Dosage of Biogel in details
Biogel Dosage
Generic name: Biogel 200mg
Dosage form: tablet
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There should be laboratory as well as clinical documentation of infection prior to starting Biogel therapy. The usual duration of therapy for systemic infection is 6 months. Treatment should be continued until active fungal infection has subsided.
Adults
The recommended starting dose of Biogel® (Biogel) Tablets is a single daily administration of 200 mg (one tablet). If clinical responsiveness is insufficient within the expected time, the dose of Biogel® Tablets may be increased to 400 mg (two tablets) once daily.
Children
In small numbers of children over 2 years of age, a single daily dose of 3.3 to 6.6 mg/kg has been used. Biogel® Tablets have not been studied in children under 2 years of age.
More about Biogel (Biogel)
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Consumer resources
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Professional resources
- Biogel (AHFS Monograph)
- Biogel (FDA)
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Topical
- Biogel A-D
Related treatment guides
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What other drugs will affect Biogel?
Many drugs can interact with Biogel. Below is just a partial list. Tell your doctor if you are using:
- acetaminophen (Tylenol);
- cyclosporine (Gengraf, Sandimmune, Neoral);
- clopidogrel (Plavix);
- digoxin (digitalis, Lanoxin);
- tacrolimus ((Prograf);
- loratadine (Alavert, Claritin, Tavist ND);
- methylprednisolone (Medrol);
- phenytoin (Dilantin);
- rifampin (Rifadin, Rifater, Rifamate, Rimactane);
- diabetes medication you take by mouth;
- a sedative such as midazolam (Versed);
- a blood thinner such as warfarin (Coumadin);
- cancer medications;
- birth control pills or hormone replacement therapy;
- methotrexate (Rheumatrex, Trexall);
- cholesterol medications such as niacin (Advicor), atorvastatin (Lipitor), lovastatin (Altocor, Mevacor), simvastatin (Zocor), and others; or
- medications to treat HIV or AIDS.
This list is not complete and there are many other drugs that can interact with Biogel. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Biogel interactions
Drugs that affect the absorption, distribution, metabolism, and excretion of Biogel may alter the plasma concentrations of Biogel. For example, gastric acid suppressants (e.g., antacids, histamine H2-blockers, proton pump inhibitors) have been shown to reduce plasma concentrations of Biogel.
Biogel is a substrate and potent inhibitor of CYP3A4. Therefore, the following drug interactions may occur when Biogel® is co-administered with other drugs that interact with CYP3A4.
- Biogel® may decrease the elimination of drugs metabolized by CYP3A4, thereby increasing their plasma concentrations. Increased exposure to these drugs may cause an increase or prolongation of their therapeutic and/or adverse effects. Concomitant use with Biogel® Tablets is contraindicated for drugs known to present a risk of serious side effects with increased exposure. For others, monitoring of plasma concentrations is advised when possible. Clinical signs and symptoms associated with these drugs should be monitored, with dosage adjusted as needed.
- Inducers of CYP3A4 may decrease the plasma concentrations of Biogel. Biogel® may not be effective in patients concomitantly taking one of these drugs. Therefore, administration of these drugs with Biogel® is not recommended.
- Other inhibitors of CYP3A4 may increase the plasma concentrations of Biogel. Patients who must take Biogel® concomitantly with one of these drugs should be monitored closely for signs or symptoms of increased or prolonged pharmacologic effects of Biogel®.
Table 1: Selected Drugs That Have Been Shown To or Are Predicted To Have Their Plasma Concentrations Altered By Biogel®*
Systemic exposure to these drugs is increased significantly by the addition of Biogel: Concomitant use with Biogel is contraindicated. | |
Alprazolam, midazolam, triazolam | HMG-CoA reductase inhibitors (lovastatin, simvastatin) |
Cisapride | Nisoldipine |
Dofetilide | Pimozide |
Eplerenone | Quinidine |
Ergot alkaloids (ergotamine, dihydroergotamine) | |
Systemic exposure to these drugs is increased by Biogel: Careful monitoring, with possible adjustment in dosage, is recommended. | |
Alfentanil, fentanyl, sulfentanil | Indinavir, saquinavir |
Amlodipine, felodipine, nicardipine, nifedipine | Methylprednisolone |
Bosentan | Rifabutin |
Buspirone | Sildenafil |
Busulfan | Sirolimus (co-administration not recommended) |
Carbamazepine | Tacrolimus |
Cilostazol | Telithromycin |
Cyclosporine | Tolterodine |
Digoxin | Trimetrexate |
Docetaxel, paclitaxel | Verapamil |
Oral anti-coagulants | Vinca alkaloids (vincristine, - vinblastine, vinorelbine) |
* This list is not all-inclusive. |
Table 2: Selected Drugs That Have Been Shown To or Are Predicted To Alter The Plasma Concentration Of Biogel®
Systemic exposure to Biogel is reduced significantly by these drugs: Concomitant use with Biogel is not recommended. | |
Carbamazepine | Phenytoin |
Gastric Acid Suppressants (antacids, antimuscarinics, histamine H2-blockers, proton pump inhibitors, sucralfate) | Rifampin, rifabutin, isoniazid |
Nevirapine | |
Systemic exposure to Biogel is increased significantly by this drug: Dose reduction of Biogel should be considered | |
Ritonavir | |
* This list is not all-inclusive. |
Effects of Biogel on other drugs
Systemic exposure to the following drugs is significantly increased by co
References
- DailyMed. "KETOCONAZOLE: 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).
- FDA/SPL Indexing Data. "2DJ8R0NT7K: The UNique Ingredient Identifier (UNII) is an alphanumeric substance identifier from the joint FDA/USP Substance Registration System (SRS).". https://www.fda.gov/ForIndustry/Data... (accessed September 17, 2018).
- MeSH. "14-alpha Demethylase Inhibitors". https://www.ncbi.nlm.nih.gov/mesh/68... (accessed September 17, 2018).
Reviews
The results of a survey conducted on ndrugs.com for Biogel are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Biogel. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.User reports
Consumer reported frequency of use
No survey data has been collected yetConsumer reported doses
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Information checked by Dr. Sachin Kumar, MD Pharmacology