Table 1.
Medication Management | |||||
---|---|---|---|---|---|
Patient 1 | 150mg/q12h# Ivacaftor, 750 mg ciprofloxacin bdΔ, inhaled tobramycin 112mg/bd 250/25µg bd seretide, mometasone nasal spray 2 sprays/bd, 100 µg salbutamol 2 puffs bd plus prn§, pancreatic extract tdsǂ with meals, 500mg/d Calcium/400IU/d Vitamin D bd, 600mg salt prn | ||||
Patient 2 | 200mg/q12h Lumacaftor and 125mg/q12h Ivacaftor Pancreatic extract, 25µg/d vitamin D, 20mg/d pantoprazole, 300mg/d nizatidine, 500mg/m/w/f azithromycin, hypertonic saline 6%, 5mL bd, 250/25 mg/d salmeterol, 2x/d Vitamin ABDECK, 2 salt tablets, 2mg/35mcg /d ethinyloestradiol/cyproterone acetate, 100mcg/prn salbutamol, inhaled tobramycin | ||||
Plasma concentrations [16] ** | |||||
IVA [µg/mL] | IVA M1 [µg/mL] | IVA M6 [µg/mL] | LUMA [µg/mL] | ||
KALYDECO Patient 1 |
Plasma css | 0.73±0.02 | 0.41±0.08 | 0.11±0.03 | -- |
Plasma 2.5h | 0.97±0.31 | 0.50±0.09 | 0.16±0.04 | -- | |
ORKAMBI Patient 2 |
Plasma 2.5 h | 0.06±0.01 | 0.07±0.01 | 0.15±0.03 | 4.42±0.67 |
#Every 12 hours; Δ twice daily; § as needed; ǂ 3 times per day; *below the limit of quantification (LOQ)
**Plasma concentrations were first reported by Schneider et al (2016) [16].