
Amphotericin B Coupons & Savings Card – Discount Prices from $32.83
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0.5GM, Amphotericin B (1 Bottle)
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CVS
$69.25
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Walmart
$32.83
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Walgreens
$43.82
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Albertsons
$52.12
COUPON PRICEAmphotericin B savings card
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Walmart
$32.83
BIN
ID
PCN
GRP
019876
LHFB547F1E
CHIPPO
LHX
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Amphotericin B dosage forms
Dosage Quantity Price from Per unit 0.5GM 2 Bottles $84.66 $42.33 0.5GM 1 Bottle $32.83 $32.83 0.5GM 3 Bottles $136.48 $45.49 25GM of 905UNIT/MG 1 Bottle $1318.52 $1318.52 25GM of 905UNIT/MG 3 Bottles $3919.56 $1306.52 25GM of 905UNIT/MG 2 Bottles $2619.04 $1309.52
Dosage | Quantity | Price from | Per unit |
---|---|---|---|
0.5GM | 2 Bottles | $84.66 | $42.33 |
0.5GM | 1 Bottle | $32.83 | $32.83 |
0.5GM | 3 Bottles | $136.48 | $45.49 |
25GM of 905UNIT/MG | 1 Bottle | $1318.52 | $1318.52 |
25GM of 905UNIT/MG | 3 Bottles | $3919.56 | $1306.52 |
25GM of 905UNIT/MG | 2 Bottles | $2619.04 | $1309.52 |
Amphotericin B Warnings
Amphotericin B is a potent antifungal medication reserved for treating serious, life-threatening fungal infections. Due to its significant risks, it is not recommended for minor fungal conditions such as vaginal yeast infections, oral thrush, or esophageal candidiasis.
A critical warning associated with amphotericin B is the potential for overdose, which can lead to cardiopulmonary arrest. To prevent this, it is essential to verify the product name and formulation, especially if the prescribed dose exceeds 1.5 mg/kg.
Patients with a history of anaphylactic reactions to amphotericin B should not receive this medication. Additionally, rapid intravenous infusion is contraindicated due to the risk of severe reactions, including hypotension, hypokalemia, arrhythmias, and shock.
Monitoring is crucial during amphotericin B therapy. Regular assessments of renal function and electrolyte levels, particularly potassium and magnesium, are necessary to detect and manage potential complications.
Healthcare providers should exercise caution when prescribing amphotericin B, considering its significant risks and ensuring appropriate monitoring to mitigate potential adverse effects.
Amphotericin B Side Effects
Amphotericin B is a potent antifungal medication used to treat serious fungal infections. While effective, it is associated with a range of side effects that patients should be aware of. Common Side Effects:
- Infusion-Related Reactions: Many patients experience fever, chills, headache, nausea, vomiting, and muscle or joint pain during or shortly after the infusion. These reactions typically occur within 1 to 3 hours of administration and are more pronounced with the initial doses.
- Gastrointestinal Issues: Nausea, vomiting, diarrhea, stomach pain, and loss of appetite are frequently reported.
- Injection Site Reactions: Pain, redness, or swelling at the injection site may occur. Serious Side Effects:
- Kidney Damage: Amphotericin B can impair kidney function, leading to decreased urination, swelling in the legs or ankles, and fatigue. Regular monitoring of kidney function is essential during treatment.
- Electrolyte Imbalances: The medication may cause low levels of potassium and magnesium in the blood, resulting in muscle cramps, irregular heartbeat, and weakness.
- Blood Disorders: Anemia (low red blood cell count) and other blood-related issues can develop, leading to fatigue and increased susceptibility to infections.
