amphocil 100mg injection - Amphotericin B (100mg) medicine

Ampholip 100mg Injection: Complete Medicine Guide

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🏭 Criticare Laboratories Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 18, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: High for invasive fungal infections.
Reviewed by
SaathiMed Expert Panel | Oct 18, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Decreased urine output or swelling in legs
  • Severe chest pain or difficulty breathing
  • Irregular heartbeat or palpitations
  • Swelling of face, lips, or throat
  • Severe abdominal pain or vomiting blood
  • Yellowing of skin or eyes
  • Confusion or extreme fatigue

If experiencing severe symptoms, call emergency services immediately.

What is amphocil 100mg injection used for?

Ampholip 100mg injection contains Amphotericin B, an antifungal medicine used to treat serious fungal infections. It works by breaking down the fungal cell membrane. It is given intravenously in a hospital setting under medical supervision.

  • Generic Name: Amphotericin B (100mg)
  • Manufacturer: Criticare Laboratories Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 amphocil 100mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा एम्फोटेरिसिन बी का इंजेक्शन है, जिसका उपयोग गंभीर फंगल संक्रमणों के इलाज के लिए किया जाता है। यह अस्पताल में डॉक्टर की देखरेख में नस के माध्यम से दी जाती है। यह एस्परजिलोसिस, क्रिप्टोकोकल मेनिनजाइटिस, म्यूकोरमाइकोसिस और विसरल लीशमैनियासिस जैसी बीमारियों में प्रभावी है। यह फंगस की कोशिका की दीवार को तोड़कर उसे नष्ट कर देती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में बुखार, ठंड लगना, मतली, उल्टी, सिरदर्द और इंजेक्शन की जगह पर दर्द शामिल हैं। गुर्दे की समस्या और पोटैशियम की कमी भी हो सकती है। गंभीर दुष्प्रभावों में गुर्दे की क्षति, हृदय की धड़कन में गड़बड़ी और एलर्जी प्रतिक्रिया शामिल हैं। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल अस्पताल में डॉक्टर या नर्स द्वारा दी जानी चाहिए। इसे घर पर स्वयं न लगाएं। इलाज के दौरान गुर्दे की कार्यप्रणाली और इलेक्ट्रोलाइट्स की नियमित जांच होती रहनी चाहिए। पर्याप्त पानी पिएं। शराब से बचें। बुखार, ठंड लगना या सांस लेने में तकलीफ हो तो तुरंत डॉक्टर को बताएं।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 amphocil 100mg injection Uses & Benefits

[{"condition":"Invasive aspergillosis","description":"Used as a primary or alternative therapy for serious Aspergillus infections, especially in immunocompromised patients.","evidence":"Well-established"},{"condition":"Cryptococcal meningitis","description":"Used in combination with other antifungals for treating cryptococcal meningitis, particularly in HIV-infected individuals.","evidence":"Well-established"},{"condition":"Mucormycosis","description":"A first-line treatment for mucormycosis, a severe fungal infection often seen in people with uncontrolled diabetes.","evidence":"Well-established"},{"condition":"Visceral leishmaniasis","description":"Used as an alternative treatment for visceral leishmaniasis (kala-azar) in certain regions.","evidence":"Well-established"},{"condition":"Candidiasis (severe invasive)","description":"Reserved for severe invasive Candida infections that are resistant to other antifungals or in patients who cannot tolerate them.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Fungal keratitis","description":"Sometimes compounded into topical eye drops for fungal corneal infections, though this is not a standard approved use.","evidence":"Limited"},{"condition":"Fungal peritonitis","description":"Occasionally used intraperitoneally in patients on peritoneal dialysis with fungal peritonitis.","evidence":"Limited"}]

Primary treatment for: Invasive fungal infections

Also treats: Aspergillosis, Cryptococcosis, Mucormycosis, Visceral leishmaniasis, Severe candidiasis

