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  ÂNeofost Injection
Prescription Required
Salt Composition : Fosphenytoin
Manufacturer : NEON LABORATORIES LTD
Origin of Medicine : India
1 Vial(s) Of 2ml
Introduction to Neofost Injection
Neofost injection contains an active component as Fosphenytoin. It is a medication that is used in the treatment of epilepsy and certain seizure disorders. It is a water-soluble prodrug of phenytoin, which is converted into phenytoin once inside the body. It can control and prevent generalized tonic-clonic seizures, complex partial (psychomotor or temporal lobe) seizures, status epilepticus, and seizures during neurosurgery. Generalized tonic-clonic seizures are the seizures with loss of consciousness, muscle rigidity, and convulsions affecting the entire brain. Complex partial (psychomotor or temporal lobe) seizures involve altered consciousness and unusual behaviors originating from a specific brain area. Status epilepticus is the prolonged or repeated seizures without recovery, requiring immediate medical intervention.
Individuals who are hypersensitive or allergic to Neofost injection or phenytoin should not use this medication. Hypersensitivity reactions can manifest as skin rashes, itching, swelling, fever, or more severe allergic reactions. This medication is contraindicated in individuals with hypersensitivity to the drug or phenytoin, sinus bradycardia, SA block, second third-degree AV block, Adams-Stokes syndrome, porphyria, concurrent use with delavirdine, use during and after coronary artery bypass grafting (CABG) surgery, and intramuscular use with delavirdine or droperidol, due to potential risks and interactions associated with these conditions. Neofost injection is recommended for use in both children and older adults, but with careful consideration of individualized dosing, monitoring, and potential risks. Dosage adjustments and close medical supervision are important to ensure safe and effective treatment in these age groups.
Uses of Neofost Injection
Neofost injection is used in the following:
- Seizure control
- Status epilepticus
- Seizure prevention during surgery
- Alternative to oral phenytoin
- Emergency seizure management
Therapeutic Effects of Neofost Injection
Neofost injection involves its conversion to the active drug phenytoin in the body. Phenytoin, a widely used anticonvulsant, works by stabilizing neuronal membranes and inhibiting excessive firing of neurons, thereby reducing abnormal electrical activity in the brain that can lead to seizures. This is achieved through multiple mechanisms, including modulation of sodium channels, which are crucial in generating and propagating nerve impulses. By influencing sodium channel kinetics and limiting their excitability, this medication and its active form, phenytoin, help prevent the uncontrolled neuronal firing characteristic of seizures.
Interaction of Neofost Injection with other drugs
Inform the doctor about your medicines, including prescription, over-the-counter, nutritional or vitamin supplements, and herbal products. Certain medications may interact with Neofost injection, reducing effectiveness by causing undesirable side effects.Â
More Information about Neofost Injection
- Store at room temperature, between up to 20°C and 25°C (68°F and 77°F).
- Keep away from moisture, heat, and light.
- It should not be frozen.
- Keep away from children and pets.
How to consume Neofost Injection
Neofost injection is primarily administered intravenously (IV) or, in certain cases, intramuscularly (IM). Intravenous administration involves slowly infusing the medication into a vein, while intramuscular administration entails injecting it into a muscle. The route choice depends on factors such as the patient's condition, urgency of treatment, and accessibility of veins. Intravenous administration allows for rapid delivery, making it suitable for emergencies, while intramuscular administration provides an alternative when intravenous access is difficult. Proper technique and medical supervision are crucial for safe and effective administration, regardless of the chosen route.
Safety Advices for Neofost Injection
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Pregnancy
 ÂNeofost injection can affect the developing fetus. Always consult your healthcare provider before starting this medication.
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Breast Feeding
 ÂNeofost injection can be excreted in breast milk. Consult your healthcare provider before starting this medication.
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Lungs
 ÂPatients with pre-existing lung conditions should consult the healthcare provider before starting Neofost injection.
