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INTRON A SOLN
Kaposi's sarcoma
Leukemias, lymphomas, and other hematologic cancers
Melanoma and other skin cancers
Viral infections
Warts
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Drug Name:

INTRON A SOLN Rx

Generic Name and Formulations:
Interferon alfa-2b, recombinant; 10million IU, 18million IU, 25million IU; per vial; for inj; contains m-cresol.

Company:
Merck & Co., Inc.

e-Prescribe this drug via Surescripts


Therapeutic Use:

Indications for INTRON A SOLN:

AIDS-related Kaposi's sarcoma.

Adult Dose for INTRON A SOLN:

Use appropriate preparation and route: see literature. Use SC route if platelets <50,000/mm3. 30million IU/m2 IM or SC three times weekly; continue until rapid disease progression or maximal response achieved after 16 wks; reduce dose by ½ or suspend therapy if severe adverse reactions occur; discontinue if persists.

Children's Dose for INTRON A SOLN:

Not recommended.

See Also:

INTRON A

INTRON A SOLN MULTIDOSE PENS

Contraindications:

Hepatitis: decompensated liver disease. Autoimmune disorders.

Warnings/Precautions:

May cause or exacerbate fatal or life-threatening neuropsychiatric, autoimmune, ischemic, or infectious disorders: monitor closely, discontinue if they worsen. Severe psychiatric disorders (esp. depression). Cardiovascular or pulmonary disease. Severe myelosuppression. Uncontrolled thyroid abnormalities. Diabetes. Coagulation disorders. Maintain adequate hydration. Monitor blood, thyroid, visual and liver function before and during therapy; EKG in cardiovascular disease and cancer patients. Psoriasis. Renal dysfunction. Transplant recipients. Elderly. Debilitated. Pregnancy (Cat.C). Nursing mothers: not recommended.

Interactions:

Caution with myelosuppressives, and drugs that can exacerbate depression. May potentiate theophylline (may double its levels).

Adverse Reactions:

Flu-like symptoms (fever, headache, myalgia, fatigue); hepatic, hematologic, respiratory, skin, genitourinary system, CNS, cardiovascular, endocrine (esp thyroid), GI, or visual disorders; colitis, hypertriglyceridemia, pancreatitis, infections, injection site reactions; others (see literature).

How Supplied:

Pwd (w. diluent): 10million, 18million, 50million IU/vial—1; Soln (vials): 10million IU/vial—6 (kit w. supplies); Soln (multidose vials): 18million, 25million IU/vial—1; Soln (multidose pens, 6 doses/pen): 3million IU/0.2mL, 5million IU/0.2mL, 10million IU/0.2mL—1

Indications for INTRON A SOLN:

Hairy cell leukemia. Initial treatment of clinically aggressive follicular Non-Hodgkin's lymphoma in conjunction with anthracycline-containing combination chemotherapy.

Adult Dose for INTRON A SOLN:

Use SC route if platelets <50,000/mm3. Hairy cell leukemia: 2million IU/m2 IM or SC 3 times a week for up to 6 months. Follicular lymphoma: 5million IU SC 3 times a week for up to 18 months in conjunction with anthracycline-containing chemotherapy regimen and following completion of the chemotherapy regimen. See literature for appropriate preparation and route and for dose adjustments.

Children's Dose for INTRON A SOLN:

Not recommended.

See Also:

INTRON A

INTRON A SOLN MULTIDOSE PENS

Contraindications:

Hepatitis: decompensated liver disease. Autoimmune disorders.

Warnings/Precautions:

May cause or exacerbate fatal or life-threatening neuropsychiatric, autoimmune, ischemic, or infectious disorders: monitor closely, discontinue if they worsen. Severe psychiatric disorders (esp. depression). Cardiovascular or pulmonary disease. Severe myelosuppression. Uncontrolled thyroid abnormalities. Diabetes. Coagulation disorders. Maintain adequate hydration. Monitor blood, thyroid, visual and liver function before and during therapy; EKG in cardiovascular disease and cancer patients. Psoriasis. Renal dysfunction. Transplant recipients. Elderly. Debilitated. Pregnancy (Cat.C). Nursing mothers: not recommended.

