Země: Spojené státy
Jazyk: angličtina
Zdroj: NLM (National Library of Medicine)
OXYMORPHONE HYDROCHLORIDE (UNII: 5Y2EI94NBC) (OXYMORPHONE - UNII:9VXA968E0C)
Endo Pharmaceuticals Inc.
OXYMORPHONE HYDROCHLORIDE
OXYMORPHONE HYDROCHLORIDE 5 mg
ORAL
PRESCRIPTION DRUG
OPANA ER is indicated for the management of pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate. Limitations of Use - Because of the risks of addiction, abuse, and misuse with opioids, even at recommended doses, and because of the greater risks of overdose and death with extended-release opioid formulations [see Warnings and Precautions (5.1)] , reserve OPANA ER for use in patients for whom alternative treatment options (e.g., non-opioid analgesics or immediate-release opioids) are ineffective, not tolerated, or would be otherwise inadequate to provide sufficient management of pain. - OPANA ER is not indicated as an as-needed (prn) analgesic. OPANA ER is contraindicated in patients with: - Significant respiratory depression [see Warnings and Precautions (5.3)] - Acute or severe bronchial asthma in an unmonitored setting or in the absence of resuscitative equipment [see Warnings and Precautions (5.6)] - Hypersensitivity t
OPANA ER extended-release tablets are supplied as follows: 5 mg Pink, round, film-coated, biconcave extended-release tablets debossed with an “E” on one side and a “5” on the other side. Bottles of 60 with child-resistant closure NDC 63481-812-60 Bottles of 100 with child-resistant closure NDC 63481-812-70 Unit-Dose package of 20 tablets (2 blister cards of 10 tablets, not child-resistant, for hospital use only) NDC 63481-812-20 7.5 mg Gray, round, film coated, biconcave extended-release tablets debossed with an “E” on one side and a “7 ½” on the other side. Bottles of 60 with child-resistant closure NDC 63481-813-60 Bottles of 100 with child-resistant closure NDC 63481-813-70 Unit-Dose package of 20 tablets (2 blister cards of 10 tablets, not child-resistant, for hospital use only) NDC 63481-813-20 10 mg Light orange, round, film-coated, biconcave extended-release tablets debossed with an “E” on one side and a “10” on the other side. Bottles of 60 with child-resistant closure NDC 63481-814-60 Bottles of 100 with child-resistant closure NDC 63481-814-70 Unit-Dose package of 20 tablets (2 blister cards of 10 tablets, not child-resistant, for hospital use only) NDC 63481-814-20 15 mg White, round, film-coated, biconcave extended-release tablets debossed with an “E” on one side and a “15” on the other side. Bottles of 60 with child-resistant closure NDC 63481-815-60 Bottles of 100 with child-resistant closure NDC 63481-815-70 Unit-Dose package of 20 tablets (2 blister cards of 10 tablets, not child-resistant, for hospital use only) NDC 63481-815-20 20 mg Light green, round, film-coated, biconcave extended-release tablets debossed with an “E” on one side and a “20” on the other side. Bottles of 60 with child-resistant closure NDC 63481-816-60 Bottles of 100 with child-resistant closure NDC 63481-816-70 Unit-Dose package of 20 tablets (2 blister cards of 10 tablets, not child-resistant, for hospital use only) NDC 63481-816-20 30 mg Red, round, film-coated, biconcave extended-release tablets debossed with an “E” on one side and a “30” on the other side. Bottles of 60 with child-resistant closure NDC 63481-817-60 Bottles of 100 with child-resistant closure NDC 63481-817-70 Unit-Dose package of 20 tablets (2 blister cards of 10 tablets, not child-resistant, for hospital use only) NDC 63481-817-20 40 mg Light yellow to pale yellow, round, film-coated, biconcave extended-release tablets debossed with an “E” on one side and a “40” on the other side. Bottles of 60 with child-resistant closure NDC 63481-818-60 Bottles of 100 with child-resistant closure NDC 63481-818-70 Unit-Dose package of 20 tablets (2 blister cards of 10 tablets, not child-resistant, for hospital use only) NDC 63481-818-20 Store at 25°C (77°F); excursions permitted to 15°-30°C (59°-86°F). [See USP Controlled Room Temperature]. Dispense in tight container as defined in the USP, with a child-resistant closure (as required). Store OPANA ER securely and dispose of properly [see Patient Counseling Information (17)] .
