البلد: الولايات المتحدة
اللغة: الإنجليزية
المصدر: NLM (National Library of Medicine)
Lenalidomide (UNII: F0P408N6V4) (Lenalidomide - UNII:F0P408N6V4)
Dr. Reddy's Laboratories Inc.
ORAL
PRESCRIPTION DRUG
Lenalidomide capsules in combination with dexamethasone is indicated for the treatment of adult patients with multiple myeloma (MM). Lenalidomide capsules are indicated as maintenance therapy in adult patients with MM following autologous hematopoietic stem cell transplantation (auto-HSCT). Lenalidomide capsules are indicated for the treatment of adult patients with transfusion-dependent anemia due to low- or intermediate-1-risk myelodysplastic syndromes (MDS) associated with a deletion 5q cytogenetic abnormality with or without additional cytogenetic abnormalities. Lenalidomide capsules are indicated for the treatment of adult patients with mantle cell lymphoma (MCL) whose disease has relapsed or progressed after two prior therapies, one of which included bortezomib. Lenalidomide capsules in combination with a rituximab product, is indicated for the treatment of adult patients with previously treated follicular lymphoma (FL). Lenalidomide capsules in combination with a rituximab product, is indicated for the
2.5 mg capsules: White to off-white colored powder filled in hard gelatin capsules with pale green opaque colored cap imprinted ‘RDY’ with black ink and pale green opaque colored body imprinted ‘2.5 mg’ with black ink. Free from physical defects. Bottles of 28: NDC 43598-516-63 Bottles of 100: NDC 43598-516-01 5 mg capsules: White to off-white colored powder filled in hard gelatin capsules with opaque white colored cap imprinted ‘RDY’ with black ink and opaque white colored body imprinted ‘5 mg’ with black ink. Free from physical defects. Bottles of 28: NDC 43598-511-63 Bottles of 100: NDC 43598-511-01 10 mg capsules: White to off-white colored powder filled in hard gelatin capsules with yellow opaque colored cap imprinted ‘RDY’ with black ink and yellow opaque colored body imprinted ‘10 mg’ with black ink. Free from physical defects. Bottles of 28: NDC 43598-512-63 Bottles of 100: NDC 43598-512-01 15 mg capsules: White to off-white colored powder filled in hard gelatin capsules with blue opaque colored cap imprinted ‘RDY’ with black ink and blue opaque colored body imprinted ‘15 mg’ with black ink. Free from physical defects. Bottles of 21: NDC 43598-513-21 Bottles of 100: NDC 43598-513-01 20 mg capsules: White to off-white colored powder filled in hard gelatin capsules with yellow opaque colored cap imprinted ‘RDY’ with black ink and blue opaque colored body imprinted ‘20 mg’ with black ink. Free from physical defects. Bottles of 21: NDC 43598-514-21 Bottles of 100: NDC 43598-514-01 25 mg capsules: White to off-white colored powder filled in hard gelatin capsules with opaque white colored cap imprinted ‘RDY’ with black ink and opaque white colored body imprinted ‘25 mg’ with black ink. Free from physical defects. Bottles of 21: NDC 43598-515-21 Bottles of 100: NDC 43598-515-01 Store at 20ºC to 25ºC (68ºF to 77ºF); [See USP Controlled Room Temperature]. Care should be exercised in the handling of lenalidomide capsules. Lenalidomide capsules should not be opened or broken. If powder from lenalidomide capsules contacts the skin, wash the skin immediately and thoroughly with soap and water. If lenalidomide contacts the mucous membranes, flush thoroughly with water. Procedures for the proper handling and disposal of anticancer drugs should be considered. Several guidelines on the subject have been published.1 Dispense no more than a 28-day supply.
