- Digoxin Immune Fab
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Digoxin Immune Fab Systematic (IUPAC) name Anti-digoxin antibody fragment Clinical data AHFS/Drugs.com Consumer Drug Information Pregnancy cat. C(US) Legal status ? Routes IV infusion, injection Pharmacokinetic data Half-life 15 hours for DigiFab, 23 hours for Digibind Excretion Renal Identifiers ATC code V03AB24 DrugBank BTD00027 ChEMBL CHEMBL1201588 Chemical data Formula C6394H9908N1698O2011S58 Mol. mass 144602.257 g/mol (what is this?) Immune Fab (verify) Digoxin Immune Fab (Ovine) is the generic name for an antidote for overdose of digitalis.[1] It is made from immunoglobulin fragments from sheep who have already been immunized with a digoxin derivative, digoxindicarboxymethoxylamine (DDMA). Its brand names include Digibind and DigiFab, with the former manufactured by GlaxoSmithKline and the latter manufactured by BTG plc.
Contents
Pharmacology
It works by binding to the digoxin, rendering them unable to bind to their action sites on target cells. The complexes accumulate in the blood and are expelled by the kidney.
Contraindications
Although no contraindications have been noted, the patient must be closely monitored for anaphylactic shock, and anyone allergic to sheep protein, papain, bromelain, or papaya extracts (papain is used to cleave the antibody into Fab and Fc fragments) should not use Digoxin Immune Fab (Ovine). Because it is relatively new, no drug interaction studies have been performed yet.
References
- ^ DiDomenico RJ, Walton SM, Sanoski CA, Bauman JL (2000). "Analysis of the use of digoxin immune fab for the treatment of non-life-threatening digoxin toxicity". J. Cardiovasc. Pharmacol. Ther. 5 (2): 77–85. doi:10.1053/XV.2000.5590. PMID 11150387.
External links
Antidotes (V03AB) Nervous system Barbiturate overdoseBemegride • EthamivanBenzodiazepine overdoseGHB overdoseReversal of neuromuscular blockadeCardiovascular Digoxin Immune FabOther Paracetamol toxicity (Acetaminophen)OtherPrednisolone/promethazine • oxidizing agent (potassium permanganate) • iodine-131 (Potassium iodide) • Methylthioninium chloride#Emetic Ipecacuanha (Syrup of ipecac) • Copper sulfateThis pharmacology-related article is a stub. You can help Wikipedia by expanding it.