P - Caution when used during pregnancy
L - Caution when used during Lactation
Basiliximab is a chimeric mouse-human monoclonal antibody to the α chain (CD25) of the IL-2 receptor of T cells.It is used to prevent rejection in organ transplantation, especially in kidney transplants.
Basiliximab, a chimeric murine/human monoclonal antibody, blocks the α-chain of the interleukin-2 receptor complex on the surface of activated T-lymphocytes.
Duration: 36 days.
Excretion: Terminal half-life: 7 days (adult) and 9 days (children).
Prophylaxis of acute graft rejection in renal transplantation (Intravenous)
Peripheral oedema, hypertension, atrial fibrillation; fever, headache, insomnia, pain; wound complication, acne; hypokalaemia, hyperglycaemia, hyperuricaemia, hypophosphataemia, hypercholesterolaemia; GI effects; UTI; anaemia; tremor; dyspnoea, infection. Rarely, hypersensitivity and anaphylactoid-type reactions.
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Pregnancy and lactation. Re-exposure to a subsequent course of therapy of basiliximab
Immunosuppressives other than ciclosporin and corticosteroids may increase the potential for over-immunosuppression
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Intravenous
Prophylaxis of acute graft rejection in renal transplantation
Adult: 20 mg dose given by IV bolus or infusion over 20-30 min within 2 hr prior to transplantation surgery. Repeat once 4 days later. Withhold 2nd dose if graft loss or severe hypersensitivity reaction occurs.
Child: <35 kg: 10 mg dose 2 hr before surgery, repeated once 4 days later; ≥35 kg: same as adult dosing. Withhold 2nd dose if graft loss or severe hypersensitivity reaction occurs.
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Category B: Either animal-reproduction studies have not demonstrated a foetal risk but there are no controlled studies in pregnant women or animal-reproduction studies have shown an adverse effect (other than a decrease in fertility) that was not confirmed in controlled studies in women in the 1st trimester (and there is no evidence of a risk in later trimesters).
Caution when used during lactation
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Hypersensitivity to basiliximab and murine proteins
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