Page 91 - Children Bookt.pdf
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Non-nucleoside reverse transcriptase inhibitors





            Nevirapine   Oral suspension:  All ages  Target dose – maintenance   $
!
            ‡[*ˆ     10 mg/ml               
!&—‹Ž˜	–	  administration, avoid use
                                             to maximum dose of 200 mg   (see Tuberculosis section)
                      Tablet:                twice daily          -Store suspension at room
                      200 mg                  Target dose prophylaxis                temperature; must shake
                      50mg                   Aim for exposure of 100ng/ml                      well
                                             —Birth to 6 weeks of age:   - Can give with food
                                             - weight less than 2.5 kg   -Tablets are scored and can
                                             10 mg per day        be divided into two equal
                                             - weight more than 2.5 kg   halves to give a 100 mg
                                             15 mg per day                       dose;
                                             —Age 6 weeks to 6 months   -can be crushed and
                                             20 mg per day        combined with small
                                             —Age 6 months to 9 months   amount of water or food and
                                             30 mg per day        immediately administered
                                             —Age 9 months to end of   -MUST WARN PARENTS
                                             breastfeeding        ABOUT RASH
                                             40 mg per day        -Do not dose escalate if rash
                                             Special considerations on   occurs (if
                                             maintenance therapy  mild/moderate rash, hold
                                             $

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‹  drug; when rash cleared,
                                             days omit the evening dose of   restart dosing from beginning
                                             [*$	

!
:

  of dose escalation; if severe
                                             doses are unequal,   rash, discontinue drug)
                                             give the higher dose in the   Drug interactions
                                             morning and omit the lower
                                             evening dose.
                                             Maintenance therapy:
                                             target dose is 160 – 200 mg/m   2
                                             given twice daily and adjusted
                                             for more aggressive dosing in
                                             the younger age group.













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