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Fintepla Dosage

Generic name: fenfluramine (oral solution)
Drug classes: CNS stimulants, Miscellaneous anticonvulsants

Medically reviewed by  A Ras MD.

 

Recommended Adult Dosing

Dosage forms:  SOL: 2.2 mg per mL

Restricted Distribution in US

Seizures, Dravet syndrome

[w/o stiripentol]
Dose: 0.1-0.35 mg/kg/dose PO bid; Start: 0.1 mg/kg/dose PO bid x6 days, then may incr. to 0.2 mg/kg/dose PO bid x7 days, then may incr. to 0.35 mg/kg/dose PO bid; Max: 0.35 mg/kg/dose, 26 mg/day; Info: may incr. dose q4 days if more rapid titration needed; taper dose gradually to D/C
[w/ stiripentol and clobazam]
Dose: 0.1-0.2 mg/kg/dose PO bid; Start: 0.1 mg/kg/dose PO bid x6 days, then may incr. to 0.15 mg/kg/dose PO bid x7 days, then may incr. to 0.2 mg/kg/dose PO bid; Max: 0.2 mg/kg/dose, 17 mg/day; Info: taper dose gradually to D/C

Seizures, Lennox-Gastaut syndrome

[w/o stiripentol]
Dose: 0.35 mg/kg/dose PO bid; Start: 0.1 mg/kg/dose PO bid x6 days, then incr. to 0.2 mg/kg/dose PO bid x7 days, then incr. to 0.35 mg/kg/dose PO bid; Max: 26 mg/day; Info: may incr. dose q4 days if more rapid titration needed; taper dose gradually to D/C
[w/ stiripentol and clobazam]
Dose: 0.2 mg/kg/dose PO bid; Start: 0.1 mg/kg/dose PO bid x6 days, then incr. to 0.15 mg/kg/dose PO bid x7 days, then incr. to 0.2 mg/kg/dose PO bid; Max: 17 mg/day; Info: taper dose gradually to D/C

Renal dosing

[w/o stiripentol]
eGFR >30: not defined; eGFR 15-29: max 20 mg/day; eGFR <15: not defined
HD/PD: not defined
[w/ stiripentol and clobazam]
eGFR >30: not defined; eGFR 15-29: max 17 mg/day; eGFR <15: not defined
HD/PD: not defined

Hepatic dosing

hepatic impairment: avoid use

SRC: NLM .

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