sporotar 50mg injection - Liposomal Amphotericin B (50mg) medicine

Fungsome 50mg Injection (Liposomal Amphotericin B): Comprehensive Medicine Guide

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🏭 Emcure Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Decreased urine output or swelling
  • Severe allergic reaction with difficulty breathing
  • Chest pain or irregular heartbeat
  • Confusion or seizures
  • Severe abdominal pain or vomiting
  • Yellowing of skin or eyes
  • Persistent high fever with chills

If experiencing severe symptoms, call emergency services immediately.

What is sporotar 50mg injection used for?

This medicine is a liposomal formulation of amphotericin B, an antifungal used to treat serious fungal infections. It is given intravenously in a hospital setting and requires monitoring of kidney function and electrolytes.

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

🇮🇳 sporotar 50mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा लाइपोसोमल 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 एस्परगिलोसिस, क्रिप्टोकोकल मेनिनजाइटिस और म्यूकोरमाइकोसिस जैसे संक्रमणों में प्रभावी है। यह दवा किडनी पर असर डाल सकती है, इसलिए नियमित जांच जरूरी है।

साइड इफेक्ट्स: आम दुष्प्रभावों में बुखार, ठंड लगना, मतली, उल्टी, सिरदर्द और किडनी पर असर शामिल हैं। गंभीर दुष्प्रभावों में गुर्दे की क्षति, पोटैशियम की कमी, अनियमित दिल की धड़कन और एलर्जी प्रतिक्रियाएं हो सकती हैं। किसी भी असामान्य लक्षण पर तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल अस्पताल में डॉक्टर की निगरानी में दी जानी चाहिए। इलाज के दौरान किडनी फंक्शन और इलेक्ट्रोलाइट्स की नियमित जांच कराएं। बुखार, सांस लेने में तकलीफ, या पेशाब कम आने पर तुरंत डॉक्टर से संपर्क करें। इस दवा को घर पर स्वयं न लें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 sporotar 50mg injection Uses & Benefits

[{"condition":"Invasive aspergillosis","description":"Used as first-line or salvage 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":"Used for treating mucormycosis, a severe fungal infection often seen in diabetic or immunocompromised patients.","evidence":"Well-established"},{"condition":"Visceral leishmaniasis","description":"Used as an alternative treatment for visceral leishmaniasis in certain regions.","evidence":"Established"},{"condition":"Empirical therapy in febrile neutropenia","description":"May be used empirically in patients with persistent fever and neutropenia not responding to antibiotics.","evidence":"Established"}]

Off-label uses: [{"condition":"Fungal endophthalmitis","description":"Sometimes used intravitreally for fungal eye infections, though not a standard approved route.","evidence":"Limited"},{"condition":"Fungal peritonitis","description":"Occasionally used in peritoneal dialysis-associated fungal peritonitis.","evidence":"Limited"}]

Primary treatment for: Invasive fungal infections

Also treats: Aspergillosis, Cryptococcosis, Mucormycosis, Visceral leishmaniasis

📋 Drug Information

Generic Name(s)Liposomal Amphotericin B (50mg)
Brand Namesporotar 50mg injection
ManufacturerEmcure Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassFungal cell membrane active agent
Route of AdministrationParenteral (intravenous infusion)
StorageStore in a refrigerator at 2°C to 8°C. Do not freeze. Protect from light. Once reconstituted, use immediately or as directed by the manufacturer.
Shelf LifeRefer to the product label for the exact shelf life. Typically 24 months from the date of manufacture when stored properly.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Administer this medicine only in a hospital setting with proper monitoring.
2
Check renal function and electrolytes before and during treatment.
3
Premedicate with antipyretics and antihistamines to reduce infusion reactions.
4
Avoid concurrent use with other nephrotoxic drugs.
5
Monitor for signs of hypokalemia and replace electrolytes as needed.
6
Ensure adequate hydration before infusion to reduce kidney stress.
7
Educate patients about reporting fever, chills, or decreased urine output immediately.

🔍 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
Facial swelling and pain
May be used in mucormycosis, which can cause facial swelling.
Likely Use
Headache with neck stiffness
May be used in fungal meningitis.
Likely Use
Common cold
This medicine is not for viral infections.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is administered intravenously, so absorption is not applicable. It is directly delivered into the bloodstream.
DistributionLiposomal amphotericin B distributes primarily to the liver, spleen, and other reticuloendothelial tissues. The liposomal encapsulation reduces distribution to the kidneys, which may lower nephrotoxicity. It does not cross the blood-brain barrier well, but may reach therapeutic levels in cerebrospinal fluid in some cases.
Protein BindingAmphotericin B is highly bound to plasma proteins, primarily lipoproteins, with binding exceeding 90%.
MetabolismThe exact metabolic pathway is not fully established. It is believed to be metabolized in the liver, but the specific enzymes involved are not clearly defined.
Half-LifeThe elimination half-life is approximately 7 to 10 days for liposomal amphotericin B, but it can vary based on the formulation and patient factors.
ExcretionThis medicine is excreted primarily in the bile and feces, with only a small amount excreted unchanged in the urine. Renal excretion is minimal.
BioavailabilityBioavailability is 100% when administered intravenously, as it directly enters the systemic circulation.
Onset of ActionThe onset of antifungal action begins within hours after intravenous administration, but clinical improvement may take several days to weeks depending on the infection.
Peak Plasma TimePeak plasma concentrations are achieved at the end of the intravenous infusion.
Duration of ActionThe duration of action is prolonged due to the long half-life, and antifungal effects may persist for days after a single dose.

