Země: Spojené státy
Jazyk: angličtina
Zdroj: NLM (National Library of Medicine)
BORTEZOMIB (UNII: 69G8BD63PP) (BORTEZOMIB - UNII:69G8BD63PP)
Sintetica US LLC
INTRAVENOUS
PRESCRIPTION DRUG
Bortezomib for injection is indicated for the treatment of adult patients with multiple myeloma. Bortezomib for injection is indicated for the treatment of adult patients with mantle cell lymphoma. Bortezomib is contraindicated in patients with hypersensitivity (not including local reactions) to bortezomib, boron, or mannitol. Reactions have included anaphylactic reactions [see Adverse Reactions ( 6.1)] . Bortezomib is contraindicated for intrathecal administration. Fatal events have occurred with intrathecal administration of bortezomib. Risk Summary Based on its mechanism of action [see Clinical Pharmacology ( 12.1)] and findings in animals, bortezomib can cause fetal harm when administered to a pregnant woman. There are no studies with the use of bortezomib in pregnant women to inform drug-associated risks. Bortezomib caused embryo-fetal lethality in rabbits at doses lower than the clinical dose (see Data) . Advise pregnant women of the potential risk to the fetus. Adverse outc
Bortezomib for Injection is supplied as individually cartoned 10 mL vials containing 3.5 mg of bortezomib as a white to off-white cake or powder. NDC 83090-008-01 3.5 mg single-dose vial Unopened vials may be stored at 25°C (77°F); excursions permitted from 15ºC to 30ºC (59ºF to 86ºF) [see USP Controlled Room Temperature]. Retain in original package to protect from light. Follow guidelines for handling and disposal for hazardous drugs, including the use of gloves and other protective clothing to prevent skin contact 1 .
Abbreviated New Drug Application
BORTEZOMIB- BORTEZOMIB INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION SINTETICA US LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USEBORTEZOMIB FOR INJECTIONSAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FORBORTEZOMIB FOR INJECTION. BORTEZOMIBFOR INJECTION, FOR SUBCUTANEOUS OR INTRAVENOUS USE INITIAL U.S. APPROVAL: 2003 INDICATIONS AND USAGE Bortezomib for injection is a proteasome inhibitor indicated for: treatment of adult patients with multiple myeloma ( 1.1) treatment of adult patients with mantle cell lymphoma ( 1.2) DOSAGE AND ADMINISTRATION For subcutaneous or intravenous use only. Each route of administration has a different reconstituted concentration. Exercise caution when calculating the volume to be administered. ( 2.1, 2.10) The recommended starting dose of bortezomib for injection is 1.3 mg/m administered either as a 3 to 5 second bolus intravenous injection or subcutaneous injection. ( 2.2, 2.4, 2.6) Retreatment for Multiple Myeloma: May retreat starting at the last tolerated dose. ( 2.6) Hepatic Impairment: Use a lower starting dose for patients with moderate or severe hepatic impairment. ( 2.8) Dose must be individualized to prevent overdose. ( 2.10) DOSAGE FORMS AND STRENGTHS For injection: Single-dose vial contains 3.5 mg of bortezomib as lyophilized powder for reconstitution and withdrawal of the appropriate individual patient dose. ( 3) CONTRAINDICATIONS Patients with hypersensitivity (not including local reactions) to bortezomib, boron, or mannitol, including anaphylactic reactions. ( 4) Contraindicated for intrathecal administration. ( 4) WARNINGS AND PRECAUTIONS Peripheral Neuropathy: Manage with dose modification or discontinuation. ( 2.7) Patients with pre- existing severe neuropathy should be treated with bortezomib only after careful risk-benefit assessment. ( 2.7, 5.1) Hypotension: Use caution when treating patients taking antihypertensives, with a history of syncope, or with dehydration. ( 5.2) Cardiac Toxici Přečtěte si celý dokument