Interactions:

Caution with myelosuppressives, and drugs that can exacerbate depression. May potentiate theophylline (may double its levels).

Adverse Reactions:

Flu-like symptoms (fever, headache, myalgia, fatigue); hepatic, hematologic, respiratory, skin, genitourinary system, CNS, cardiovascular, endocrine (esp thyroid), GI, or visual disorders; colitis, hypertriglyceridemia, pancreatitis, infections, injection site reactions; others (see literature).

How Supplied:

Pwd (w. diluent): 10million, 18million, 50million IU/vial—1; Soln (vials): 10million IU/vial—6 (kit w. supplies); Soln (multidose vials): 18million, 25million IU/vial—1; Soln (multidose pens, 6 doses/pen): 3million IU/0.2mL, 5million IU/0.2mL, 10million IU/0.2mL—1

Indications for INTRON A SOLN:

Malignant melanoma.

Adult Dose for INTRON A SOLN:

Induction: 20million IU/m2 IV over 20 minutes, 5 consecutive days per week, for 4 weeks. Maintenance: 10million IU/m2 SC 3 times per week for 48 weeks. See literature for appropriate preparation and route and for dose adjustments.

Children's Dose for INTRON A SOLN:

Not recommended.

See Also:

INTRON A

INTRON A SOLN MULTIDOSE PENS

Contraindications:

Hepatitis: decompensated liver disease. Autoimmune disorders.

Warnings/Precautions:

May cause or exacerbate fatal or life-threatening neuropsychiatric, autoimmune, ischemic, or infectious disorders: monitor closely, discontinue if they worsen. Severe psychiatric disorders (esp. depression). Cardiovascular or pulmonary disease. Severe myelosuppression. Uncontrolled thyroid abnormalities. Diabetes. Coagulation disorders. Maintain adequate hydration. Monitor blood, thyroid, visual and liver function before and during therapy; EKG in cardiovascular disease and cancer patients. Psoriasis. Renal dysfunction. Transplant recipients. Elderly. Debilitated. Pregnancy (Cat.C). Nursing mothers: not recommended.

Interactions:

Caution with myelosuppressives, and drugs that can exacerbate depression. May potentiate theophylline (may double its levels).

Adverse Reactions:

Flu-like symptoms (fever, headache, myalgia, fatigue); hepatic, hematologic, respiratory, skin, genitourinary system, CNS, cardiovascular, endocrine (esp thyroid), GI, or visual disorders; colitis, hypertriglyceridemia, pancreatitis, infections, injection site reactions; others (see literature).

How Supplied:

Pwd (w. diluent): 10million, 18million, 50million IU/vial—1; Soln (vials): 10million IU/vial—6 (kit w. supplies); Soln (multidose vials): 18million, 25million IU/vial—1; Soln (multidose pens, 6 doses/pen): 3million IU/0.2mL, 5million IU/0.2mL, 10million IU/0.2mL—1

Indications for INTRON A SOLN:

Chronic hepatitis C. Chronic hepatitis B.

Adult Dose for INTRON A SOLN:

Use appropriate preparation and route: see literature. Use SC route if platelets <50,000/mm3. Hepatitis C: 3million IU IM or SC three times weekly for 16 wks; if tolerated with normalization of ALT, continue to 18–24 months (72–96 wks). Hepatitis B: 5million IU daily or 10million IU IM or SC three times weekly for 16 wks; reduce dose by ½ or interrupt dose if WBCs, granulocyte or platelet count decreases.

Children's Dose for INTRON A SOLN:

<1yr: not recommended. Use appropriate preparation and route: see literature. ≥1yr of age for chronic hepatitis B: 3million IU/m2 SC three times weekly for 1 week, then increase to 6million IU/m2 (max 10million IU) three times weekly for a total of 16–24 weeks; reduce dose by ½ or interrupt dose if WBCs, granulocytes or platelet counts decrease.

