Influenza A or B virus infection

Active Ingredient: Zanamivir

Indication for Zanamivir

Population group: only children (1 year - 12 years old) , adolescents (12 years - 18 years old) , adults (18 years old or older)
Therapeutic intent: Curative procedure

For this indication, competent medicine agencies globally authorize below treatments:

10 mg twice daily for 5 days

For:

Dosage regimens

In case that patient age in years is ≥ 5, respiratory (Inhalation), 10 milligrams zanamivir, 2 times daily, over the duration of 5 days.

Detailed description

Zanamivir is indicated for treatment of both influenza A and B in adults and children (≥5 years) who present with symptoms typical of influenza when influenza is circulating in the community.

Treatment should begin as soon as possible, within 48 hours after onset of symptoms for adults, and within 36 hours after onset of symptoms for children.

Zanamivir is for administration to the respiratory tract by oral inhalation only, using the device provided.

The recommended dose of zanamivir for treatment of influenza in adults and children from the age of 5 years is 10 mg twice daily for five days, providing a total daily inhaled dose of 20 mg.

600 mg twice daily for 5 to 10 days

For:

Dosage regimens

Intravenous, 600 milligrams zanamivir, 2 times daily, over the duration of 5 to 10 days.

Detailed description

Zanamivir is indicated for the treatment of complicated and potentially life-threatening influenza A or B virus infection in adult patients when:

  • The patient’s influenza virus is known or suspected to be resistant to anti-influenza medicinal products other than zanamivir, and/or
  • Other anti-viral medicinal products for treatment of influenza, including inhaled zanamivir, are not suitable for the individual patient.

Zanamivir should be used in accordance with official guidance.

Treatment with zanamivir should commence as soon as possible and usually within 6 days of the onset of symptoms of influenza.

The recommended dose is 600 mg twice daily for 5 to 10 days given by intravenous infusion.

Elderly

No dose adjustment is required based on age.

Dosage considerations

Zanamivir is administered by intravenous infusion over 30 minutes.

For patients 6 months to <6 years 14 mg/kg twice daily and for patients ≥6 years to <18 years 12 mg/kg twice daily, for 5 to 10 days

For:

Dosage regimens

Regimen A: In case that patient age in months is ≥ 6 and patient age in years is < 6, intravenous, 14 milligrams zanamivir per kilogram of body weight, 2 times daily.

Regimen B: In case that patient age in years is ≥ 6, intravenous, 12 milligrams zanamivir per kilogram of body weight, 2 times daily.

Detailed description

Zanamivir is indicated for the treatment of complicated and potentially life-threatening influenza A or B virus infection in paediatric patients (aged ≥6 months) when:

  • The patient’s influenza virus is known or suspected to be resistant to anti-influenza medicinal products other than zanamivir, and/or
  • Other anti-viral medicinal products for treatment of influenza, including inhaled zanamivir, are not suitable for the individual patient.

Zanamivir should be used in accordance with official guidance.

Treatment with zanamivir should commence as soon as possible and usually within 6 days of the onset of symptoms of influenza.

Adolescents, children and infants should receive a weight-based dose regimen for 5 to 10 days.

Weight-based dose regimen by age for infants, children and adolescents with normal renal function:

Age rangeWeight-based dose regimen
6 months to <6 years14 mg/kg twice daily
≥6 years to <18 years12 mg/kg twice daily up to a maximum dose of 600 mg
twice daily

Dosage considerations

Zanamivir is administered by intravenous infusion over 30 minutes.

Active ingredient

Zanamivir

Zanamivir is an inhibitor of influenza virus neuraminidase, an enzyme that releases viral particles from the plasma membrane of infected cells and promotes virus spread in the respiratory tract. The activity of zanamivir is extracellular. It reduces the propagation of both influenza A and B viruses by inhibiting the release of infectious influenza virions from the epithelial cells of the respiratory tract.

Read more about Zanamivir

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