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P-Alaxin Oral Suspension
Composition
Each 80 ml suspension after reconstitution contains
Dihydroartemisinin 80 mg
Piperaquine Phosphate 640 mg
Excipients : q.s.
Pharmacology & Pharmacokinetics

Mode of action of Dihydroartemisinin :
Dihydroartemisinin mainly interferes with the membrane structures of trophozoites (erythrocytic asexual forms), i.e. whorled food vacuole membrane, distended mitochondria, swollen nuclear membranes, dissociation of ribosomes from endoplasmic reticulum leading to cytoplasmic vacuolization and autophagocytosis. ln addition, biochemical depression of protein synthesis and nucleic acid synthesis are exhibited. Upon oral administration Dihydroartemisin is rapidly absorbed and maximum blood concentration attained 1 hour afterwards, with a half-life of about 4 hours. It is widely distributed in the liver, kidneys and bile. Approximately 80% is excreted through the urine and feces within 24 hrs after administration. It is metabolized to two inactive metabolites, deoxydihydroartemisinin and dihydroxydihydroartemisinin.

Mode of action of Piperaquine Phosphate

Experimental results show that PQP interferes with physiological function of the food vacuole membrane of the trophozoites leading to autophagocytosis of the parasites. It has no marked effect on the ring forms, immature or mature schizonts and the male of female gametocytes. Upon oral administration about 80-90% is absorbed within 24 hrs. It is widely distributed in the body mainly in the liver, kidneys, lungs and spleen. About 25%of the total dose is partitioned in the liver within 8 hrs of intake. Elimination is very slow with the half life of about 9.4 days. It is excreted through bile by hepatoenteral circulation.

Indications

Treatment of clinical attacks of Malaria caused by P. falciparum, P. Vivax and P. malariae

Contraindications
The product is not recommended for use in women during the first 3 months of pregnancy.
Storage
Preserve in well closed, light resistant containers below 30° C
Packaging
80 ml bottle.
Administration and Dosage
Age (Years) Adolescent between 7 to 10 years Children between 1 to 7 years Children less than 1 year
Initial 40 ml. 20 ml. 10 ml.
6th Hr. 40 ml. 20 ml. 10 ml.
24th Hr. 40 ml. 20 ml. 10 ml.
32nd Hr. 40 ml. 20 ml. 10 ml.
Adverse Reactions
  1. Nausea or vomiting may occur occasionally with incidence of less than 6%
  2. No noticeable side effect of Dihydroartemisinin is reported. The Dihydroartemisinin would, for certain individuals, bring effects of greater or lesser severity : for example, a reversible reduction in reticulocyte counts.
  3. Possible side-effect of PQP include mild dizziness, vertigo, headache, nausea, vomiting and abdominal discomfort. Reversible leucopenia was infrequently reported; dyspnea and palpitations were also reported but not further specified.
Precautions
  1. Do not exceed the stated dosage.
  2. Lactation : excretion of P-ALAXIN ORAL SUSPENSION through breast milk has not been established.
Shelf Life
2 Years
Dispensing Category
Prescription only Medicine.
 
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