📋 Drug Information

Generic Name(s)Amphotericin B (100mg)
Brand Nameamphocil 100mg injection
ManufacturerCriticare Laboratories Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassFungal cell membrane active agent
Route of AdministrationIntravenous (IV) infusion. This medicine is given by a healthcare professional in a hospital or clinic setting
StorageStore the unopened vial in the refrigerator at 2°C to 8°C (36°F to 46°F). Do not freeze. Protect from light. Once reconstituted, the solution should be used immediately or stored as directed by the pharmacist. Discard any unused portion.
Shelf LifeThe shelf life of the unopened vial is typically 24 months from the date of manufacture. Check the expiry date on the vial. Once reconstituted, use within the time specified by the manufacturer, usually within 24 hours if refrigerated.
WHO GuidelineAmphotericin B is included in WHO essential medicines list for treating serious fungal infections. Specific recommendations vary by condition and region.
ICMR GuidelineICMR guidelines recommend Amphotericin B for management of mucormycosis and other invasive fungal infections in appropriate clinical settings.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Premedicate with acetaminophen and diphenhydramine to reduce infusion reactions.
2
Monitor serum creatinine and electrolytes before each dose.
3
Use a slow infusion rate over 2 to 6 hours to minimize reactions.
4
Consider liposomal Amphotericin B if nephrotoxicity develops.
5
Ensure adequate hydration before and after infusion.
6
Avoid concurrent use with other nephrotoxic drugs whenever possible.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Persistent fever with chills
This medicine is used for serious fungal infections that can cause fever.
Likely Use
❌
Skin rash
This medicine is not used for simple skin rashes.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNot established from the available information. This medicine is given intravenously, so absorption from the gastrointestinal tract is not applicable.
DistributionAmphotericin B distributes widely into body tissues, including the liver, spleen, lungs, and kidneys. It binds extensively to plasma proteins and has a large volume of distribution. It does not cross the blood-brain barrier well, so intrathecal administration may be needed for some central nervous system infections.
Protein BindingGreater than 90% bound to plasma proteins, primarily lipoproteins.
MetabolismAmphotericin B is not significantly metabolized by the liver. It is slowly eliminated unchanged.
Half-LifeThe terminal elimination half-life is approximately 15 days, but it can be longer with prolonged use.
ExcretionAmphotericin B is excreted primarily in the urine and bile, but the exact proportions are not well established. Renal excretion is slow, and the drug can be detected in urine for weeks after discontinuation.
BioavailabilityNot applicable for intravenous administration. Bioavailability is 100% when given intravenously.
Onset of ActionAntifungal effects begin within hours of infusion, but clinical improvement may take days to weeks depending on the infection.
Peak Plasma TimePeak plasma concentrations are reached at the end of the intravenous infusion.
Duration of ActionThe antifungal effect persists for 24 hours or more after a single dose, allowing once-daily dosing.

How It Works

Amphotericin B binds to ergosterol, a key sterol in the fungal cell membrane. This binding forms pores or channels that increase membrane permeability, causing leakage of potassium, magnesium, and other essential intracellular components. The resulting osmotic imbalance and loss of cellular function lead to fungal cell death. Because human cell membranes contain cholesterol instead of ergosterol, Amphotericin B has some selectivity for fungal cells, but it can still cause toxicity in human cells, especially in the kidneys.

Mechanism Steps

1
Binding to ergosterol: Amphotericin B binds specifically to ergosterol in the fungal cell membrane.
2
Pore formation: The binding creates pores or channels in the membrane.
3
Leakage of cellular contents: Essential ions and molecules leak out of the fungal cell.
4
Cell death: The loss of cellular integrity and osmotic imbalance leads to fungal cell death.

💡 How to Take amphocil 100mg injection

Strength: 100 mg lyophilized powder for injection, to be reconstituted before use.

1This medicine is given by a healthcare professional as an intravenous infusion.
2You will be monitored for reactions during and after the infusion.
3Drink plenty of fluids unless your doctor tells you otherwise.
4Report any fever, chills, or discomfort to your nurse immediately.
5Do not attempt to self-administer this medicine at home.

Dosage Information

Adult DosageThe dose of this medicine is individualized by a qualified clinician based on the type and severity of the fungal infection, the patient's kidney function, and other factors. For invasive fungal infections, a typical adult dose may range from 0.5 to 1.5 mg/kg per day, given as a slow intravenous infusion over 2 to 6 hours. For some infections, a higher dose or a different schedule may be used. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician. Doses are individualized based on weight and clinical condition.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine, especially kidney damage. Kidney function should be monitored closely, and the dose may need to be adjusted by a qualified clinician.
Renal ImpairmentIn patients with kidney impairment, the dose may need to be reduced or the dosing interval extended. Kidney function should be monitored closely, and the dose must be individualized by a qualified clinician.
Hepatic ImpairmentNo specific dose adjustment is established for liver impairment. Use with caution and monitor liver function.
Maximum Daily DoseThe maximum daily dose is individualized by a qualified clinician. Do not exceed the prescribed dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
No specific food restrictions
This medicine is given intravenously, so food does not affect it.
Alcohol
Avoid
May increase liver and stomach side effects.

