ampholyn 50mg injection - Amphotericin B (50mg) medicine

Amfocare 50mg Injection: Complete Medicine Guide

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🏭 Hetero Drugs Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 21, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: High
Reviewed by
SaathiMed Expert Panel | Sep 21, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction (rash, itching, swelling, difficulty breathing)
  • Decreased urine output or swelling in legs
  • Chest pain or irregular heartbeat
  • Severe abdominal pain or blood in vomit
  • Confusion or seizures
  • Yellowing of skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is ampholyn 50mg injection used for?

Amfocare 50mg injection contains Amphotericin B, an antifungal medicine used to treat serious fungal infections. It works by damaging the fungal cell membrane. It is given by intravenous infusion under medical supervision.

  • Generic Name: Amphotericin B (50mg)
  • Manufacturer: Hetero Drugs Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 ampholyn 50mg 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 फंगस की कोशिका भित्ति को नष्ट करके उन्हें मार देती है। यह आमतौर पर अस्पताल में डॉक्टर की देखरेख में दी जाती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में बुखार, ठंड लगना, मतली, उल्टी, सिरदर्द और इंजेक्शन की जगह दर्द शामिल हैं। गुर्दे की समस्या और इलेक्ट्रोलाइट असंतुलन भी हो सकता है। गंभीर दुष्प्रभावों में गुर्दे की क्षति, हृदय ताल में गड़बड़ी और एलर्जी प्रतिक्रिया शामिल हैं।

सुरक्षा सलाह: यह दवा केवल योग्य डॉक्टर द्वारा अस्पताल में ही दी जानी चाहिए। इसे घर पर स्वयं न लगाएं। अपने डॉक्टर को अन्य सभी दवाओं के बारे में बताएं। गुर्दे की कार्यप्रणाली और इलेक्ट्रोलाइट्स की नियमित जांच कराएं। शराब का सेवन न करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।

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

💊 ampholyn 50mg injection Uses & Benefits

[{"condition":"Invasive aspergillosis","description":"Used as a primary or alternative therapy for severe Aspergillus infections, especially in immunocompromised patients.","evidence":"Well-established"},{"condition":"Cryptococcal meningitis","description":"Part of combination therapy for cryptococcal meningitis, particularly in HIV-infected individuals.","evidence":"Well-established"},{"condition":"Mucormycosis","description":"First-line treatment for mucormycosis (zygomycosis) in many guidelines.","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 candidiasis when other antifungals are ineffective or contraindicated.","evidence":"Well-established"},{"condition":"Histoplasmosis","description":"Used for severe or disseminated histoplasmosis.","evidence":"Well-established"},{"condition":"Blastomycosis","description":"Used for moderate to severe blastomycosis.","evidence":"Well-established"},{"condition":"Coccidioidomycosis","description":"Used for severe or disseminated coccidioidomycosis.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Fungal keratitis","description":"Topical amphotericin B has been used off-label for fungal corneal infections.","evidence":"Limited"},{"condition":"Fungal peritonitis","description":"Intraperitoneal amphotericin B has been used off-label in some cases of fungal peritonitis.","evidence":"Limited"}]

Primary treatment for: Severe systemic fungal infections

Also treats: Aspergillosis, Cryptococcosis, Mucormycosis, Visceral leishmaniasis, Candidiasis

📋 Drug Information

Generic Name(s)Amphotericin B (50mg)
Brand Nameampholyn 50mg injection
ManufacturerHetero Drugs Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassFungal cell membrane active agent
Route of AdministrationParenteral (intravenous infusion)
StorageStore refrigerated at 2°C to 8°C. Protect from light. Do not freeze.
Shelf Life24 months from the date of manufacture.
WHO GuidelineWHO recommends amphotericin B for the treatment of visceral leishmaniasis in certain regions and for cryptococcal meningitis in HIV patients.
ICMR GuidelineICMR guidelines recommend amphotericin B for the management of mucormycosis in COVID-19 patients and for other severe fungal infections.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Premedicate with antipyretics and antihistamines to reduce infusion reactions.
2
Monitor renal function and electrolytes before and during therapy.
3
Administer as a slow infusion over 2-6 hours to minimize reactions.
4
Consider liposomal amphotericin B if nephrotoxicity is a concern.
5
Ensure adequate hydration before and after infusion.
6
Avoid concurrent use with other nephrotoxic drugs.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Persistent fever with chills
This medicine is used for severe fungal infections that can cause these symptoms.
Likely Use
Skin rash
This medicine is not typically used for skin rashes unless caused by a systemic fungus.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNot established from the available information.
DistributionAmphotericin B distributes widely into body tissues, with high concentrations in the liver, spleen, and lungs. It does not penetrate the cerebrospinal fluid well unless given intrathecally.
Protein BindingAmphotericin B is highly protein-bound (greater than 90%) to plasma proteins.
MetabolismAmphotericin B is not significantly metabolized by the liver; it is primarily eliminated unchanged.
Half-LifeThe elimination half-life is approximately 15 days, but it can vary widely.
ExcretionAmphotericin B is excreted primarily in the urine and feces, with a small amount excreted unchanged in the bile.
BioavailabilityNot established from the available information.
Onset of ActionThe onset of action is not immediate; antifungal effects typically become apparent within days to weeks of starting therapy.
Peak Plasma TimeNot established from the available information.
Duration of ActionThe duration of action is prolonged due to the long half-life, but therapeutic effects depend on the infection being treated.

