Interferon Alfa, Human Recombinant
Interferon alfa is a **cytokine** used primarily to alleviate the clinical effects of certain viral diseases and as an immunomodulator. * **In Cats**: It is used via subcutaneous (SC) or oral/buccal administration to treat virus-induced diseases such as Feline Immunodeficiency Virus (FIV), Feline Leukemia Virus (FeLV), and Feline Herpesvirus-1 (FHV-1). * **In Dogs**: It is used as an adjunctive treatment for viral or immunosuppression-related conditions (e.g., papillomas, pododermatitis, digital keratomas) and has been evaluated for certain neoplastic diseases like hemangiosarcoma. > **Clinical Pearl**: Because this is a *human* recombinant protein, cats given parenteral human interferon-alfa may develop significant neutralizing antibodies after 3-7 weeks of treatment, resulting in a loss of efficacy. Feline interferon-omega is often preferred in modern practice when available. Low-dose oral administration is thought to act via local oropharyngeal immunomodulation rather than systemic absorption.
กลไกการออกฤทธิ์: Interferon alfa exhibits **antiviral, antiproliferative, and immunomodulating effects**. * **Mechanism**: It binds to specific cell-surface receptors → activates the **JAK-STAT signaling pathway** → induces transcription of interferon-stimulated genes (ISGs). * **Antiviral Activity**: The ISGs produce proteins (e.g., 2',5'-oligoadenylate synthetase, protein kinase R) that inhibit the synthesis of viral RNA, DNA, and cellular proteins, effectively degrading viral RNA and halting viral replication. * **Immunomodulation**: Enhances macrophage phagocytic activity and augments specific cytotoxicity of lymphocytes for target cells.
ขนาดยาตามชนิดสัตว์
- FeLV infection (Low dose) · 30 Units/cat · PO · daily · 7 days on, 7 days off
- FeLV infection (High dose) · 10,000-1,000,000 Units/kg · SC · once daily
- FIV infection · 30 Units/cat · PO · daily · 7 days on, 7 days off
- Chronic FHV-1 infections (Systemic) · 30 Units/cat · PO · daily · 7 days on, 7 days off; repeat cycle
- Chronic FHV-1 infections (Ophthalmic) · 1 drop of 25-50 Units/mL of saline in affected eye(s) · Topical · q4-6h
- Acute life-threatening FHV-1 infections in kittens · 10,000 Units/kg · SC · daily · up to 3 weeks
- Cutaneous T-cell lymphoma and severe cases of oral/cutaneous papillomas · 1.5-2 million Units/m2 · SC · 3 times weekly
- Immunostimulant for adjunctive treatment of dermatologic conditions (e.g., pododermatitis, papillomas, digital keratomas) · 1000 Units · PO · once daily · Given as 1000 Unit/mL solution
ขนาดยาเป็นข้อมูลอ้างอิงทางคลินิกสำหรับสัตวแพทย์ผู้มีใบอนุญาต โปรดตรวจสอบกับฉลากล่าสุดและผู้ป่วยแต่ละรายเสมอ
วิธีการให้ยา
ข้อห้ามใช้
- Feline Infectious Peritonitis (FIP) - low dose oral therapy is contraindicated
- Preexisting autoimmune disease
- Severe cardiac disease
- Severe pulmonary disease
- 'Brittle' diabetes
- CNS disorders
- Known hypersensitivity to the drug
อาการไม่พึงประสงค์
- Malaise
- Fever
- Allergic reactions
- Myelotoxicity (anemia, leukopenia, thrombocytopenia)
- Myalgia
- Neutralizing antibody formation (in cats, leading to loss of efficacy)
- Hepatotoxicity (reported in humans)
- Neurotoxicity (reported in humans)
- Flu-like syndrome (reported in humans)
อันตรกิริยาระหว่างยา
- Acyclovir · Additive or synergistic antiviral effects may occur.
- Zidovudine (AZT) · Additive or synergistic antiviral effects may occur.
- Vidarabine · Increased toxicities may occur without synergistic antiviral effects.
การติดตาม
- Clinical efficacy and symptom resolution
- Complete Blood Count (CBC) if used parenterally (monitor for myelotoxicity)
- Body temperature (monitor for fever)
การได้รับยาเกินขนาด
No specific information is available regarding acute toxicity or overdosage. Dosages should be determined and calculated carefully.
ข้อมูลอ้างอิงยาของ VetSheet มีไว้สำหรับสัตวแพทย์ผู้มีใบอนุญาตเพื่อช่วยในการตัดสินใจทางคลินิก ไม่ใช่สิ่งทดแทนการวินิจฉัยของผู้เชี่ยวชาญหรือฉลากล่าสุดของผู้ผลิต