Regulatory Information
SANOFI-AVENTIS SINGAPORE PTE. LTD.
SANOFI-AVENTIS SINGAPORE PTE. LTD.
Therapeutic
Prescription Only
Formulation Information
INJECTION, POWDER, FOR SOLUTION
**Posology and Method of Administration** Posology Fasturtec is to be used immediately prior to and during the initiation of chemotherapy only, as at the present, there is insufficient data to recommend multiple treatment courses. The recommended dose for Fasturtec is 0.20 mg/kg/day. Fasturtec is administered as a once daily 30 minute intravenous infusion in 50 ml of a sodium chloride 9 mg/ml (0.9%) solution (see section _Special Precautions for Disposal and Other Handling_ – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_). The duration of treatment with Fasturtec may be up to 7 days, the exact duration should be based upon adequate monitoring of uric acid levels in plasma and clinical judgment. _Paediatric Population_ As no adjustment is necessary, the recommended dose is 0.20 mg/kg/day. _Special Populations_ Renally or hepatically impaired patients: No dose adjustment is necessary. Method of Administration Fasturtec should be administered under the supervision of a physician trained in chemotherapy of haematological malignancies. Administration of rasburicase does not require any change in the timing or schedule of initiation of cytoreductive chemotherapy. Rasburicase solution should be infused over 30 minutes. Rasburicase solution should be infused through a different line than that used for infusion of chemotherapeutic agents to prevent any possible drug incompatibility. If use of a separate line is not possible, the line should be flushed out with saline solution between infusion of chemotherapeutic agents and rasburicase. For instructions on reconstitution and dilution of the medicinal product before administration, see section _Special Precautions for Disposal and Other Handling_ – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_. Because rasburicase may degrade uric acid _in vitro_, special precautions must be used during sample handling for plasma uric acid measurements, see section _Special Precautions for Disposal and Other Handling_ – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_.
INTRAVENOUS
Medical Information
**Therapeutic Indications** Treatment and prophylaxis of acute hyperuricaemia, in order to prevent acute renal failure, in patients with haematological malignancy with a high tumour burden and at risk of a rapid tumour lysis or shrinkage at initiation of chemotherapy.
**Contraindications** Hypersensitivity to the active substance, to uricases, or to any of the excipients listed in section _List of Excipients_ – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_. G6PD deficiency and other cellular metabolic disorders known to cause haemolytic anaemia. Hydrogen peroxide is a by-product of the conversion of uric acid to allantoin. In order to prevent possible haemolytic anaemia induced by hydrogen peroxide, rasburicase is contraindicated in patients with these disorders.
V03AF07
rasburicase
Manufacturer Information
SANOFI-AVENTIS SINGAPORE PTE. LTD.
SANOFI WINTHROP INDUSTRIE (Solvent manufacturer)
GLAXO WELLCOME PRODUCTION (Powder manufacturer)
Sanofi S.r.l. (Powder and Solvent manufaturer)