항생제
Bedaquiline

Bedaquiline

Spectrum Of Activity

General Information

Multidrug resistant tuberculosis, in combination with at least 3 other agents.

Obtain sputum for mycobacterial culture and susceptibility testing prior to and during treatment.

Monitor liver function tests at baseline and during treatment.

Measure serum calcium, magnesium, and potassium at baseline.

Monitor ECG before initiation and during treatment.

Common

  • Chest pain
  • Abdominal pain
  • Nausea
  • Arthralgia
  • Headache
  • Hemoptysis

Serious

  • Prolonged QT interval
  • Increased liver enzymes
  • CYP3A4 inhibitors
  • CYP3A4 inducers
  • QTc prolongating drugs
  • Ethanol

Multiple drug-drug interactions

Antimicrobial class: Diarylquinoline

Pregnancy category: B

Average serum half life: 24-30 hours (effective) 4-5 months (terminal)

Precautions: Monitoring recommended and discontinue use with appearance of a clinically significant ventricular arrhythmia or a QTc interval of greater than 500 milliseconds (confirmed by repeat ECG).

Monitoring recommended and discontinue use if aminotransferase elevations are greater than 8 times ULN, or are greater than 5 times ULN and persist beyond 2 weeks, or are accompanied by total bilirubin greater than 2 times ULN.