Ba Tai Uses

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What is Ba Tai?

Ba Tai injection is used to prevent nausea and vomiting that may occur after treatment with cancer medicines (chemotherapy or radiation), including high-dose cisplatin. Ba Tai is also used to prevent and treat nausea and vomiting that may happen after surgery.

Ba Tai is a selective 5-HT3 receptor antagonist. It works in the stomach to block the signals to the brain that cause nausea and vomiting.

Ba Tai is to be given only by or under the immediate supervision of your doctor.

Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although this use is not included in product labeling, Ba Tai injection is used in certain patients:

Ba Tai indications

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Ba Tai Injection is a serotonin-3 (5-HT3) receptor antagonist indicated for:

How should I use Ba Tai?

Use Ba Tai as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Ba Tai.

Uses of Ba Tai in details

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Use: Labeled Indications

Chemotherapy-associated nausea and vomiting: Prevention of nausea and vomiting associated with initial and repeat courses of emetogenic chemotherapy, including high-dose cisplatin (injection and tablets); prevention of nausea and vomiting associated with anthracycline/cyclophosphamide chemotherapy regimens; prevention of nausea and vomiting associated with moderately and/or highly emetogenic chemotherapy regimens of up to 5 consecutive days of duration (transdermal).

Radiation-associated nausea and vomiting: Prevention of nausea and vomiting associated with radiation therapy, including total body radiation and fractionated abdominal radiation (tablets).

Off Label Uses

Prevention of postoperative nausea and vomiting

Based on the Society for Ambulatory Anesthesia Consensus Guidelines for management of postoperative nausea and vomiting, Ba Tai may administered prior to the end of surgery to prevent postoperative nausea and vomiting.

Ba Tai description

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Each mL of preservative-free aqueous solution contains 1.12 mg Ba Tai hydrochloride equivalent to Ba Tai 1 mg and sodium chloride 9 mg. The solution's pH ranges from 4-6.

Ba Tai hydrochloride is an antinauseant and antiemetic agent. It is endo-N-(9-methyl-9-azabicyclo[3.3.1]non-3-yl)-1-methyl-1H-indazole-3-carboxamide hydrochloride with a molecular weight of 348.9 (312.4 free base). Its empirical formula is C18H24N4O·HCl.

Ba Tai hydrochloride is a white to off-white solid that is readily soluble in water and normal saline at 20°C. Ba Tai injection is a clear, colorless, sterile, nonpyrogenic, aqueous solution for IV administration.

Ba Tai dosage

Ba Tai Dosage

Generic name: Ba Tai hydrochloride 1mg

Dosage form: tablet, film coated; oral solution

The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

Emetogenic Chemotherapy

The recommended adult dosage of oral Ba Tai (Ba Tai hydrochloride) is 2 mg once daily or 1 mg twice daily. In the 2 mg once-daily regimen, two 1 mg tablets or 10 mL of Ba Tai

Oral Solution (2 teaspoonfuls, equivalent to 2 mg of Ba Tai) are given up to 1 hour before chemotherapy. In the 1 mg twice-daily regimen, the first 1 mg tablet or one teaspoonful (5 mL) of Ba Tai

Oral Solution is given up to 1 hour before chemotherapy, and the second tablet or second teaspoonful (5 mL) of Ba Tai

Oral Solution, 12 hours after the first. Either regimen is administered only on the day(s) chemotherapy is given. Continued treatment, while not on chemotherapy, has not been found to be useful.

Use in the Elderly, Renal Failure Patients or Hepatically Impaired Patients

No dosage adjustment is recommended.

Pediatric Use

Safety and effectiveness in pediatric patients have not been established.

Radiation (Either Total Body Irradiation or Fractionated Abdominal Radiation)

The recommended adult dosage of oral Ba Tai is 2 mg once daily. Two 1 mg tablets or 10 mL of Ba Tai

Oral Solution (2 teaspoonfuls, equivalent to 2 mg of Ba Tai) are taken within 1 hour of radiation.

Pediatric Use

Safety and effectiveness in pediatric patients have not been established.

Use in the Elderly

No dosage adjustment is recommended.

More about Ba Tai (Ba Tai)

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Ba Tai interactions

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What other drugs will affect Ba Tai?

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Ba Tai does not induce or inhibit the cytochrome P-450 drug-metabolizing enzyme system in vitro. There have been no definitive drug-drug interaction studies to examine pharmacokinetic or pharmacodynamic interaction with other drugs; however, in humans, Ba Tai (Ba Tai) Injection has been safely administered with drugs representing benzodiazepines, neuroleptics, and anti-ulcer medications commonly prescribed with antiemetic treatments. Ba Tai (Ba Tai) Injection also does not appear to interact with emetogenic cancer chemotherapies. Because Ba Tai is metabolized by hepatic cytochrome P-450 drug-metabolizing enzymes, inducers or inhibitors of these enzymes may change the clearance and, hence, the half-life of Ba Tai. No specific interaction studies have been conducted in anesthetized patients. In addition, the activity of the cytochrome P-450 subfamily 3A4 (involved in the metabolism of some of the main narcotic analgesic agents) is not modified by Ba Tai (Ba Tai) in vitro.

In in vitro human microsomal studies, ketoconazole inhibited ring oxidation of Ba Tai (Ba Tai). However, the clinical significance of in vivo pharmacokinetic interactions with ketoconazole is not known. In a human pharmacokinetic study, hepatic enzyme induction with phenobarbital resulted in a 25% increase in total plasma clearance of intravenous Ba Tai (Ba Tai). The clinical significance of this change is not known.

