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Oseltamivir phosphate, oral, brand, per 75 mg (for use in a medicare-approved demonstration project)

HCPCS code

Name of the Procedure:

Oseltamivir phosphate, oral, brand, per 75 mg
Common name: Tamiflu
Medical term: Oseltamivir phosphate

Summary

Oseltamivir phosphate, commonly known by the brand name Tamiflu, is an oral antiviral medication used to treat influenza (the flu) and sometimes to prevent it. It is taken by mouth and is usually administered in a dosage of 75 mg.

Purpose

Oseltamivir phosphate is used to:

  • Treat acute, uncomplicated influenza infections.
  • Prevent flu in individuals exposed to the virus.

Indications

  • Symptomatic treatment in patients who have exhibited flu symptoms such as fever, chills, sore throat, muscle aches, fatigue, and congestion within 48 hours.
  • Preventative measure for individuals at high risk of serious flu complications after exposure to the virus.

Preparation

  • The patient does not usually need to fast before taking Oseltamivir.
  • It’s recommended to start the medication as soon as possible after flu symptoms begin.
  • For prevention, it should be taken as advised by a healthcare provider after exposure to the virus.

Procedure Description

  1. Prescription from a healthcare provider is required.
  2. The medication is available in capsule form or as a liquid suspension.
  3. The usual adult dose for treating flu is 75 mg twice a day for 5 days.
  4. For prevention, the usual dose is 75 mg once a day for at least 10 days following flu exposure.

Duration

The treatment course generally lasts for 5 days, while preventive treatment can range from 10 days to 6 weeks depending on the situational need and healthcare provider’s advice.

Setting

  • Typically prescribed and taken at home.
  • May be initiated in various healthcare settings such as outpatient clinics or hospitals.

Personnel

  • Physician or healthcare provider who prescribes the medication.
  • Pharmacist who dispenses the medication.

Risks and Complications

  • Common side effects include nausea, vomiting, headache, and pain.
  • Rare side effects may include serious skin reactions, behavioral changes, and allergic reactions.
  • Complications such as severe allergic reactions require immediate medical attention.

Benefits

  • Reduction in the duration and severity of flu symptoms if taken early.
  • Lowered risk of flu-related complications.
  • Potentially less contagious, preventing the spread of the flu virus.

Recovery

  • Patients usually start feeling better within a few days of starting the medication.
  • Continue to complete the prescribed course.
  • Follow-up with a healthcare provider if symptoms persist or worsen.

Alternatives

  • Other antiviral medications such as Zanamivir (Relenza) or Peramivir (Rapivab).
  • Non-pharmacological measures like adequate rest, hydration, and over-the-counter medications to relieve symptoms.
  • Vaccination for flu prevention, which is highly recommended annually.

Patient Experience

  • May experience relief in flu symptoms within a few days.
  • Some patients may encounter mild gastrointestinal discomfort or headache.
  • Adherence to pain management and comfort strategies recommended by the healthcare provider can help manage side effects.

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