Monograph Details

Infections & Infestations > Viral infections
TAMIFLU
Manufacturer
Roche Laboratories
Legal Classification
Rx
Pharmacological Class
Neuraminidase inhibitor.
Generic Name
Oseltamivir (as phosphate) 30mg, 45mg, 75mg; caps.
Also
TAMIFLU ORAL SUSPENSION
Indications
Treatment of uncomplicated acute illness due to influenza infection in patients ≥1year of age who have been symptomatic for ≤2days. Prophylaxis of influenza in patients ≥1year of age.
Children
<1yr: not recommended. 1–12yrs: Start within 2 days of symptom onset. Treatment: Treat for 5 days. ≤15kg: 30mg twice daily; 16–23kg: 45mg twice daily; 24–40kg: 60mg twice daily; >40kg: 75mg twice daily. Prophylaxis: Treat for 10 days. ≤15kg: 30mg once daily; 16–23kg: 45mg once daily; 24–40kg: 60mg once daily; >40kg: 75mg once daily.
Adults
Start within 2 days of symptom onset or exposure. ≥13yrs: Treatment: 75mg twice daily for 5 days; CrCl 10–30mL/min: 75mg once daily for 5 days. Prophylaxis: after close contact with infected individual: 75mg once daily for at least 10 days; during community outbreak: 75mg once daily for up to 6 weeks; CrCl 10–30mL/min: 75mg every other day or 30mg once daily.
Precautions
Not a substitute for influenza vaccination. Hepatic impairment. Chronic cardiac or respiratory disease. Immunocompromised. Monitor for signs of abnormal behavior (esp. in children). Pregnancy (Cat.C). Nursing mothers.
Interactions
Do not administer live attenuated influenza vaccine within 2 weeks prior or 48 hrs after treatment.
Adverse Reactions
GI upset, bronchitis, headache, insomnia, vertigo, fatigue; possible neuropsychiatric events (eg, hallucinations, delirium, abnormal behavior).
How Supplied
Caps—10
Susp—25mL (w. oral dispenser)
Additional Resources
Related Prescribing Note