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Liver
 ÂNeofost injection is metabolized by the liver, so individuals with liver disease should consult a healthcare provider, especially those with liver conditions.
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Alcohol
 ÂIt is generally advisable to limit alcohol consumption or avoid it altogether while taking Neofost injection. Alcohol can increase the risk of side effects and potentially reduce the effectiveness of the medication.
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Driving
 ÂNeofost injection can cause dizziness, drowsiness, and blurred vision. Patients should exercise caution when performing activities that require mental alertness, such as driving or operating machinery.Â
Side Effects of Neofost Injection
Neofost injection causes some side effects like all medications, although not everyone will experience them.Â
Serious:
- Allergic reactions
- Cardiac effects
- Hypotension
- Hepatic effects
- Blood disorders
- CNS effects
Common:
- Nausea and Vomiting
- Dizziness
- Drowsiness
- Gum Hypertrophy
- Injection Site Reactions
- Blurred Vision
Word of Advice
Individuals with hypersensitivity to Neofost injection or phenytoin should avoid its use, and vigilant monitoring for allergic reactions, cardiac effects, and hypotension is advised. Regular liver and kidney function assessments are crucial, especially in patients with pre-existing conditions. Blood disorders, respiratory issues, and potential interactions with alcohol and other medications should be carefully monitored and discussed with a healthcare provider. Pregnant or breastfeeding individuals should seek medical guidance due to potential fetal and infant risks. Activities requiring alertness, such as driving, may be impaired due to dizziness or drowsiness caused by this medication. Considerations extend to bone health, diet, mental health, and potential drug interactions, with medical oversight being particularly important for the geriatric and pediatric populations. Genetic factors, immunization effects, and proper storage should also be considered, along with formulating an emergency plan and using medical alert information.
FAQs
Q 1. Can I travel while taking Neofost injection?
Travel is possible while taking Neofost injection, but it's important to plan. Ensure you have an adequate supply, follow your dosing schedule, and carry the necessary medical information.
Q 2. What should I do if I experience a seizure while taking Neofost injection?
If you experience a seizure, follow your doctor's guidance and any seizure action plan you have in place. Contact your healthcare provider for further evaluation and management.
Q 3. Can Neofost injection cause vision problems?
Neofost injection can cause visual disturbances, including blurred vision. If you experience significant vision changes, consult your doctor.
Q 4. Can I suddenly stop taking Neofost injection?
Abruptly discontinuing Neofost injection can lead to increased seizure activity. Any changes to your medication regimen should be made under medical supervision.
Q 5. Can Neofost injection cause changes in mood or behavior?
Neofost injection can affect mood and behavior, potentially leading to irritability, anxiety, or depression. Report any significant changes to your healthcare provider.
Q 6. Is Neofost injection addictive?
No, Neofost injection is not considered an addictive medication. It is used to control seizures and is not associated with addictive properties.
Fact Box of Neofost Injection
Molecule name: Fosphenytoin | Therapeutic class: Anticonvulsants |
Pharmacological class: Anticonvulsants | Indications: 1. Seizure control 2. Status epilepticus 3. Seizure prevention during surgery 4. Alternative to oral phenytoin 5. Emergency Seizure Management |
References
- Pfizer Limited, US Food & Drug Administration, [Revised on 3/2017] [Accessed on 9th Aug 2023], https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/020450s003lbl.pdf
- Pfizer Limited, Electronic Medicines Compendium (EMC), [Revised on 15th Jun 2023] [Accessed on 9th Aug 2023], https://www.medicines.org.uk/emc/product/2260/smpc#gref
- Roger J. Porter & Michael A. Rogawski, Antiseizure Drugs, Lange’s Basic and Clinical Pharmacology, 14th Edition, 2018, 409-439.
- Misty D. Smith, Cameron S. Metcalf, and Karen S. Wilcox, Pharmacotherapy of the Epilepsies, Goodman & Gilman’s: The Pharmacological Basis of Therapeutics, 13th Edition, 2018, 303-326.
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