البلد: الولايات المتحدة
اللغة: الإنجليزية
المصدر: NLM (National Library of Medicine)
TACROLIMUS (UNII: WM0HAQ4WNM) (TACROLIMUS ANHYDROUS - UNII:Y5L2157C4J)
Kremers Urban Pharmaceuticals Inc.
TACROLIMUS
TACROLIMUS ANHYDROUS 0.5 mg
ORAL
PRESCRIPTION DRUG
Tacrolimus Capsules USP are indicated for the prophylaxis of organ rejection in patients receiving allogeneic kidney transplants. It is recommended that Tacrolimus be used concomitantly with azathioprine or mycophenolate mofetil (MMF) and adrenal corticosteroids [see Clinical Studies (14.1)] . Therapeutic drug monitoring is recommended for all patients receiving Tacrolimus Capsules USP [see Dosage and Administration (2.6)] . Tacrolimus Capsules USP are indicated for the prophylaxis of organ rejection in patients receiving allogeneic liver transplants. It is recommended that Tacrolimus be used concomitantly with adrenal corticosteroids [see Clinical Studies (14.2)] . Therapeutic drug monitoring is recommended for all patients receiving Tacrolimus Capsules USP [see Dosage and Administration (2.6)] . Tacrolimus Capsules USP are indicated for the prophylaxis of organ rejection in patients receiving allogeneic heart transplants. It is recommended that Tacrolimus Capsules USP be used concomitantly with azathioprine
Tacrolimus Capsules USP, 0.5 mg: Light yellow color, oblong shape, size “5” hard gelatin capsules printed with “PBT” and “0.5” in red ink on cap and body respectively. Capsules are supplied as follows: NDC 62175-380 -37 Bottle of 100 Tacrolimus Capsules USP, 1 mg: White color, oblong shape, size “5” hard gelatin capsules printed with “PBT” and “1.0” in red ink on cap and body respectively. Capsules are supplied as follows: NDC 62175-381 -37 Bottle of 100 Tacrolimus Capsules USP, 5 mg: Pink color, oblong shape, size “4” hard gelatin capsules printed with “PBT” and “5.0” in red ink on cap and body respectively. Capsules are supplied as follows: NDC 62175-382 -37 Bottle of 100 Storage: Store at 25°C (77°F); excursions permitted to 15°C-30°C (59°F-86°F)
Abbreviated New Drug Application
TACROLIMUS- TACROLIMUS CAPSULE, GELATIN COATED KREMERS URBAN PHARMACEUTICALS INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE TACROLIMUS CAPSULES USP SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR TACROLIMUS CAPSULES USP. TACROLIMUS CAPSULES USP INITIAL U.S. APPROVAL 1994 RX ONLY WARNING: MALIGNANCIES AND SERIOUS INFECTIONS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING_ INCREASED RISK OF DEVELOPMENT OF LYMPHOMA AND OTHER MALIGNANCIES, PARTICULARLY OF THE SKIN, DUE TO IMMUNOSUPPRESSION (5.2) INCREASED SUSCEPTIBILITY TO BACTERIAL, VIRAL, FUNGAL, AND PROTOZOAL INFECTIONS, INCLUDING OPPORTUNISTIC INFECTIONS (5.3, 5.4, 5.5) ONLY PHYSICIANS EXPERIENCED IN IMMUNOSUPPRESSIVE THERAPY AND MANAGEMENT OF ORGAN TRANSPLANT PATIENTS SHOULD PRESCRIBE TACROLIMUS CAPSULES USP (5.1) INDICATIONS AND USAGE Tacrolimus Capsules USP is a calcineurin-inhibitor immunosuppressant indicated for Prophylaxis of organ rejection in patients receiving allogeneic liver, kidney or heart transplants (1.1, 1.2, 1.3) Use concomitantly with adrenal corticosteroids; in kidney and heart transplant, use in conjunction with azathioprine or mycophenolate mofetil (MMF) (1.1, 1.2, 1.3) Limitations of Use (1.4): Do not use simultaneously with cyclosporine. Intravenous use reserved for patients who can not tolerate capsules orally. Use with sirolimus is not recommended in liver and heart transplant; use with sirolimus in kidney transplant has not been established. DOSAGE AND ADMINISTRATION Summary of Initial Oral Dosage Recommendation and Observed Whole Blood Trough Concentrations (2.1, 2.2). PATIENT POPULATION RECOMMENDED INITIAL ORAL DOSAGE (TWO DIVIDED DOSES EVERY 12 HO URS) OBSERVED WHOLE BLOOD TROUGH CONCENTRATIONS Adult Kidney transplant In combination with azathioprine In combination with MMF/IL-2 receptor antagonist 0.2 mg/kg/day 0.1 mg/kg/day month 1-3: 7-20 ng/mL month 4-12: 5-15 ng/mL month 1-12: 4-11 ng/mL Adult Liver transplant Pediatric Liver trans اقرأ الوثيقة كاملة