How It Works

Amphotericin B binds to ergosterol, a key component of the fungal cell membrane. This binding creates pores that increase membrane permeability, leading to leakage of intracellular ions and molecules, which results in fungal cell death. It has fungicidal activity against many fungi and is active against a broad spectrum of yeasts and molds.

Mechanism Steps

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

💡 How to Take ampholyn 50mg injection

Strength: 50 mg lyophilized powder for injection

1This medicine is given by a healthcare professional as an intravenous infusion.
2It is usually infused slowly over 2 to 6 hours.
3Premedication with antipyretics, antihistamines, or corticosteroids may be given to reduce infusion reactions.
4Monitor for any reactions during and after infusion.
5Stay hydrated unless told otherwise.

Dosage Information

Adult DosageThe usual adult dose ranges from 0.25 to 1.5 mg/kg per day, depending on the infection being treated. For severe infections, doses up to 1.5 mg/kg per day may be used. The drug is administered as a slow intravenous infusion over 2 to 6 hours. 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.
Elderly DosageElderly patients may be more susceptible to nephrotoxicity. Dose should be individualized based on renal function.
Renal ImpairmentDose adjustment may be necessary in patients with renal impairment. Monitor renal function closely.
Hepatic ImpairmentNo specific dose adjustment is established for hepatic impairment. Use with caution.
Maximum Daily DoseThe maximum daily dose is not established from the available information. Doses up to 1.5 mg/kg per day have been used.

Dosage Timeline

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

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Contact your healthcare provider for instructions.
💡 Do not self-administer.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose.

⚠️ Side Effects of ampholyn 50mg injection

✅ Common Side Effects

Fever and chills (Common (up to 50%))
Premedication with antipyretics or corticosteroids may be used. Report to your doctor if severe.
Nausea and vomiting (Common (10-30%))
Take antiemetics as prescribed. Stay hydrated.
Headache (Common (10-20%))
Use pain relievers as advised. Report if persistent.
Injection site pain (Common)
Apply cold compress. Report if severe.

🚨 Serious Side Effects

Nephrotoxicity (Common (up to 80%))
Regular monitoring of kidney function is essential. Dose adjustment may be needed.
Hypokalemia (Common)
Monitor potassium levels and supplement as needed.
Hypomagnesemia (Common)
Monitor magnesium levels and supplement as needed.
Anaphylaxis (Rare)
Seek immediate medical attention. Discontinue infusion.
Cardiac arrhythmias (Rare)
Monitor ECG and electrolytes. Report palpitations or fainting.

⚠️ Rare Side Effects

Seizures
Seek immediate medical attention.
Hearing loss
Report any hearing changes to your doctor.
Blood dyscrasias
Regular blood counts are recommended.
Hepatotoxicity
Monitor liver function tests.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Aminoglycosides Major
Vancomycin Major
NSAIDs Major
Corticosteroids Major
Digoxin Major
Neuromuscular blockers Major
Flucytosine Moderate
Azole antifungals Moderate
Cyclosporine Major
Tacrolimus Major

🚨 Major Interactions

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

⚡ Moderate Interactions

  • Flucytosine
  • Azole antifungals

🍷 Alcohol Interaction

Alcohol may increase the risk of liver and kidney toxicity. Avoid alcohol during treatment.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to amphotericin B or any component of the formulation"]

⚠️ Warnings & Precautions

["Administer under close medical supervision.","Premedicate to reduce infusion reactions as prescribed.","Monitor renal function closely.","Monitor electrolytes and replace as needed.","Use with caution in patients with pre-existing kidney disease.","Avoid concurrent use with other nephrotoxic drugs."]

🤱 Lactation Safety

It is not known whether amphotericin B is excreted in human milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or the drug, taking into account the importance of the drug to the mother.

💊 Overdose Management

Overdose may cause severe nephrotoxicity, electrolyte imbalances, and cardiac arrest. Treatment is supportive and symptomatic. Hemodialysis does not effectively remove amphotericin B.

⏰ Missed Dose

If a dose is missed, contact your healthcare provider for instructions. Do not double the dose.

