Tamiflu

Fight Off the Flu Before or After It Starts With the Tamiflu Drug

Tamiflu
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Tamiflu Basics:

Tamiflu is a prescription antiviral medication that can be used to treat an influenza infection (also known as the flu) in children and adults, if their symptoms have started within the last day or two. It can also be used to prevent the flu in children, teens, and adults who have been exposed to the influenza virus.

What Tamiflu Is Used For:

Tamiflu is FDA-approved to treat the flu in adults and children.

It is also indicated as prophylaxis (a preventative) against the flu for adults and children over the age of 12 months.

Tamiflu Facts:

  • The trade name for Tamiflu is oseltamivir phosphate.
  • Unlike other antiviral flu medications, such as Flumadine and Symmetrel, Tamiflu is effective against both type A and B strains of flu.
  • Tamiflu helps reduce the length of your flu symptoms by about 1.3 days.
  • Tamiflu is a neuraminidase inhibitor.
  • There is no generic version of Tamiflu available yet, and 10 capsules can cost over $100 if you have to pay full price.
  • Tamiflu is available as 30-milligram (mg), 45-mg, and 75-mg capsules and as a 6 milligram/milliliter tutti-frutti flavored oral suspension for children who can't swallow pills.
  • Some parents warn that the oral suspension is not a very good-tasting medicine, so you might as your pharmacist to add extra flavoring, especially if your child does not take medicine easily.
  • Tamiflu may be taken either with or without food.
  • Tamiflu does not treat other flu-like viral infections, such as the stomach flu, colds, or RSV (respiratory syncytial virus).

Dosage of Tamiflu:

  • For Treatment of Flu (Note: All treatment doses should be taken twice a day for five days.)
    • An adult or teen (over the age of 13) should take take a 75-mg capsule.
    •  The dosage for children who are one year old and older depends on weight:
      • Less than 33 lbs: Take a 30-mg capsule (you'll need one bottle)
      • Between 33 and 51 lbs: Take a 45-mg capsule (you'll need two bottles)
      • Between 51 and 88 lbs: Take a 60-mg capsule (you'll need two bottles)
      • Greater than 88 lbs: Take a 75-mg capsule (you'll need three bottles)
    • Infants between the ages of two weeks and 12 months can take three milligrams per kilogram twice daily for five days. (Note: One kilogram equals about 2.2 pounds)
  • For Prevention of Flu
    • An adult or teen should take a 75-mg capsule once a day for 10 days.
    • Children over the age of 12 months should take the same dose as they would for the treatment of the flu, except that they should take it just once a day for 10 days (rather than twice a day for five days).

Tamiflu Side Effects:

The most common side effects in pediatric patients taking Tamiflu for the treatment of the flu include vomiting, abdominal pain, epistaxis (nosebleeds), ear disorders, and conjunctivitis (pinkeye).

Tamiflu is being investigated under the Best Pharmaceuticals for Children Act, because in a safety review, 'unusual neurologic or psychiatric events such as delirium, hallucinations, confusion, abnormal behavior, convulsions, and encephalitis' were reported. However, the reports were almost all from children in Japan. In Japan, there were 12 deaths among pediatric patients, but the FDA can not conclude that there is a causal relationship between Tamiflu and the reported pediatric deaths.

What You Need To Know:

When being used as a flu treatment, Tamiflu should be started as soon as possible after a person develops flu symptoms, and at least within two days. When being used as a flu preventative, it's important to start it as soon as possible after being exposed to someone with the flu, if you have not had a flu shot. Other important information:

  • Tamiflu is thought to be effective against the avian (bird) flu, leading some countries and individuals to create stockpiles of Tamiflu.
  • A flu test can help to determine if your symptoms or your child's symptoms are caused by the flu, so that you can determine whether Tamiflu will even be helpful. But treatment should not be delayed while you wait for the flu test results.
  • Several shipments of fake or counterfeit Tamiflu pills have been seized, so if you're ordering Tamiflu on the Internet, buy Tamiflu only from a reputable online pharmacy.
  • Tamiflu capsules can be compounded into a suspension by pharmacists or parents can even mix the appropriate dose of a capsule into a sweetened liquid, such as chocolate syrup or grape jelly.

Sources:

Tamiflu Complete Product Information Sheet. Revised March 2011.

FDA Tamiflu Pediatric Adverse Events: Questions and Answers

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