Possible strengthening of toxicity when ganciclovir concomitantly with other drugs having myelosuppressive effect of violating or renal function (such as dapsone, pentamidine, flucytosine, vincristine, vinblastiin, adriamycin, amphotericin B, nucleoside analogues and hydroxyurea). Consequently, this primobolan results medication should be administered concurrently with ganciclovir only if the potential benefits outweigh the potential risks.
Ganciclovir has the potential teratogenic and carcinogenic effect may cause birth defects and cancer. Ganciclovir may be temporary or permanent inhibit spermatogenesis (see. “Pregnancy” and “Side effects”).
In patients treated with ganciclovir, there have been cases of severe leukopenia, neutropenia, anemia, thrombocytopenia, pancytopenia, myelosuppression and aplastic anemia. Should not begin treatment with ganciclovir, if the absolute neutrophil count below 500 cells in 1 mm or platelet count less than 25,000 cells in 1 mm or hemoglobin level below.
In the course of treatment is recommended oxandrolon kopen to monitor complete blood count, including platelet count. In patients with severe leucopenia, neutropenia, anemia and / or thrombocytopenia, it is recommended to treat hematopoietic growth factors and / or temporarily interrupt therapy with .
If the kidney function is recommended to carry out a correction dose depending on creatinine clearance .
in patients taking imipenem / cilastatin and ganciclovir described the development of seizures, so ganciclovir should not be administered concurrently with imipenem / cilastatin unless the potential benefits of therapy did not exceed the potential risks primobolan results.
As ganciclovir and zidovudine can cause neutropenia and anemia, so some patients may not tolerate concomitant use of these drugs at full .
at the same time taking ganciclovir may increase plasma concentrations of didanosine, therefore such patients should be closely monitored for didanosine toxicity effects primobolan results.Simultaneous treatment with ganciclovir and drugs with nephrotoxic or myelosuppressive effects can lead to additive toxicity (cm. “Drug Interactions”).
Effects on ability to drive vehicles and working with machines and mechanisms
in patients taking ganciclovir, may have seizures, drowsiness, dizziness, ataxia, confusion. These symptoms can affect the performance of activities that require attention, including the ability to drive vehicles and working with machinery.
500 mg ganciclovir into a bottle with a capacity of 10 ml made of colorless glass, a sealed cover of butyl rubber, crimped aluminum caps and plastic lid closed. Each bottle primobolan results with instruction on use is placed in a cardboard box.