interferon α-2b in suppositories: what international guidelines say – evidence review – Evigrade
interferon α-2b in suppositories
Interferons (suppositories, local classification)
ATC code: L03AB05-VIFERON(Interferon α-2b suppositories (Viferon) – local code)
Mechanism of action
The product contains recombinant interferon α-2b combined with vitamin E and ascorbic acid in suppositories. The manufacturer claims antiviral and immunomodulatory effects. Systemic bioavailability of rectal interferon is not established. IM or SC pegylated interferon-α has proven efficacy in chronic hepatitis B/C and other indications; the rectal form with these claims is not supported by international guidelines.
Indications
F
Acute respiratory viral infection
Not recommended
Rectal interferon α-2b in viral URI in adults and children is not mentioned in , , , or CDC guidelines. The rectal form's efficacy in URI has not been independently evaluated. Foundation: symptomatic URI care.
F
Chronic hepatitis C
Not recommended
In chronic hepatitis C, rectal Viferon is not mentioned in / or guidelines. The standard of care is direct-acting antivirals (DAAs) achieving sustained virological response above 95 %.
F
Influenza prevention
Not recommended
Viferon for influenza prevention is not mentioned in international sources. Proven prevention is annual influenza vaccination per and CDC.
F
Non-specific immune boosting and respiratory infection prevention
Not recommended
— Immune system boosting:
Viferon (rectal recombinant interferon α-2b suppositories) is marketed by Feron as «immune support» for children and adults. Systemic bioavailability of rectal interferon is not supported by independent international studies. The product is absent from , , , and CDC guidelines. International sources do not support interferons as a class for routine URI prevention.
Practical notes
Russian practice note
Viferon is produced and used only in Russia by Feron. Not registered internationally. Included in some Russian Ministry of Health guidelines for pediatric URI. Systemic bioavailability of rectal interferon is not supported by independent international studies. International guidelines do not support interferons as a class for URI.
Safety
Contraindications
Hypersensitivity
Serious adverse effects
Independent data on serious adverse events are unavailable
Common adverse effects
Allergic reactions (rare per label)
Pregnancy
Manufacturer label permits use from the second trimester. No international recommendations.
Breastfeeding
Permitted during breastfeeding per manufacturer label.
Frequently asked
What is interferon α-2b in suppositories used for?
interferon α-2b in suppositories is evaluated for the following indications with varying evidence strength: Influenza prevention (evidence tier F), Chronic hepatitis C (evidence tier F), Acute respiratory viral infection (evidence tier F). See the full indication matrix with dosing and citations above on this page.
What are the side effects of interferon α-2b in suppositories?
Common side effects of interferon α-2b in suppositories (≥ 1 in 100): Allergic reactions (rare per label). See the Safety section for uncommon and serious reactions.
Is interferon α-2b in suppositories safe during pregnancy?
Manufacturer label permits use from the second trimester. No international recommendations.
Is interferon α-2b in suppositories compatible with breastfeeding?
Permitted during breastfeeding per manufacturer label.
Who should not take interferon α-2b in suppositories?
interferon α-2b in suppositories is contraindicated in: Hypersensitivity. Full list in the Safety section.