- Allergic Reactions: Although rare, severe allergic reactions can occur, characterized by rash, itching, swelling, severe dizziness, or difficulty breathing. Immediate medical attention is required if these symptoms arise. Managing Side Effects: To mitigate infusion-related reactions, healthcare providers may administer pre-medications such as acetaminophen, antihistamines, or corticosteroids before the amphotericin B infusion. Maintaining adequate hydration and monitoring kidney function and electrolyte levels throughout the treatment can help manage and reduce the risk of serious side effects. Patients should promptly report any unusual or severe symptoms to their healthcare provider to ensure appropriate management and support during amphotericin B therapy.
Amphotericin B Interactions
Amphotericin B is a potent antifungal medication used to treat serious fungal infections. However, it can interact with various other medications, leading to increased risks of side effects or reduced effectiveness. It's crucial to be aware of these potential interactions:
Antineoplastic Agents: Combining amphotericin B with chemotherapy drugs may heighten the risk of kidney damage, bronchospasm (tightening of the airways), and low blood pressure. Such combinations should be approached with caution.
Corticosteroids and Corticotropin (ACTH): These medications can amplify the potassium-lowering effect of amphotericin B, potentially leading to heart issues. If used together, it's essential to monitor blood potassium levels and heart function closely.
Digitalis Glycosides (e.g., Digoxin): Amphotericin B-induced low potassium levels can increase the toxicity of digitalis medications. Regular monitoring of potassium levels and heart function is advised when these drugs are used concurrently.
Flucytosine: While sometimes used together for enhanced antifungal effects, this combination can increase the toxicity of flucytosine, possibly due to changes in its uptake and elimination. Careful monitoring is necessary.
Azole Antifungals (e.g., Ketoconazole, Fluconazole): Some studies suggest that using azole antifungals with amphotericin B might lead to fungal resistance. Caution is advised, especially in patients with weakened immune systems.
Other Nephrotoxic Medications: Drugs like aminoglycosides, Cyclosporine, and Pentamidine can increase the risk of kidney damage when used with amphotericin B. Intensive monitoring of kidney function is recommended in such cases.
Skeletal Muscle Relaxants: The potassium-lowering effect of amphotericin B may enhance the effects of muscle relaxants like tubocurarine. Monitoring potassium levels and correcting any deficiencies is important.
Leukocyte Transfusions: There have been reports of acute lung toxicity in patients receiving both intravenous amphotericin B and white blood cell transfusions.
Always inform your healthcare provider about all medications and supplements you're taking to ensure safe and effective treatment.
What is amphotericin B mainly used for?
Amphotericin B is primarily used to treat serious fungal infections. It is often reserved for severe infections due to its potential side effects and is effective against a broad range of fungi.
What should I monitor when taking amphotericin B?
When taking amphotericin B, it is important to monitor kidney function, as the drug can be nephrotoxic. Regular blood tests should be conducted to check serum creatinine and blood urea nitrogen (BUN) levels. Additionally, monitoring electrolytes, particularly potassium and magnesium, is crucial since amphotericin B can cause imbalances. Liver function tests and complete blood counts should also be monitored to detect any potential adverse effects. It is advisable to watch for signs of infusion-related reactions, such as fever, chills, and hypotension.
What is the major side effect of amphotericin B?
The major side effect of amphotericin B is nephrotoxicity, which refers to kidney damage. It can lead to decreased kidney function and electrolyte imbalances, particularly affecting potassium and magnesium levels. Regular monitoring of kidney function and electrolytes is recommended during treatment with amphotericin B.
Why is amphotericin B given IV?
Amphotericin B is administered intravenously because it is poorly absorbed from the gastrointestinal tract. This method ensures that the medication reaches the bloodstream directly, allowing it to effectively treat systemic fungal infections.
What would be most important for the nurse to monitor in a client receiving amphotericin B?
The nurse should closely monitor the client's renal function, as amphotericin B can be nephrotoxic. This includes regular checks of serum creatinine and blood urea nitrogen (BUN) levels. Additionally, monitoring for signs of electrolyte imbalances, particularly hypokalemia and hypomagnesemia, is important. The nurse should also observe for infusion-related reactions, such as fever, chills, and hypotension.