How It Works

This medicine works by binding to ergosterol, a key component of the fungal cell membrane. This binding creates pores or channels in the membrane, leading to leakage of intracellular ions and molecules, which ultimately causes fungal cell death. The liposomal formulation helps target the drug to sites of infection and reduces binding to human cholesterol, thereby lowering some toxicities compared to conventional amphotericin B.

Mechanism Steps

1
Binding to ergosterol: This medicine binds to ergosterol present 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
Fungal cell death: The loss of cellular integrity leads to fungal cell death.

💡 How to Take sporotar 50mg injection

Strength: Injection: 50 mg per vial

1This medicine is given by intravenous infusion in a hospital or clinic setting.
2A healthcare professional will prepare and administer the infusion.
3The infusion is typically given over 1 to 2 hours.
4You may receive premedication to reduce infusion reactions.
5Vital signs will be monitored during and after the infusion.
6Blood tests will be done regularly to check kidney function and electrolytes.

Dosage Information

Adult DosageThe dose is individualized by a qualified clinician based on the type and severity of infection, patient weight, and kidney function. Typical adult doses range from 3 mg/kg to 5 mg/kg per day given as a single intravenous infusion. For some infections, higher doses 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.
Elderly DosageElderly patients may be more susceptible to kidney damage. Dose should be adjusted based on renal function. Close monitoring is required.
Renal ImpairmentDose adjustment may be necessary in patients with kidney impairment. Monitor renal function closely and adjust dose as directed by a clinician.
Hepatic ImpairmentNo specific dose adjustment guidelines are established for hepatic impairment. Use with caution and monitor liver function.
Maximum Daily DoseThe maximum daily dose is determined by the prescribing clinician based on the specific infection and patient factors. Do not exceed the prescribed dose.

Dosage Timeline

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

⏰ What to Do If You Miss a Dose

📌 You miss your scheduled hospital appointment for the infusion
→ Contact your doctor or hospital immediately to reschedule.
💡 Do not attempt to self-administer this medicine.

⚠️ Side Effects of sporotar 50mg injection

✅ Common Side Effects

Fever and chills (Common (10-30%))
These often occur during infusion and can be managed with premedication as directed by your doctor.
Nausea and vomiting (Common (10-20%))
Inform your doctor; anti-nausea medicines may be prescribed.
Headache (Common (5-15%))
Usually resolves; consult doctor if severe or persistent.
Increased blood creatinine (Common (10-20%))
Regular monitoring is required; dose adjustment may be needed.
Low potassium levels (Common (10-20%))
Electrolyte levels will be monitored and supplements given if needed.

🚨 Serious Side Effects

Severe nephrotoxicity (Uncommon (1-10%))
Seek immediate medical attention if you notice decreased urine output or swelling.
Anaphylaxis (Rare (<0.1%))
Emergency medical help is required if you experience difficulty breathing, rash, or swelling.
Cardiac arrhythmias (Rare (<0.1%))
Report palpitations, dizziness, or fainting immediately.
Severe hypokalemia (Uncommon (1-10%))
Requires immediate electrolyte replacement and monitoring.

⚠️ Rare Side Effects

Seizures
Seek emergency care immediately.
Hearing loss
Report any changes in hearing to your doctor.
Severe allergic skin reactions
Discontinue and seek immediate medical attention.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Aminoglycosides Major
Vancomycin Major
NSAIDs Major
Corticosteroids Major
Digoxin Major
Flucytosine Moderate
Azole antifungals Moderate
Cyclosporine Major
Tacrolimus Major
Potassium-wasting diuretics Moderate

🚨 Major Interactions

  • Nephrotoxic drugs (e.g., aminoglycosides, vancomycin, NSAIDs)
  • Corticosteroids
  • Digitalis glycosides

⚡ Moderate Interactions

  • Flucytosine
  • Azole antifungals

🍷 Alcohol Interaction

Alcohol may increase the risk of liver and kidney toxicity. It is advisable to avoid alcohol while receiving this medicine.

🔎 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"]

⚠️ Warnings & Precautions

["Administer only under medical supervision.","Monitor renal function closely.","Monitor electrolytes, especially potassium and magnesium.","Use with caution in patients with pre-existing kidney disease.","Avoid concurrent use with other nephrotoxic drugs.","Infusion-related reactions may occur; premedication may be needed.","Not for intramuscular or subcutaneous administration."]

🤱 Lactation Safety

It is not known whether this medicine passes into breast milk. Consult your doctor before breastfeeding.

💊 Overdose Management

Overdose may cause severe kidney damage, electrolyte imbalances, and cardiac arrest. Treatment is supportive and symptomatic. Immediate medical attention is required. Hemodialysis does not effectively remove amphotericin B.

