País: Estats Units
Idioma: anglès
Font: NLM (National Library of Medicine)
VANDETANIB (UNII: YO460OQ37K) (VANDETANIB - UNII:YO460OQ37K)
AstraZeneca Pharmaceuticals LP
VANDETANIB
VANDETANIB 100 mg
ORAL
PRESCRIPTION DRUG
CAPRELSA is indicated for the treatment of symptomatic or progressive medullary thyroid cancer in patients with unresectable locally advanced or metastatic disease. Use CAPRELSA in patients with indolent, asymptomatic or slowly progressing disease only after careful consideration of the treatment related risks of CAPRELSA. Do not use in patients with congenital long QT syndrome [see Boxed Warning ]. Pregnancy Category D [see Warnings and Precautions (5.14) ] Risk Summary Based on its mechanism of action, CAPRELSA can cause fetal harm when administered to a pregnant woman. Vandetanib is embryotoxic, fetotoxic, and teratogenic in rats, at exposures less than or equal to those expected at the recommended human dose of 300 mg/day. If CAPRELSA is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to a fetus. Animal data When vandetanib was administered to female rats prior to mating and through the first week of pregnancy at a do
100 mg Tablets Available in bottles containing 30 tablets (NDC 0310–7820–30). 300 mg Tablets Available in bottles containing 30 tablets (NDC 0310–7840–30). CAPRELSA tablets should be stored at 25°C (77°F); excursions permitted to 15°C – 30°C (59°F – 86°F) [See USP controlled room temperature]. Procedures for proper handling and disposal of anticancer drugs should be considered. A guideline on this subject has been published.1 Do not crush CAPRELSA tablets.
New Drug Application
CAPRELSA- VANDETANIB TABLET AstraZeneca Pharmaceuticals LP ---------- MEDICATION GUIDE CAPRELSA® (kap-rel-sah) (vandetanib) Tablets Read this Medication Guide before you start taking CAPRELSA and each time you get a refill. There may be new information. This Medication Guide does not take the place of talking to your healthcare provider about your medical condition or treatment. What is the most important information I should know about CAPRELSA? CAPRELSA can cause a change in the electrical activity of your heart called QT prolongation, which can cause irregular heartbeats and that may lead to death. You should not take CAPRELSA if you have had a condition called long QT syndrome since birth. Your healthcare provider should perform tests to check the levels of your blood potassium, calcium, magnesium, and thyroid-stimulating hormone (TSH) as well as the electrical activity of your heart with a test called an electrocardiogram (ECG). You should have these tests: • Before starting CAPRELSA • Regularly during CAPRELSA treatment: o 2 to 4 weeks after starting CAPRELSA o 8 to 12 weeks after starting CAPRELSA o Every 3 months thereafter o If your healthcare provider changes your dose of CAPRELSA o If you start taking medicine that causes QT prolongation o As instructed by your healthcare provider Your healthcare provider may stop your CAPRELSA treatment for a while and restart you at a lower dose if you have QT prolongation. Call your healthcare provider right away if you feel faint, light-headed, or feel your heart beating irregularly while taking CAPRELSA. These may be symptoms related to QT prolongation. What is CAPRELSA? CAPRELSA is a prescription medicine used to treat medullary thyroid cancer that cannot be removed by surgery or that has spread to other parts of the body. It takes a long time to get rid of CAPRELSA from your body and you may be at risk for side effects related to CAPRELSA after you have stopped your treatment. It is not known if CAPRELSA is safe and effective in children. Who should not tak Llegiu el document complet
CAPRELSA- VANDETANIB TABLET ASTRAZENECA PHARMACEUTICALS LP ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE CAPRELSA SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR CAPRELSA. CAPRELSA (VANDETANIB) TABLETS FOR ORAL USE INITIAL U.S. APPROVAL: 2011 WARNING: QT PROLONGATION, TORSADES DE POINTES, AND SUDDEN DEATH _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ CAPRELSA CAN PROLONG THE QT INTERVAL. TORSADES DE POINTES AND SUDDEN DEATH HAVE OCCURRED IN PATIENTS RECEIVING CAPRELSA. DO NOT USE CAPRELSA IN PATIENTS WITH HYPOCALCEMIA, HYPOKALEMIA, HYPOMAGNESEMIA, OR LONG QT SYNDROME. CORRECT HYPOCALCEMIA, HYPOKALEMIA AND/OR HYPOMAGNESEMIA PRIOR TO CAPRELSA ADMINISTRATION. MONITOR ELECTROLYTES PERIODICALLY. AVOID DRUGS KNOWN TO PROLONG THE QT INTERVAL. ONLY PRESCRIBERS AND PHARMACIES CERTIFIED WITH THE RESTRICTED DISTRIBUTION PROGRAM ARE ABLE TO PRESCRIBE AND DISPENSE CAPRELSA (5.1, 5.15). RECENT MAJOR CHANGES Warnings and Precautions (5.2) 3/2016 INDICATIONS AND USAGE CAPRELSA is a kinase inhibitor indicated for the treatment of symptomatic or progressive medullary thyroid cancer in patients with unresectable locally advanced or metastatic disease. (1) Use of CAPRELSA in patients with indolent, asymptomatic or slowly progressing disease only after careful consideration of the treatment related risks of CAPRELSA. (1) DOSAGE AND ADMINISTRATION • • • • DOSAGE FORMS AND STRENGTHS 100 mg and 300 mg tablets (3) CONTRAINDICATIONS WARNINGS AND PRECAUTIONS • • • • • • ADVERSE REACTIONS The most common adverse drug reactions (>20%) seen with CAPRELSA and with a between-arm difference of ≥5 % have been diarrhea/colitis, rash, acneiform dermatitis, hypertension, nausea, headache, upper respiratory tract infections, decreased appetite and abdominal pain. TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT ASTRAZENECA AT 1–800–236–9933 OR FDA AT 1-800-FDA- ® 300 mg once daily. (2) CAPRELSA may be taken with or without foo Llegiu el document complet