Active Ingredient: Ibuprofen
Treatment of a haemodynamically significant patent ductus arteriosus in preterm newborn infants less than 34 weeks of gestational age.
For this indication, competent medicine agencies globally authorize below treatments:
For:
Intravenous, 10 milligrams ibuprofen per kilogram of body weight, one dose, over the duration of 24 hours. Afterwards, intravenous, 5 milligrams ibuprofen per kilogram of body weight, once every 24 hours, 2 doses in total.
Treatment with ibuprofen should only be carried out in a neonatal intensive care unit under the supervision of an experienced neonatologist.
A course of therapy is defined as three intravenous injections of ibuprofen given at 24-hour intervals. The first injection should be given after the first 6 hours of life.
The ibuprofen dose is adjusted to the body weight as follows:
If anuria or manifest oliguria occurs after the first or second dose, the next dose should be withheld until urine output returns to normal levels.
If the ductus arteriosus/em> does not close 48 hours after the last injection or if it re-opens, a second course of 3 doses, as above, may be given.
If the condition is unchanged after the second course of therapy, surgery of the patent ductus arteriosus may then be necessary.
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