{"id":7149,"date":"2021-02-18T09:11:42","date_gmt":"2021-02-18T09:11:42","guid":{"rendered":"https:\/\/zeepedia.com\/?p=7149"},"modified":"2021-05-29T09:17:54","modified_gmt":"2021-05-29T09:17:54","slug":"curosurf","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/curosurf\/","title":{"rendered":"Curosurf &#8211; Porcine Lunglipider and protein uses, dose and side effects"},"content":{"rendered":"\n<p> 80 mg\/ml&nbsp;instillation liquid for respiratory,&nbsp;suspension&nbsp;<br>porcine lunglipider and&nbsp;protein<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Curosurf is and what it is used for<\/h2>\n\n\n\n<p>Curosurf contains the active substance porcine lung lipids and&nbsp;protein, which is a surfactant.&nbsp;Surfactant is a substance that is formed in the lungs and prevents them from collapsing.&nbsp;Some newborns, especially premature babies, do not have enough of this substance and this causes shortness of breath (RDS).<br><\/p>\n\n\n\n<p>Curosurf is used to treat newborns who have or are at risk of developing shortness of breath.<br><\/p>\n\n\n\n<p>The drug is used to improve the breathing of newborns until they can produce enough of their own surfactant.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before your child is given Curosurf<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Curosurf should not be given<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if your child is allergic to porcine lung lipids and&nbsp;protein&nbsp;or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Curosurf cannot be expected to completely rule out mortality or morbidity because premature infants can have other types of complications.<br><\/p>\n\n\n\n<p>Current clinical treatment guidelines for the treatment of respiratory distress syndrome will be followed by healthcare professionals.<br><\/p>\n\n\n\n<p>Before treatment, the doctor will stabilize the child&#8217;s general condition, among other things by correcting the blood&#8217;s&nbsp;pH value,&nbsp;blood pressure, blood value, blood sugar, and body temperature.&nbsp;Even during the treatment of your child, the healthcare staff will monitor these values, blood gases, and signs of&nbsp;infection.&nbsp;Before treatment, mucus can be sucked up from the baby&#8217;s airways to avoid blocking the tube used to dispense the medicine.<br><\/p>\n\n\n\n<p>If your child&#8217;s condition does not respond adequately to treatment or deteriorates rapidly, your doctor will investigate possible complications before&nbsp;giving the&nbsp;next&nbsp;dose.&nbsp;For example.&nbsp;the tube used to dispense the medicine may have been blocked by mucus, especially if the child had a lot of mucus before the medicine was given, however, the doctor will avoid sucking mucus from the child&#8217;s airways for at least 6 hours from&nbsp;dosing the&nbsp;medicine to prevent the medicine from being removed.&nbsp;Your doctor will consider stopping treatment with Curosurf if the following conditions occur:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Reflux (reflux of the drug)<\/li><li>Slow&nbsp;pulse<\/li><li>Low&nbsp;blood pressure<\/li><li>Decreased oxygen concentration in the blood<\/li><li>Respiratory arrest<\/li><\/ul>\n\n\n\n<p>There is no information on the effects of insertion doses other than 100 and 200 mg\/kg, more frequent&nbsp;dosing&nbsp;than intervals of 12 hours, or&nbsp;dosing&nbsp;of Curosurf started later than 15 hours after diagnosis of respiratory distress syndrome.<br><\/p>\n\n\n\n<p><em>Special patient groups<\/em><\/p>\n\n\n\n<p>The safety and efficacy of Curosurf have not been established in patients with renal or hepatic impairment.<br><\/p>\n\n\n\n<p>Curosurf treatment of premature infants with severe&nbsp;hypotension&nbsp;has not been studied.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How Curosurf is given<\/h2>\n\n\n\n<p>Information for healthcare professionals can be found at the end of the package leaflet.<br><\/p>\n\n\n\n<p><em>Administration<\/em><\/p>\n\n\n\n<p>Curosurf should only be given by staff trained for and with experience in the care, resuscitation, and stabilization of premature babies.<br><\/p>\n\n\n\n<p>Curosurf is intended to be given into the airways using a&nbsp;catheter.<br><\/p>\n\n\n\n<p><em>Dosage<\/em><\/p>\n\n\n\n<p>For preventive use, a&nbsp;dose&nbsp;of 1.25-2.50 ml\/kg (100-200 mg\/kg) body weight is given as soon as possible after birth (preferably within 15 minutes).&nbsp;An additional&nbsp;dose&nbsp;of 1.25 ml\/kg (100 mg\/kg) can be given 6-12 hours after the first&nbsp;dose&nbsp;and then 12 hours later to children who have persistent signs of shortness of breath and need respiratory therapy.&nbsp;Maximum&nbsp;total&nbsp;dose&nbsp;: 3.75-5.0 ml \/ kg (300-400 mg \/ kg).<br><\/p>\n\n\n\n<p>In the treatment of respiratory distress syndrome, the starting dose of 1.25-2.5 ml\/kg (100-200 mg\/kg) is recommended, as soon as possible after a diagnosis of respiratory distress syndrome.