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Indications ⬇

REMS


Unlabeled Use:
  • Pneumocystis jiroveciipneumonia (in combination with sulfonamides or dapsone).

Contraind./Precautions ⬆ ⬇

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects ⬆ ⬇

CV: ARRHYTHMIAS (LARGE DOSES)

Derm: abnormal pigmentation, dermatitis

GI: atrophic glossitis (high doses), anorexia, diarrhea, nausea

GU: hematuria

Hemat: megaloblastic anemia (high doses), neutropenia, pancytopenia, thrombocytopenia

Resp: dry throat, pulmonary eosinophilia

Misc: fever

Interactions ⬆ ⬇

Drug-drug:

Availability ⬆ ⬇

(Generic available)

Route/Dosage ⬆ ⬇

Toxoplasmosis (in Patients without HIV)

Toxoplasmosis (in Patients with HIV)

US Brand Names ⬆ ⬇

Daraprim

Action ⬆ ⬇

  • Binds to an enzyme in the protozoa, which results in depletion of folic acid.
Therapeutic effects:
  • Death and arrested growth of susceptible organisms (protozoa).

Classifications ⬆ ⬇

Therapeutic Classification: antiprotozoals

Pharmacokinetics ⬆ ⬇

Absorption: Well absorbed after oral administration.

Distribution: Widely distributed with high concentrations achieved in blood cells, kidneys, lungs, liver, and spleen. Some enters CSF (13–26% of serum levels).

Metabolism/Excretion: Mostly metabolized by the liver. 20–30% excreted unchanged by the kidneys.

Half-Life: 4 days (↓ in patients with HIV).

Time/Action Profile ⬆ ⬇

(plasma concentrations)

ROUTEONSETPEAKDURATION
POunknown3 hr2 wk‡

‡Suppressive levels.

Patient/Family Teaching ⬆ ⬇

Pronunciation ⬆ ⬇

peer-i-METH-a-meen

Code ⬆

NDC Code