Product image of Mesmor (Itraconazole) supplied by GNH India

Mesmor

Active Ingredient:
Itraconazole
Origin:
EU

Mesmor (Itraconazole)

Itraconazole, the active ingredient in Mesmor, is an azole antifungal presented as an intravenous solution for intravenous use. It treats invasive fungal infections such as aspergillosis, candidemia and other systemic mycoses in immunocompromised patients.

GNH India supplies Mesmor as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Rafarm Sa.

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Indications & Clinical Uses

Mesmor, an azole antifungal, is employed to manage serious systemic fungal infections.

  • Invasive aspergillosis: effective treatment of life‑threatening lung infection in immunocompromised patients.
  • Candidemia: eradicates bloodstream Candida infections resistant to other agents.
  • Blastomycosis: resolves disseminated disease caused by Blastomyces dermatitidis.
  • Histoplasmosis: clears systemic infection from Histoplasma capsulatum.
  • Sporotrichosis: treats severe cutaneous and disseminated forms of Sporothrix infection.

How It Works

  • Itraconazole inhibits the fungal enzyme lanosterol 14α‑demethylase, a key step in ergosterol synthesis. By blocking this pathway, the drug disrupts cell membrane formation, leading to increased membrane permeability and ultimately inhibiting fungal growth and replication.

Side Effects

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Vomiting: occasional episodes during therapy.
  • Headache: transient and usually resolves.
  • Elevated liver enzymes: mild transaminase increase.
  • Rash: skin irritation or mild erythema.
  • Fever: low‑grade temperature rise.

Serious or Rare Side Effects

  • Hepatotoxicity: severe liver injury requiring monitoring.
  • Anaphylaxis: acute allergic reaction with airway compromise.
  • Cardiac failure: worsening of pre‑existing heart conditions.
  • Visual disturbances: blurred vision or photophobia.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Arrhythmias: irregular heart rhythm in susceptible patients.

Precautions & Warnings

Mesmor requires careful clinical assessment before and during therapy.

  • Renal function: evaluate baseline and monitor during treatment.
  • Hepatic function: check liver enzymes before initiation and periodically.
  • Drug interactions: review all concomitant medications for CYP3A4 effects.
  • Pregnancy and lactation: avoid unless benefits clearly outweigh potential risks.
  • Cardiac status: contraindicated in patients with uncontrolled heart failure.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Itraconazole has notable interactions that may affect safety or efficacy.

Major Interactions (Avoid)

  • Rifampin: strong CYP3A4 inducer that markedly reduces itraconazole levels.
  • Ketoconazole: additive hepatotoxic risk when combined.
  • Ergot derivatives: increased risk of ergotism due to CYP3A4 inhibition.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., clarithromycin): may raise itraconazole concentrations.
  • CYP3A4 inducers (e.g., carbamazepine): may lower drug exposure, reducing effectiveness.

Frequently Asked Questions

Mesmor is an intravenous formulation of itraconazole used to treat serious systemic fungal infections such as invasive aspergillosis, candidemia, blastomycosis, histoplasmosis and sporotrichosis, particularly in patients with weakened immune systems.

Itraconazole blocks the fungal enzyme lanosterol 14α‑demethylase, preventing the synthesis of ergosterol, an essential component of the fungal cell membrane. This disruption impairs membrane integrity, inhibiting fungal growth and leading to cell death.

The dosing regimen for Mesmor is individualized and determined by the prescribing clinician based on the type and severity of the infection, patient weight, renal and hepatic function, and other clinical factors.

Safety data for itraconazole in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and under close medical supervision.

To order Mesmor, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required) and import documentation.

The primary alternative to itraconazole is voriconazole, another azole antifungal. While both target ergosterol synthesis, voriconazole often has broader spectrum activity against certain molds but may have a higher incidence of visual disturbances. Choice depends on infection type, susceptibility patterns, patient tolerance and drug‑interaction profile.

Mesmor must be stored at 2‑8 °C, kept refrigerated, protected from light, and should never be frozen or shaken. Before administration, allow the solution to reach room temperature if required, and follow aseptic techniques to maintain sterility.

Mesmor is given by intravenous infusion under the supervision of a qualified healthcare professional. The infusion rate and duration are set by the prescriber, typically over a period of 30 minutes to several hours, depending on the clinical protocol and patient tolerance.

Serious risks include hepatotoxicity, severe allergic reactions such as anaphylaxis, cardiac failure in susceptible individuals, visual disturbances, and rare but life‑threatening skin reactions like Stevens‑Johnson syndrome. Patients should be monitored regularly for liver function, cardiac status and any signs of hypersensitivity.

Mesmor is contraindicated in patients with known hypersensitivity to itraconazole or any azole antifungal, those with uncontrolled heart failure, and individuals receiving strong CYP3A4 inducers that would render the therapy ineffective. Caution is also advised for patients with severe hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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