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 Release 22.0, Sept. 2008
 
Chapter : ch45. Pharmacy Practice Section : Writing and Filling a Prescription
  Dosing Nelfinavir mesylate (Viracept) for Oral Therapy in a Child

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Copyright (c) 2008-2010, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

Nelfinavir mesylate (Viracept, Pfizer) can be used to treat a child with HIV. Oral dosing can be either as tablets or powder.

 

Patient selection: >= 2 years of age

 

Dosing regimens:

(1) 45-55 mg per kg bid

(2) 25-35 mg per kg tid

 

Formulations"

(1) tablets, 250 mg

(2) powder, 50 mg drug per scoop (each scoop weighs 1 gram; 4 scoops = 1 teaspoon = 200 mg )

 

Tablets

 

Body Weight

BID Regimen

TID Regimen

10 -12 kg

2 tablets

1 tablets

13 - 18 kg

3 tablets

2 tablets

19 - 20 kg

4 tablets

2 tablets

>= 21

4 or 5 tablets

3 tablets

 

Powder

 

Body Weight

BID Regimen

TID Regimen

9.0 - 10.49

10 scoops

6 scoops

10.5 - 11.99

11 scoops

7 scoops

12.0 - 13.99

13 scoops

8 scoops

14.0 - 15.99

15 scoops

9 scoops

16.0 - 17.99

not recommended

10 scoops

18.0 - 22.99

not recommended

12 scoops

>= 23.0

not recommended

15 scoops

 

where:

• The number of teaspoons = (number of scoops) / 4

 

  References:

Physicians' Desk Reference, Supplement A. 60th Edition. 2006. Tables 13 and 14, page A290-A291.

 

 

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