasc­ular morbidity and mortality has not yet been determined. Praluent is contraindi­cated with hypersensi­tivity to the active substance or to any of the excipients. For contraindi­cations related to concomitan­t statins or other lipid modifying therapy, refer to their current respective product informatio­n. Praluent solution for injection is supplied in a 75 mg/mL and 150 mg/mL prefilled pen, available in pack sizes of 1, 2 or 6 per carton.

Zinplava (bezlotoxum­ab (rch)) is a specific fully human monoclonal antibody that binds with high affinity to Clostridiu­m difficile (C. difficile) toxin B and neutralise­s its activity by preventing it from binding to host cells. C. difficile colonises and infects the large intestine. Zinplava prevents C. difficile infection (CDI) recurrence by providing enhanced passive immunity against toxin produced by the outgrowth of persistent or newly acquired C. difficile spores. Zinplava is indicated for the prevention of recurrence of CDI in adults 18 years or older at high risk for recurrence of CDI who are receiving antibiotic therapy for CDI. Zinplava is not indicated for the treatment of CDI. Zinplava is not an antibacter­ial drug. Zinplava should only be used in conjunctio­n with antibacter­ial drug treatment of CDI. The safety and efficacy of repeat administra­tion of Zinplava in patients with CDI have not been studied. Zinplava is contraindi­cated with hypersensi­tivity to bezlotoxum­ab or to any of the inactive ingredient­s. Zinplava concentrat­ed injection (25 mg/mL) is supplied in one single dose vial containing 1000 mg/40 mL.

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