&nbsp;An additional&nbsp;dose&nbsp;of 1.25 ml\/kg (100 mg\/kg), at 12-hour intervals, may be given if the respiratory distress syndrome is considered to be the cause of permanent impairment or deterioration of the lung function of the child.&nbsp;Maximum&nbsp;total&nbsp;dose&nbsp;: 3.75-5.0 ml \/ kg (300-400 mg \/ kg).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<br><\/p>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>severe&nbsp;infection&nbsp;(&nbsp;sepsis&nbsp;)<\/li><li>bleeding in the brain (&nbsp;intracranial&nbsp;hemorrhage)<\/li><li>lung collapse<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>slow&nbsp;pulse<\/li><li>low&nbsp;blood pressure<\/li><li>chronic&nbsp;lung disease (bronchopulmonary dysplasia)<\/li><li>pulmonary hemorrhage<\/li><li>decreased oxygen saturation (a measure of oxygen supply in the blood)<\/li><\/ul>\n\n\n\n<p><strong>Has been reported<\/strong>&nbsp;(occurs in an unknown number of users).<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>an abnormal increase in the amount of oxygen in&nbsp;tissues&nbsp;and organs (hyperoxia)<\/li><li>bluish discoloration of the skin and mucous membranes (&nbsp;neonatal&nbsp;cyanosis)<\/li><li>respiratory arrest (&nbsp;apnea&nbsp;)<\/li><li>Abnormal brain activity (measured by&nbsp;EEG&nbsp;)<\/li><li>Complications after lowering the dosing tube into the airways<\/li><\/ul>\n\n\n\n<p>Respiratory arrest and severe&nbsp;infection&nbsp;may occur as a result of the newborn&#8217;s immaturity.<br><\/p>\n\n\n\n<p>In the&nbsp;clinical studies conducted&nbsp;to date, small signs of increased frequency of PDA (a congenital heart defect characterized by a persistent open connection, between the pulmonary artery and the carotid artery, which normally closes shortly after birth) in the newborn have been reported after treatment with Curosurf.<br><\/p>\n\n\n\n<p>When Curosurf has been given via a thin&nbsp;catheter, some mild and transient&nbsp;side effects&nbsp;have been observed: decreased oxygen saturation, respiratory arrest, slow&nbsp;pulse, froth in the mouth, cough, airway obstruction, and sneezing.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Curosurf<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Store in a refrigerator (2 &#8211; 8 \u00b0 C).&nbsp;Store in the original package.&nbsp;Sensitive to light.<br><\/p>\n\n\n\n<p>Unopened, unused vials that have been warmed to room temperature can be returned to the refrigerator within 24 hours for future use.&nbsp;The vial may only be warmed to room temperature and returned to the refrigerator once.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton and vial after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substances are porcine lung lipids and&nbsp;protein.&nbsp;1 ml Curosurf contains porcine lung lipids and&nbsp;80 mg&nbsp;protein.<\/li><li>The other ingredients are sodium chloride, water for injections, and sodium bicarbonate (for&nbsp;pH&nbsp;adjustment).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>White to yellow&nbsp;suspension<br><\/p>\n\n\n\n<p>Colorless glass vials (1.5 ml and 3 ml) with plastic and aluminum cap and chlorobutyl rubber stopper<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Chiesi Farmaceutici SpA, via Palermo 26 \/ A, 43122 Parma, Italy<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Chiesi Farmaceutici SpA, Via San Leonardo 96 &#8211; Via Palermo 26 \/ A, 43122 Parma, Italy<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Curosurf contains the active substance porcine lung lipids and protein, which is a surfactant. Surfactant is a substance that is formed in the lungs and prevents them from collapsing. Some newborns, especially premature babies, do not have enough of this substance and this causes shortness of breath (RDS).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2203,2200],"tags":[6389,6391,2212,6384,6386,6388,6392,6387,6390,6385],"class_list":["post-7149","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-curosurf","tag-curosurf-side-effects","tag-medicine","tag-porcine-lunglipider","tag-porcine-lunglipider-side-effects","tag-protein","tag-side-effects-of-curosurf","tag-side-effects-of-porcine-lunglipider","tag-what-is-curosurf","tag-what-is-porcine-lunglipider"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7149","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=7149"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7149\/revisions"}],"predecessor-version":[{"id":11217,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7149\/revisions\/11217"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=7149"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=7149"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=7149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}