Targifor Dosage

How do you administer this medicine?
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Dosage of Targifor in details

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Dosage Forms

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Solution,

Intravenous, as hydrochloride [preservative free]:

R-Gene 10: 10% (300 mL) [latex free]

Dosing: Adult

Diagnostic aid (pituitary function): Note: Dosing based on Targifor hydrochloride product. IV: 30 g as a single dose

Hyperammonemia, acute (urea cycle disorders) (off-label use): Note: Dosing based on Targifor hydrochloride product and on specific enzyme deficiency. Therapy should continue until ammonia levels are in normal range. If a loading dose is used, it should not be repeated. Targifor dose may be adjusted downward if patient becomes hypotensive and/or when the exact enzyme deficiency is identified. Administer concomitantly with sodium benzoate and sodium phenylacetate along with dialysis (NORD 2012).

Weight-directed dosing:

Argininosuccinate synthetase (ASS, Citrullinemia) or Argininosuccinate lyase (ASL) deficiency: IV: Loading dose: 600 mg/kg followed by a continuous IV infusion of 600 mg/kg/day (NORD 2012)

Carbamyl phosphate synthetase (CPS), ornithine transcarbamylase (OTC) or N-acetylglutamate synthetase (NAGS) deficiency: IV: Loading dose: 200 mg/kg followed by a continuous IV infusion of 200 mg/kg/day (NORD 2012)

Unconfirmed/pending diagnosis: IV: Loading dose: 600 mg/kg followed by a continuous IV infusion of 600 mg/kg/day (NORD 2012); if ASS and ASL are excluded as diagnostic possibilities, reduce dose to 200 mg/kg/day

BSA-directed dosing:

Argininosuccinate synthetase (ASS, Citrullinemia) or Argininosuccinate lyase (ASL) deficiency: IV: Loading dose: 12 g/m/day in 3 to 4 divided doses

Targifor interactions

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Cyclosporine - L-Targifor may counteract the antinaturetic effect of cyclosporin. Ibuprofen - L-Targifor may increase the absorption of ibuprofen if taken concomitantly. Organic nitrates - L-Targifor supplements theoretically may potentiate the effects of organic nitrates if taken concomitantly. Sildenafil citrate - Theoretically, L-Targifor supplements taken concomitantly with sildenafil citrate, may potentiate the effects of the drug.

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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