Drug profile of Zepdon
Zepdon tablets are therapeutically classified as anti-retroviral medicine by containing an active ingredient known as Raltegravir which is effective against HIV infection.
Raltegravir is chemically categorized as derivative of pyrrolidinone.
Zepdon tablets are pharmacologically classified as an integrase inhibitor.
Zepdon may used in combination with other anti-retroviral drugs for producing beneficial activity.
Zepdon tablets are prescription medicine, which is used only under supervision of medical practitioner.
Raltegravir is a small molecule, containing anti-HIV activity.
Raltegravir is involved in major step in viral production like,
Integration process interfered by Raltegravir, by obstructing the integration of viral genome into host DNA, which is a critical step in HIV pathogenesis.
Brand name: Zepdon
Active substance: Raltegravir
Pack: 60 tablets in a container
Category: Anti-retroviral drug
Prescribing information of Zepdon
Zepdon tablets are used for treating HIV-1 infection by combining with other anti-retroviral medicines.
Thus the evidence is based on examining the plasma HIV-1 RNA levels.
In pediatric patients with the age of 2 years or older and weight of at least 10kg, the Zepdon tablets should be used.
The potency of Zepdon in pediatric patients with less than 2 years of age has not been evaluated.
The indication of Zepdon is based on assessment of safety, tolerability, pharmacokinetic parameters & efficacy of Raltegravir.
Mechanism of Zepdon
Zepdon containing Raltegravir aimed the integrase which is an enzyme that incorporates the viral genetic material into human chromosome, a critical step in HIV pathogenesis.
The absorption of Raltegravir is occurs in gastrointestinal tract.
Maximum plasma concentration time is almost 3 hours.
Raltegravir is largely bound to human plasma protein by 83%.
It is distributed in red blood cells at minor range.
The metabolism of Zepdon is occurs majorly in liver
The elimination route of Raltegravir is occurs through feces & urine.
The terminal half life period of Raltegravir is 9 hours.
When to take the Zepdon
Zepdon tablet should be administered with or without food.
Dosage regimens of Zepdon
In adult, the prescribed dose of Zepdon is 400mg should be administered as a two times a day.
12 years or older:
The prescribed dose is 400mg of Zepdon should be administered as two times aaday.
6 to less than 12 years of age:
At least 25kg: One tablet of Zepdon should be taken orally as two times a day
≥ 40kg: 400mg of Zepdon should be administered two times a day
Zepdon caused side effects
Decreased in platelets count
Elevation of blood glucose level
Increased serum AST, ALT
Increased alkaline phosphatase
Stevens Johnson syndrome
Drug- drug interaction
Raltegravir is not inhibits the CYP1A2, 2B6, 2C8, 2C9, 2C19, 2D6 or 3A.
Raltegravir does not induce CYP1A2, 2B6, or 3A4.
Midazolam with Zepdon causes low susceptibility of Raltegravir to vary the pharmacokinetic of agents metabolized by CYP3A4, an inadequacy of effect of Raltegravir on pharmacokinetic of Midazolam, sensitive CYP3A4 substrate.
Raltegravir not prohibits the P-gp mediated transport.
Zepdon tablets are combined with rifampin causes depletion of plasma concentration of Raltegravir. In case of this combination, the dose of Zepdon should be increased for reducing this adverse.
Concurrent use of Zepdon with drugs inhibits UGT1A1 leads to elevate the plasma levels of Raltegravir.
Zepdon combined with atazanavir causes increasing the concentration of Raltegravir.
Zepdon co administered with atazanavir/ritonavir, causes increasing concentration of Raltegravir
Zepdon tablets are concurrently used with efavirenz leads to cause decreasing the concentration of Raltegravir.
Zepdon with efavirine causes decreasing concentration of Raltegravir
Zepdon tablets combined with tipranavir/ritonavir, causes depleting the effect of concentration of Raltegravir.
Co administration of Zepdon with gastric regulators should be avoided, because this combination leads to increase the effect of concentration of Raltegravir.
Food drug interaction
Minor food drug interaction is occur
Diet should be discussed with medical practitioner and follow the diet chart.
There is no possible contraindication occurs.
Some hypersensitivity reactions may produces, if patients are contraindicated to the component present in the Zepdon tablets.
Severe skin reactions & anaphylactic reactions:
Skin reactions like Stevens Johnson syndrome & toxic epidermal necrolysis are some of fatal cases occur. In case of life threatening condition, therapy should be discontinue and provide the general supportive therapy. Clinical status should be appropriately monitored for reducing the manifestations.
Immune reconstitution syndrome:
This fatal condition is commonly occurred in patients who are receiving anti-retroviral treatment.
Provide safety measures
In severe condition, stop the treatment.
Raltegravir chewable tablets are containing a component like phenylalanine (aspartame component) which is responsible for this fatal case.
Pregnancy and lactation
The pregnancy category of Zepdon is C
Zepdon should not be used in pregnancy and lactating period.
Storage and handling
The storage of Zepdon container should be kept at 20oC to 25oC
Protect from light
Keep in dry & cool place
Zepdon is an anti-retroviral medicine, in case of missed dose condition patient should be consult with medical practitioner and follow the guidance
Maintain the regular dosing schedule.
The maximum dose of Zepdon is 1600mg as a single dose
The maximum dose of Zepdon is 800mg as two times a day.
In case of over dosage of Zepdon patient must be;
Initiate with supportive measures
Eliminate the unabsorbed dose from GI tract
Monitor the manifestation occurs due to over dosage