Adverse Reaction:
Discontinuation- Drug was withdrawn in about 8% of patients during clinical trials
Most common adverse reactions-
Cardiovascular - tachycardia , theombosis 5%
CNS - tremor, headache, dizziness, hypertension, hypotension, aggrevated hypertension 2%
Dermatologic- impaired wound healing without infection, acne 5%
pruritus, hirsutism, rash, night sweats, increased sweating 2%
GI - constipation, nausea, diarrhea, vomiting, abdominal pain, pyrosis, dyspepsia,
abdominal distention, epigastric pain not food related 5%
flatulance, gastritis, hemorrhoids 2%
GU- oliguria, dysuria, tubular necrosis 5%
renal damage, hydronephrosis, urinary tract bleeding, urnary tract disorder,
Hematologic - bleeding 5%
Hematologic /lymphatic- lymphocele 5%
Musculoskeletal - musculoskeletal pain, back pain 5%
arthalgia, myalgia, 2%
Metabolic/nutrional - edema extremities, edema 5%
fluid overload, diabetes melitus, dehydration 2%
Ophthalmic - vision blurred 5%
Psychiatric - insomnia 5%
Respiratory - dyspnea, pulmonary edema, coughing, 5%
congestion, pharyngitis, rhinitis, hypoxia, abnormal breath sounds,
pleural effusion 2%
Miscellaneous- posttraumatic pain, chest pain, fever, pain, fatigue 5%
application reaction, shivering, generalised weakness 2%
renal insufficiency 2%
Contra-Indications:
hypersensitivity to the drug
Special precautions-
Mortality- use of daclizumab as a part of imunosuppressive regimen including cyclosporine, mycophenolate mofetil, and corticosteroids may be associated with an in crease in mortality
Hypersensitivity reactions- severe acute ( onset within 24 hours ) hypersensitivity reactions, including anaphylaxis have been observed both on initial exposure to daclimab and following reexposure.
The reactions include, hypotension, bronchospasm, wheezing, laryngeal edema,
pulmonary edema,cyanosis
Patients previously administered daclizumab should only be reexposed to subsequent
course of therapy with caution.
Pregnancy- Dacllizumab should be used in pregnant women unless the potential benefit
justifies the potential risk.
Lactation - Decison should be taken to discontinue nursing or discontinue the drug taking
in account the importance of drug to the mother.
Children- Safety profile of daclizumab in pediatric transplant was shown to be comparable
to adults
Elderly- caution must be used in giving immunosppressive drugs to elderly patients