⏰ What to Do If You Miss a Dose

📌 You miss your scheduled infusion appointment
→ Contact your doctor or clinic immediately to reschedule.
💡 Do not attempt to self-administer a double dose.

⚠️ Side Effects of amphocil 100mg injection

✅ Common Side Effects

Fever and chills (Common (up to 50%))
Premedication with acetaminophen or antihistamines may help. Report to your nurse if severe.
Nausea and vomiting (Common (10-30%))
Your doctor may prescribe anti-nausea medicine. Sip clear fluids.
Headache (Common (10-20%))
Rest and ask your doctor about pain relief.
Injection site reaction (Common (10-20%))
Apply a cold compress if advised. Report severe pain or swelling.
Low potassium (hypokalemia) (Common (10-30%))
Your doctor will monitor levels and may prescribe potassium supplements.

🚨 Serious Side Effects

Nephrotoxicity (kidney damage) (Common (up to 80%))
Seek immediate medical attention if you notice decreased urine output, swelling, or confusion.
Severe hypokalemia (Common (10-30%))
Report muscle weakness, cramps, or irregular heartbeat immediately.
Anaphylaxis (Rare (<0.1%))
Call emergency services if you have difficulty breathing, swelling of face or throat, or severe rash.
Cardiac arrhythmias (Rare (<0.1%))
Seek immediate care for palpitations, fainting, or chest pain.

⚠️ Rare Side Effects

Hearing loss
Report any ringing in the ears or hearing changes to your doctor.
Blurred vision
Consult your doctor if vision changes occur.
Blood dyscrasias
Report unusual bruising or bleeding.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Aminoglycosides Major
Vancomycin Major
NSAIDs Major
Digoxin Major
Corticosteroids Major
Flucytosine Moderate
Fluconazole Moderate
Neuromuscular blockers Major
Antihistamines Minor
Alcohol Moderate

🚨 Major Interactions

  • Nephrotoxic drugs (e.g., aminoglycosides, vancomycin, NSAIDs)
  • Digoxin
  • Corticosteroids
  • Neuromuscular blocking agents

⚡ Moderate Interactions

  • Flucytosine
  • Azole antifungals (e.g., fluconazole)

🍷 Alcohol Interaction

Avoid alcohol while receiving this medicine because it can increase the risk of liver problems and stomach upset.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to Amphotericin B or any component of the formulation","Severe kidney disease (relative contraindication; use with caution)","Concurrent use with other nephrotoxic drugs (relative contraindication)"]

⚠️ Warnings & Precautions

["This medicine can cause serious kidney damage. Monitor renal function closely.","Severe allergic reactions, including anaphylaxis, can occur. Have emergency equipment ready during infusion.","Electrolyte imbalances, especially low potassium and magnesium, are common. Monitor and replace as needed.","Use with caution in patients with heart disease or those taking drugs that affect heart rhythm.","Do not use if the solution is cloudy or contains particles.","Pregnancy: Use only if clearly needed. Consult your doctor.","Lactation: Not known if safe. Consult your doctor."]

🤱 Lactation Safety

It is not known whether Amphotericin B passes into breast milk. Because of the potential for serious side effects in a nursing infant, breastfeeding should be discontinued during treatment, or the mother should consult her doctor.

💊 Overdose Management

Overdose can cause severe kidney damage, electrolyte imbalances, and cardiac arrest. Treatment is supportive and symptomatic. There is no specific antidote. Hemodialysis does not effectively remove Amphotericin B. Contact a poison control center or emergency department immediately if overdose is suspected.

⏰ Missed Dose

This medicine is given by a healthcare professional. If you miss an appointment for your dose, contact your doctor or clinic as soon as possible to reschedule. Do not try to self-administer a double dose.

Additional Safety Advice

General Safety

This medicine must be given by a healthcare professional in a monitored setting. Do not attempt to self-administer this injection. Your doctor will check your kidney function, electrolyte levels, and blood counts before and during treatment. Tell your doctor if you have kidney disease, heart disease, or are taking other medicines that can affect the kidneys. Stay well hydrated unless your doctor tells you otherwise. Avoid alcohol during treatment because it can worsen liver and stomach side effects. Report any fever, chills, or unusual tiredness to your nurse or doctor right away.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of kidney damage and electrolyte imbalances. Close monitoring and dose adjustments are often needed.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, discuss with your doctor. This medicine should be used during pregnancy only if clearly needed. Effective contraception is recommended during treatment.