Additional Safety Advice

General Safety

This medicine must be given only by a qualified healthcare professional in a setting equipped to manage infusion reactions and monitor kidney function. Do not attempt to administer it at home. Inform your doctor about all other medicines, especially other kidney-damaging drugs, corticosteroids, digoxin, and muscle relaxants. Stay well hydrated unless told otherwise. Regular blood tests to check kidney function, electrolytes, and blood counts are essential. Avoid alcohol during treatment. If you are pregnant, planning pregnancy, or breastfeeding, discuss the risks and benefits with your doctor. Do not stop treatment without medical advice.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of kidney damage. Dose adjustment and close monitoring are recommended.

🤰 Pregnancy Planning (TTC)

Discuss with your doctor if you are planning pregnancy. This medicine should be used during pregnancy only if clearly needed.

🏥 Post-Surgery Considerations

If you have surgery, inform your surgeon and anesthesiologist about this medicine. It may interact with anesthetic agents and affect kidney function.

🦷 Dental Procedures

Inform your dentist about this medicine before any dental procedure. It may increase the risk of bleeding or infection.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated unless told otherwise.
🥗
Follow a balanced diet rich in fruits and vegetables.
😴
Avoid alcohol and smoking.
💧
Get plenty of rest to support recovery.
🧘
Practice good hygiene to prevent secondary infections.

🏋️ Exercise Considerations

Avoid strenuous exercise during treatment, especially if you feel weak or dizzy. Light activity like walking may be beneficial, but consult your doctor first.

🥗 Diet Recommendations

Eat a high-protein diet to support healing.
Include potassium-rich foods like bananas and oranges if your levels are low.
Limit salt intake to reduce fluid retention.
Avoid grapefruit and grapefruit juice as it may interact with other medicines.

💼 Impact on Daily Work & Life

You may need to take time off work for infusions and monitoring. Fatigue and other side effects may affect your ability to work. Avoid driving if you feel dizzy or unwell.

🛑 When to Stop This Medicine

Do not stop this medicine without your doctor's advice. Stopping early can lead to relapse of the infection. Your doctor will decide when to stop based on your response and test results.

📅 Long-Term Use Effects

Long-term use may lead to cumulative kidney damage. Regular monitoring of renal function is essential. Some patients may experience persistent electrolyte imbalances. Hearing loss and blood disorders are rare but possible with prolonged use.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Liposomal Amphotericin B

A formulation with lower nephrotoxicity, often used when kidney function is a concern.

Evidence: Well-established
Azole antifungals

May be used for less severe infections or as step-down therapy.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. However, live vaccines should be avoided during immunosuppressive therapy. Consult your doctor.

📦 Storage Guide

✅ DO

Store refrigerated at 2-8°C

❌ DON'T

Do not freeze

✅ DO

Protect from light

❌ DON'T

Do not use if solution is discolored or contains particles

✅ DO

Keep out of reach of children

❌ DON'T

Do not store at room temperature for prolonged periods

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. It must be stored refrigerated (2-8°C), so use a cooler bag with ice packs during travel. Inform security about the medication and any needles. Check customs regulations for carrying injectable medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old man with diabetes and mucormycosis
He was started on this medicine after diagnosis. He experienced fever and chills during the first few infusions, which were managed with premedication. His kidney function was monitored closely, and the dose was adjusted. After several weeks, his infection improved significantly.
💡 Lesson: Close monitoring and premedication make this medicine safer and more tolerable.
👤 A 30-year-old woman with cryptococcal meningitis
She received this medicine along with another antifungal. She had low potassium levels, which were corrected with supplements. She completed the full course and recovered fully.
💡 Lesson: Regular blood tests are crucial to catch and manage side effects early.

💬 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.

Q: Can I take this medicine at home?

A: No, it must be given in a hospital or clinic under medical supervision.

Q: What should I avoid while on this medicine?

A: Avoid alcohol and other nephrotoxic drugs. Stay hydrated.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine if I have kidney problems?
  • How long will I need this injection?
  • Will this medicine affect my vision?
  • Can I drive after receiving this injection?
  • Is it safe to breastfeed while on this medicine?

🔄 Substitutes for ampholyn 50mg 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 all fungal infections.
    Fact: It is reserved for serious systemic fungal infections due to its toxicity.
  • Myth: You can stop the injection once you feel better.
    Fact: You must complete the full course as prescribed to prevent relapse.

🔄 Alternative Options

Generic Alternatives

  • Amphotericin B injection

Brand Alternatives

  • Amfocare 50mg injection

📊 Comparison with Similar Medicines

[{"medicine":"Amphotericin B Deoxycholate","difference":"Conventional formulation with higher nephrotoxicity."},{"medicine":"Liposomal Amphotericin B","difference":"Lower nephrotoxicity but higher cost."}]

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