⏰ Missed Dose

This medicine is given by a healthcare professional. If you miss an appointment for your dose, contact your doctor or hospital immediately to reschedule. Do not attempt to self-administer.

Additional Safety Advice

General Safety

This medicine must be administered only by a healthcare professional in a monitored setting. Regular blood tests to check kidney function, electrolytes, and blood counts are essential before and during treatment. Inform your doctor immediately if you experience fever, chills, chest pain, difficulty breathing, or decreased urine output. Do not receive this medicine if you are allergic to amphotericin B. Avoid taking other medicines that can harm the kidneys without consulting your doctor. Adequate hydration before and after infusion may help reduce kidney stress. This medicine is not for self-administration at home.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of kidney damage. Close monitoring of renal function and electrolytes is required. Dose adjustment may be necessary.

🤰 Pregnancy Planning (TTC)

Consult your doctor if you are planning pregnancy. This medicine should be used during pregnancy only if clearly needed and prescribed by a doctor.

🏥 Post-Surgery Considerations

If you have recently had surgery, inform your doctor. This medicine may be used to treat post-surgical fungal infections, but monitoring is essential.

🦷 Dental Procedures

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

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help protect your kidneys.
🥗
Follow a balanced diet rich in fruits and vegetables.
😴
Avoid alcohol to reduce liver and kidney stress.
💧
Get adequate rest to support your immune system.
🧘
Practice good hygiene to prevent new infections.
🌞
Attend all follow-up appointments for monitoring.

🏋️ Exercise Considerations

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

🥗 Diet Recommendations

Drink plenty of water unless advised otherwise.
Eat a balanced diet with adequate protein.
Include potassium-rich foods like bananas and oranges if your levels are low.
Avoid high-sodium processed foods.

💼 Impact on Daily Work & Life

This medicine is given in a hospital, so you may need to take time off work during treatment. Fatigue and other side effects may affect daily activities. Discuss with your employer about medical leave.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Treatment duration is determined by your doctor based on your response and the type of infection.

📅 Long-Term Use Effects

Long-term use may increase the risk of kidney damage and electrolyte imbalances. Regular monitoring of renal function, electrolytes, and blood counts is essential. The duration of treatment depends on the infection and clinical response.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Other antifungal agents

Voriconazole, posaconazole, or echinocandins may be used depending on the fungal infection.

Evidence: Well-established
Surgical debridement

In some fungal infections like mucormycosis, surgery may be needed along with antifungal therapy.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. Consult your doctor about vaccinations during treatment.

📦 Storage Guide

✅ DO

Store in refrigerator at 2°C to 8°C

❌ DON'T

Do not freeze

✅ DO

Protect from light

❌ DON'T

Do not use if the solution is discolored or contains particles

✅ DO

Keep in original packaging

❌ DON'T

Do not store at room temperature for prolonged 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 the medicine as directed if you need to transport it. Consult your doctor before travel.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old man with diabetes and mucormycosis
He was admitted with severe facial swelling and was started on this medicine intravenously. After two weeks, his symptoms improved significantly. He required regular blood tests to monitor kidney function, which remained stable. He was discharged after four weeks of treatment.
💡 Lesson: Early initiation and close monitoring are key to successful treatment of serious fungal infections.
👤 A 40-year-old woman with HIV and cryptococcal meningitis
She received this medicine along with other antifungals. She experienced fever and chills during the first few infusions, which were managed with premedication. Her kidney function was monitored closely, and she completed the treatment successfully.
💡 Lesson: Infusion-related reactions are common but manageable with supportive care.

💬 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 and your response to treatment.

Q: Can I drive after taking this medicine?

A: This medicine is given in a hospital setting, so driving is not applicable immediately after administration.

Q: What should I avoid while on this medicine?

A: Avoid alcohol and other medicines that can harm the kidneys without consulting your doctor.

🤔 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 during pregnancy?

🔄 Substitutes for sporotar 50mg injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken orally.
    Fact: This medicine is an injection and must be given intravenously by a healthcare professional.
  • Myth: This medicine is safe for everyone.
    Fact: It can cause serious kidney problems and is only used under strict medical supervision.
  • Myth: This medicine is a treatment for all infections.
    Fact: It is only effective against certain fungal infections, not bacteria or viruses.

🔄 Alternative Options

Generic Alternatives

  • Liposomal Amphotericin B 50mg injection

Brand Alternatives

  • Fungsome 50mg injection

📊 Comparison with Similar Medicines

[{"medicine":"Liposomal Amphotericin B","class":"Polyene antifungal","route":"Intravenous","nephrotoxicity":"Lower than conventional amphotericin B","use":"Serious fungal infections"},{"medicine":"Amphotericin B deoxycholate","class":"Polyene antifungal","route":"Intravenous","nephrotoxicity":"High","use":"Serious fungal infections"},{"medicine":"Voriconazole","class":"Triazole antifungal","route":"Oral/Intravenous","nephrotoxicity":"Low","use":"Aspergillosis, candidemia"}]

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