Abbreviated New Drug Application
Dr. Reddy's Laboratories Inc. ---------- MEDICATION GUIDE Lenalidomide (LEN a LID oh mide) Capsules What is the most important information I should know about lenalidomide capsules? Before you begin taking lenalidomide capsules, you must read and agree to all of the instructions in the Lenalidomide REMS program. For more information, call 1-888-423-5436 or go to www.lenalidomiderems.com. Before prescribing lenalidomide capsules, your healthcare provider will explain the Lenalidomide REMS program to you and have you sign the Patient-Physician Agreement Form. Lenalidomide capsules may cause serious side effects including: • Possible birth defects (deformed babies) or death of an unborn baby. Females who are pregnant or who plan to become pregnant must not take lenalidomide capsules. Lenalidomide is similar to the medicine thalidomide. We know thalidomide can causesevere life- threatening birth defects. Lenalidomide has not been tested in pregnant females. Lenalidomide has harmed unborn animals in animal testing. Females must not get pregnant: • For at least 4 weeks before starting lenalidomide capsules • While taking lenalidomide capsules • During any breaks (interruptions) in your treatment with lenalidomide capsules • For at least 4 weeks after stopping lenalidomide capsules Females who can become pregnant: • Will have pregnancy tests weekly for 4 weeks, then every 4 weeks if your menstrual cycle is regular, or every 2 weeks if your menstrual cycle is irregular. • If you miss your period or have unusual bleeding, you will need to have a pregnancy test and receive counseling. • Must agree to use two acceptable forms of birth control at the same time, for at least 4 weeks before, while taking, during any breaks (interruptions) in your treatment, and for at least 4 weeks after stopping lenalidomide capsules. • Talk with your healthcare provider to find out about options for acceptable forms of birth control that you may use to prevent pregnancy before, during, and after treatment with lenalidomide اقرأ الوثيقة كاملة
LENALIDOMIDE- LENALIDOMIDE CAPSULE DR. REDDY'S LABORATORIES INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE LENALIDOMIDE CAPSULES SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR LENALIDOMIDE CAPSULES. LENALIDOMIDE CAPSULES, FOR ORAL USE INITIAL U.S. APPROVAL: 2005 WARNING: EMBRYO-FETAL TOXICITY, HEMATOLOGIC TOXICITY, AND VENOUS AND ARTERIAL THROMBOEMBOLISM _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ EMBRYO-FETAL TOXICITY • LENALIDOMIDE, A THALIDOMIDE ANALOGUE, CAUSED LIMB ABNORMALITIES IN A DEVELOPMENTAL MONKEY STUDY SIMILAR TO BIRTH DEFECTS CAUSED BY THALIDOMIDE IN HUMANS. IF LENALIDOMIDE IS USED DURING PREGNANCY, IT MAY CAUSE BIRTH DEFECTS OR EMBRYO-FETAL DEATH. • PREGNANCY MUST BE EXCLUDED BEFORE START OF TREATMENT. PREVENT PREGNANCY DURING TREATMENT BY THE USE OF TWO RELIABLE METHODS OF CONTRACEPTION (5.1). LENALIDOMIDE CAPSULES ARE AVAILABLE ONLY THROUGH A RESTRICTED DISTRIBUTION PROGRAM, CALLED THE LENALIDOMIDE REMS PROGRAM (5.2, 17). HEMATOLOGIC TOXICITY. LENALIDOMIDE CAN CAUSE SIGNIFICANT NEUTROPENIA AND THROMBOCYTOPENIA (5.3). VENOUS AND ARTERIAL THROMBOEMBOLISM • SIGNIFICANTLY INCREASED RISK OF DEEP VEIN THROMBOSIS (DVT) AND PULMONARY EMBOLISM (PE), AS WELL AS RISK OF MYOCARDIAL INFARCTION AND STROKE IN PATIENTS WITH MULTIPLE MYELOMA RECEIVING LENALIDOMIDE WITH DEXAMETHASONE. ANTI-THROMBOTIC PROPHYLAXIS IS RECOMMENDED (5.4). INDICATIONS AND USAGE Lenalidomide is a thalidomide analogue indicated for the treatment of adult patients with: • Multiple myeloma (MM), in combination with dexamethasone (1.1). • MM, as maintenance following autologous hematopoietic stem cell transplantation (auto-HSCT) (1.1). • Transfusion-dependent anemia due to low- or intermediate-1-risk myelodysplastic syndromes (MDS) associated with a deletion 5q abnormality with or without additional cytogenetic abnormalities (1.2). • Mantle cell lymphoma (MCL) whose disease has relapsed or progressed after two prior therapi اقرأ الوثيقة كاملة