🏥 Post-Surgery Considerations

If you have surgery while on this medicine, inform your surgeon and anesthesiologist. Monitoring of kidney function and electrolytes is important during the perioperative period.

🦷 Dental Procedures

Inform your dentist if you are receiving this medicine. No specific precautions are established, but good oral hygiene is important.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated unless your doctor advises otherwise.
🥗
Eat a balanced diet to support your immune system.
😴
Get plenty of rest to help your body fight the infection.
💧
Avoid alcohol to reduce liver strain.
🧘
Follow up regularly with your doctor for monitoring.

🏋️ Exercise Considerations

Avoid strenuous exercise during treatment as you may feel weak or dizzy. Light activity is fine if you feel up to it. Consult your doctor before starting any exercise routine.

🥗 Diet Recommendations

Include potassium-rich foods like bananas and oranges if your doctor approves.
Limit high-sodium foods to manage fluid balance.
Eat small, frequent meals if you have nausea.

💼 Impact on Daily Work & Life

You may need to take time off work for hospital visits and recovery. Fatigue and infusion reactions can affect your daily activities. Arrange for help with transportation and daily tasks during treatment.

🛑 When to Stop This Medicine

Do not stop this medicine without your doctor's advice. Your doctor will decide when to stop based on your response and test results. Stopping early may allow the infection to return.

📅 Long-Term Use Effects

Long-term use can lead to kidney damage, electrolyte imbalances, and rarely, hearing loss. Regular monitoring of kidney function, electrolytes, and blood counts is essential. Your doctor will adjust the dose or switch to a less toxic formulation if needed.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Liposomal Amphotericin B

A less nephrotoxic formulation of Amphotericin B.

Evidence: Well-established
Azole antifungals

Oral antifungals like fluconazole or voriconazole for less severe infections.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. However, live vaccines should be avoided during treatment due to weakened immunity. Consult your doctor before any vaccination.

📦 Storage Guide

✅ DO

Store in refrigerator at 2°C to 8°C

❌ DON'T

Do not freeze

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Protect from light

❌ DON'T

Do not store at room temperature for long periods

✈️ Traveling with This Medicine

This medicine is given in a hospital setting, so travel is not applicable. If you are traveling after treatment, carry a copy of your prescription and medical records. Store any remaining medication as directed by your pharmacist. Inform your doctor if you plan to travel to areas where fungal infections are common.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old man with uncontrolled diabetes developed mucormycosis.
He was started on this medicine intravenously in the hospital. His kidney function was monitored daily, and he received potassium supplements. After 3 weeks, his fungal infection improved significantly. He was advised to keep his blood sugar under control.
💡 Lesson: Early treatment and close monitoring of kidney function are key to successful outcomes.
👤 A 30-year-old woman with HIV and cryptococcal meningitis.
She received this medicine along with another antifungal. She experienced fever and chills during the first few infusions, which were managed with premedication. Her symptoms gradually improved over 4 weeks.
💡 Lesson: Infusion reactions are common but manageable with premedication and slow infusion.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Improvement may be seen within days to weeks, depending on the infection. Your doctor will monitor your progress.

Q: Can I drive after receiving this medicine?

A: You may feel dizzy or tired after the infusion. It is best to arrange for someone else to drive you home.

Q: What should I avoid while on this medicine?

A: Avoid alcohol and other medicines that can harm the kidneys. Always inform your doctor about all medicines you take.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine at home?
  • Will it affect my kidney function?
  • How long will I need this treatment?
  • Can I take other medicines while on this?
  • What if I miss a dose?
  • Is it safe in pregnancy?

🔄 Substitutes for amphocil 100mg injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Amphotericin B is safe for everyone.
    Fact: It can cause serious kidney problems and should only be used under medical supervision.
  • Myth: You can take Amphotericin B orally.
    Fact: It is not effective orally for systemic infections and must be given intravenously.
  • Myth: Amphotericin B is a painkiller.
    Fact: It is an antifungal medicine, not a painkiller.

🔄 Alternative Options

Generic Alternatives

  • Amphotericin B injection (generic)

Brand Alternatives

  • Ampholip 100mg injection

📊 Comparison with Similar Medicines

[{"medicine":"Ampholip 100mg injection","active_ingredient":"Amphotericin B","route":"Intravenous","main_use":"Serious fungal infections","note":"Conventional formulation; requires monitoring."},{"medicine":"Liposomal Amphotericin B","active_ingredient":"Amphotericin B liposomal","route":"Intravenous","main_use":"Serious fungal infections","note":"Less nephrotoxic but more expensive."}]

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