Curosurf (poractant alfa)
Lung Surfactants Inhalation Vial (ML)
Last reviewed · Source: First Databank (FDB) drug data
Overview
Poractant alfa, an exogenous natural pulmonary surfactant preparation, is a porcine lung extract containing mostly phospholipids.
Poractant alfa, an exogenous natural surfactant preparation, is a porcine lung extract containing mostly phospholipids. The commercially available poractant alfa formulation contains 80 mg/mL of phospholipids (including 54 mg of phosphatidylcholine of which 30.5 mg is dipalmitoyl phosphatidylcholine) and 1 mg of surfactant proteins (SP-B, SP-C).
Endogenous pulmonary surfactant reduces surface tension at the air-liquid interface of the alveoli during ventilation and stabilizes the alveoli against collapse at resting transpulmonary pressures. A deficiency of pulmonary surfactant in premature neonates results in respiratory distress syndrome (RDS), which is characterized by poor lung expansion, inadequate gas exchange, and atelectasis. Exogenous surfactants (e.g., beractant, calfactant, colfosceril palmitate, poractant alfa) compensate for the deficiency of surfactant in premature neonates, increasing alveolar stability and pulmonary compliance, decreasing pulmonary edema and the work required for breathing, and facilitating uniform alveolar recruitment on inspiration.
Generic name: poractant alfa
Drug class: Lung Surfactants
Therapeutic class: Respiratory Therapy Agents
Reference product & biosimilars
No reference, biosimilar or interchangeable associated with this drug.
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Indications
The following indications are listed for Curosurf:
- Respiratory Distress Syndrome In The Newborn
Also known as: Congenital Alveolar Dysplasia, Hyaline Membrane Disease, Idiopathic Respiratory Distress Syndrome, Neonatal Respiratory Distress Syndrome, Perinatal Respiratory Distress Syndrome, Pulmonary Hypoperfusion Syndrome Of Newborn, Rds Of Newborn, Respiratory Distress Syndrome Of Newborn.
Dosing
No dosing information is available for this tab.
Poractant alfa is intended for intratracheal administration only using specialized techniques. The manufacturer's labeling and/or specialized references should be consulted for guidelines on administration techniques.
No dosing information is available for this tab.
No dosing information is available for this tab.
Drug interactions
No drug interactions have been reported with poractant alfa.
There are no contraindication interactions for this drug.
There are no severe interactions for this drug.
There are no moderate interactions for this drug.
Contraindications
No known contraindications to poractant alfa administration in premature neonates.
There are no contraindication contraindications for this drug.
- Bradycardia
- Hypotension
There are no moderate contraindications for this drug.
Adverse reactions
Transient bradycardia, hypotension, endotracheal tube blockage, decreased oxygen saturation, and airway obstruction. (See General Precautions: Complications of Prematurity, in Cautions.)
More Frequent
- Bradycardia
- Hypotension
Less Frequent
- Endotracheal tube blockage
Rare or Very Rare
- Hypoxia
- Pulmonary hemorrhage
There are no less severe adverse reactions for this drug.
Precautions
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ICD codes
| Code | Type | Description |
|---|---|---|
| Respiratory distress syndrome in the newborn | ||
| P22.0 | ICD10CM | Respiratory distress syndrome of newborn |
ICD code information from First Databank (FDB).
Formulary status
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Last reviewed · Source: First Databank (FDB) drug data
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