Skip to main content

Drug Safety Monitoring for Liposomal Amphotericin B

  • Chapter
  • First Online:
Kala Azar in South Asia
  • 333 Accesses

Abstract

Liposomal amphotericin B is now the key drug for disease control of visceral leishmaniasis, also known as kala-azar, in the sub-Indian continent. However, a number of generic products are currently available. Compared that for with other chemical compounds, liposomal formation is a crucial process for appropriate drug delivery in this particular medicine. We recently received isolated clinical findings after treatment using one generic product of liposomal amphotericin B from an endemic area. Herein, we report the different characteristics of generic products of liposomal amphotericin B to the genuine brand product. The size of the liposomal particles of the generic product is not uniform and far from the expected drug delivery and toxicity values. This review introduces a potential inspection approach for when policy makers adopt generic liposomal amphotericin B products into their own country.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 179.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sundar S, Chakravarty J, Agarwal D, Rai M, Murray HW. Single-dose liposomal amphotericin B for visceral leishmaniasis in India. N Engl J Med. 2010;362(6):504–12.

    Article  CAS  PubMed  Google Scholar 

  2. Walsh TJ, Finberg RW, Arndt C, Hiemenz J, Schwartz C, Bodensteiner D, Pappas P, Seibel N, Greenberg RN, Dummer S, Schuster M, Holcenberg JS. Liposomal amphotericin B for empirical therapy in patients with persistent fever and neutropenia. National Institute of Allergy and Infectious Diseases Mycoses Study Group. N Engl J Med. 1999;340(10):764–71.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eisei Noiri .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing

About this chapter

Cite this chapter

Noiri, E., Minami, K. (2016). Drug Safety Monitoring for Liposomal Amphotericin B. In: Noiri, E., Jha, T. (eds) Kala Azar in South Asia. Springer, Cham. https://doi.org/10.1007/978-3-319-47101-3_20

Download citation

Publish with us

Policies and ethics