See Also:

INTRON A

INTRON A SOLN MULTIDOSE PENS

Contraindications:

Hepatitis: decompensated liver disease. Autoimmune disorders.

Warnings/Precautions:

May cause or exacerbate fatal or life-threatening neuropsychiatric, autoimmune, ischemic, or infectious disorders: monitor closely, discontinue if they worsen. Severe psychiatric disorders (esp. depression). Cardiovascular or pulmonary disease. Severe myelosuppression. Uncontrolled thyroid abnormalities. Diabetes. Coagulation disorders. Maintain adequate hydration. Monitor blood, thyroid, visual and liver function before and during therapy; EKG in cardiovascular disease and cancer patients. Psoriasis. Renal dysfunction. Transplant recipients. Elderly. Debilitated. Pregnancy (Cat.C). Nursing mothers: not recommended.

Interactions:

Caution with myelosuppressives, and drugs that can exacerbate depression. May potentiate theophylline (may double its levels).

Adverse Reactions:

Flu-like symptoms (fever, headache, myalgia, fatigue); hepatic, hematologic, respiratory, skin, genitourinary system, CNS, cardiovascular, endocrine (esp thyroid), GI, or visual disorders; colitis, hypertriglyceridemia, pancreatitis, infections, injection site reactions; others (see literature).

How Supplied:

Pwd (w. diluent): 10million, 18million, 50million IU/vial—1; Soln (vials): 10million IU/vial—6 (kit w. supplies); Soln (multidose vials): 18million, 25million IU/vial—1; Soln (multidose pens, 6 doses/pen): 3million IU/0.2mL, 5million IU/0.2mL, 10million IU/0.2mL—1

Indications for INTRON A SOLN:

Genital warts.

Adult Dose for INTRON A SOLN:

Use appropriate preparation and route: see literature. Use SC route if platelets <50,000/mm3. Inject intralesionally 1million IU/lesion 3 times weekly on alternate days for 3 wks; treat up to 5 lesions at one time. May repeat treatment as above after 12–16 wks.

Children's Dose for INTRON A SOLN:

Not recommended.

See Also:

INTRON A

INTRON A SOLN MULTIDOSE PENS

Contraindications:

Hepatitis: decompensated liver disease. Autoimmune disorders.

Warnings/Precautions:

May cause or exacerbate fatal or life-threatening neuropsychiatric, autoimmune, ischemic, or infectious disorders: monitor closely, discontinue if they worsen. Severe psychiatric disorders (esp. depression). Cardiovascular or pulmonary disease. Severe myelosuppression. Uncontrolled thyroid abnormalities. Diabetes. Coagulation disorders. Maintain adequate hydration. Monitor blood, thyroid, visual and liver function before and during therapy; EKG in cardiovascular disease and cancer patients. Psoriasis. Renal dysfunction. Transplant recipients. Elderly. Debilitated. Pregnancy (Cat.C). Nursing mothers: not recommended.

Interactions:

Caution with myelosuppressives, and drugs that can exacerbate depression. May potentiate theophylline (may double its levels).

Adverse Reactions:

Flu-like symptoms (fever, headache, myalgia, fatigue); hepatic, hematologic, respiratory, skin, genitourinary system, CNS, cardiovascular, endocrine (esp thyroid), GI, or visual disorders; colitis, hypertriglyceridemia, pancreatitis, infections, injection site reactions; others (see literature).

How Supplied:

Pwd (w. diluent): 10million, 18million, 50million IU/vial—1; Soln (vials): 10million IU/vial—6 (kit w. supplies); Soln (multidose vials): 18million, 25million IU/vial—1; Soln (multidose pens, 6 doses/pen): 3million IU/0.2mL, 5million IU/0.2mL, 10million IU/0.2mL—1