QT prolongation has been reported with Ba Tai (Ba Tai). Use of Ba Tai (Ba Tai) in patients concurrently treated with drugs known to prolong the QT interval and/or are arrhythmogenic, this may result in clinical consequences.

Ba Tai side effects

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What are the possible side effects of Ba Tai?

QT prolongation has been reported with Ba Tai.

Chemotherapy-Induced Nausea and Vomiting

Over 3700 patients have received Ba Tai (Ba Tai) Tablets in clinical trials with emetogenic cancer therapies consisting primarily of cyclophosphamide or cisplatin regimens.

In patients receiving Ba Tai (Ba Tai) Tablets 1 mg bid for 1, 7 or 14 days, or 2 mg daily for 1 day, adverse experiences reported in more than 5% of the patients with comparator and placebo incidences are listed in Table 4.

Table 4 Principal Adverse Events in Clinical Trials Metoclopramide/dexamethasone and phenothiazines/dexamethasone

In the absence of a placebo group, there is uncertainty as to how many of these events should be attributed to Ba Tai (Ba Tai), except for headache, which was clearly more frequent than in comparison groups.

Radiation-Induced Nausea and Vomiting

In controlled clinical trials, the adverse events reported by patients receiving Ba Tai (Ba Tai) Tablets and concurrent radiation were similar to those reported by patients receiving Ba Tai (Ba Tai) Tablets prior to chemotherapy. The most frequently reported adverse events were diarrhea, asthenia, and constipation. Headache, however, was less prevalent in this patient population.

Postmarketing Experience

QT prolongation has been reported with Ba Tai.

Ba Tai contraindications

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What is the most important information I should know about Ba Tai?

You should not use this medication if you are allergic to Ba Tai or to similar medicines such as dolasetron (Anzemet), ondansetron (Zofran), or palonosetron (Aloxi).

Before taking Ba Tai, tell your doctor if you have liver disease, a heart rhythm disorder, an electrolyte imbalance (such as low levels of potassium or magnesium in your blood), or a personal or family history of Long QT syndrome.

Ba Tai is usually started up to 1 hour before chemotherapy. Tell your doctor if you forget to take the medication within the specified amount of time before your procedure.

Active ingredient matches for Ba Tai:

Granisetron in China.


List of Ba Tai substitutes (brand and generic names)

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Unit description / dosage (Manufacturer)Price, USD
Cadidem 10 ml Syrup (Aristo Pharmaceuticals Pvt Ltd.)$ 0.11
1 mg x 8's (Cadila Pharmaceuticals Ltd.)$ 1.98
1 mg x 1 mL x 2ml (Cadila Pharmaceuticals Ltd.)$ 0.36
1 mg x 1 mL x 5ml (Cadila Pharmaceuticals Ltd.)$ 0.84
Cadigran 1mg TAB / 8 (Cadila Pharmaceuticals Ltd.)$ 1.98
Cadigran 1mg/mL INJ / 2ml (Cadila Pharmaceuticals Ltd.)$ 0.36
Cadigran 1mg/mL INJ / 5ml (Cadila Pharmaceuticals Ltd.)$ 0.84
Cadigran 1 mg Tablet (Cadila Pharmaceuticals Ltd.)$ 0.25
Cadigran 5 mg Injection (Cadila Pharmaceuticals Ltd.)$ 0.17
CADIGRAN 1MG INJECTION 1 vial / 2 ML injection each (Cadila Pharmaceuticals Ltd.)$ 1.12
CADIGRAN 1MG TABLET 1 strip / 8 tablets each (Cadila Pharmaceuticals Ltd.)$ 2.09
CADIGRAN 3MG INJECTION 1 vial / 3 ML injection each (Cadila Pharmaceuticals Ltd.)$ 0.94
CADIGRAN 3MG INJECTION 1 vial / 5 ML injection each (Cadila Pharmaceuticals Ltd.)$ 0.44
CADIGRAN tab 1 mg x 8's (Cadila Pharmaceuticals Ltd.)$ 1.98
CADIGRAN inj 1 mg x 1 mL x 2ml (Cadila Pharmaceuticals Ltd.)$ 0.36
CADIGRAN inj 1 mg x 1 mL x 5ml (Cadila Pharmaceuticals Ltd.)$ 0.84
Cadigran 1mg TAB / 8 (Cadila Pharmaceuticals Ltd.)$ 1.98
Cadigran 1mg/mL INJ / 2ml (Cadila Pharmaceuticals Ltd.)$ 0.36
Cadigran 1mg/mL INJ / 5ml (Cadila Pharmaceuticals Ltd.)$ 0.84
Cadigran 1mg Injection (Cadila Pharmaceuticals Ltd.)$ 0.56
Cadigran 1mg Tablet (Cadila Pharmaceuticals Ltd.)$ 0.26
Cadigran inj 2 mg Injection (Cadila Pharmaceuticals Ltd.)$ 0.18
1 mg x 1 mL x 3ml (Biochem)$ 0.76
Emegran 1mg x 1mL INJ / 3ml (Biochem)$ 0.76
EMEGRAN inj 1 mg x 1 mL x 3ml (Biochem)$ 0.76
Emegran 1mg x 1mL INJ / 3ml (Biochem)$ 0.76
EMEGRAN 3 1MG INJECTION 1 vial / 3 ML injection each (Biochem Pharmaceutical Industries)$ 0.74

References

  1. DailyMed. "GRANISETRON: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
  2. PubChem. "granisetron". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. DrugBank. "granisetron". http://www.drugbank.ca/drugs/DB00889 (accessed September 17, 2018).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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