New Drug Application
Endo Pharmaceuticals Inc. ---------- Medication Guide OPANA ® ER (Ō-pan-a) (oxymorphone hydrochloride) extended-release tablets, for oral use, CII OPANA ER is: • A strong prescription pain medicine that contains an opioid (narcotic) that is used to manage pain severe enough to require daily around-the-clock, long-term treatment with an opioid, when other pain treatments such as non-opioid pain medicines or immediate-release opioid medicines do not treat your pain well enough or you cannot tolerate them. • A long-acting (extended-release) opioid pain medicine that can put you at risk for overdose and death. Even if you take your dose correctly as prescribed you are at risk for opioid addiction, abuse, and misuse that can lead to death. • Not for use to treat pain that is not around-the-clock. Important information about OPANA ER: • Get emergency help right away if you take too much OPANA ER (overdose) . When you first start taking OPANA ER, when your dose is changed, or if you take too much (overdose), serious or life-threatening breathing problems that can lead to death may occur. • Taking OPANA ER with other opioid medicines, benzodiazepines, alcohol, or other central nervous system depressants (including street drugs) can cause severe drowsiness, decreased awareness, breathing problems, coma, and death. • Never give anyone else your OPANA ER. They could die from taking it. Selling or giving away OPANA ER is against the law. • Store OPANA ER securely, out of sight and reach of children, and in a location not accessible by others, including visitors to the home. Do not take OPANA ER if you have: • severe asthma, trouble breathing, or other lung problems. • a bowel blockage or have narrowing of the stomach or intestines. Before taking OPANA ER , tell your healthcare provider if you have a history of: • head injury, seizures ● liver, kidney, thyroid problems • problems urinating ● pancreas or gallbladder problems • abuse of street or prescription drugs, alcohol addiction, or mental hea Přečtěte si celý dokument
OPANA ER- OXYMORPHONE HYDROCHLORIDE TABLET, EXTENDED RELEASE ENDO PHARMACEUTICALS INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE OPANA ER SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR OPANA ER. OPANA ER (OXYMORPHONE HYDROCHLORIDE) EXTENDED-RELEASE TABLETS, FOR ORAL USE, CII INITIAL U.S. APPROVAL: 1959 WARNING: ADDICTION, ABUSE, AND MISUSE; RISK EVALUATION AND MITIGATION STRATEGY (REMS); LIFE-THREATENING RESPIRATORY DEPRESSION; ACCIDENTAL INGESTION; NEONATAL OPIOID WITHDRAWAL SYNDROME; INTERACTION WITH ALCOHOL; AND RISKS FROM CONCOMITANT USE WITH BENZODIAZEPINES AND OTHER CNS DEPRESSANTS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING_. OPANA ER EXPOSES USERS TO RISKS OF ADDICTION, ABUSE, AND MISUSE, WHICH CAN LEAD TO OVERDOSE AND DEATH. ASSESS PATIENT’S RISK BEFORE PRESCRIBING AND MONITOR REGULARLY FOR THESE BEHAVIORS AND CONDITIONS. (5.1) TO ENSURE THAT THE BENEFITS OF OPIOID ANALGESICS OUTWEIGH THE RISKS OF ADDICTION, ABUSE, AND MISUSE, THE FOOD AND DRUG ADMINISTRATION (FDA) HAS REQUIRED A RISK EVALUATION AND MITIGATION STRATEGY (REMS) FOR THESE PRODUCTS. (5.2) SERIOUS, LIFE-THREATENING, OR FATAL RESPIRATORY DEPRESSION MAY OCCUR. MONITOR CLOSELY, ESPECIALLY UPON INITIATION OR FOLLOWING A DOSE INCREASE. INSTRUCT PATIENTS TO SWALLOW OPANA ER TABLETS WHOLE TO AVOID EXPOSURE TO A POTENTIALLY FATAL DOSE OF OXYMORPHONE. (5.3) ACCIDENTAL INGESTION OF OPANA ER, ESPECIALLY BY CHILDREN, CAN RESULT IN FATAL OVERDOSE OF OXYMORPHONE. (5.3) PROLONGED USE OF OPANA ER DURING PREGNANCY CAN RESULT IN NEONATAL OPIOID WITHDRAWAL SYNDROME, WHICH MAY BE LIFE-THREATENING IF NOT RECOGNIZED AND TREATED. IF OPIOID USE IS REQUIRED FOR A PROLONGED PERIOD IN A PREGNANT WOMAN, ADVISE THE PATIENT OF THE RISK OF NEONATAL OPIOID WITHDRAWAL SYNDROME AND ENSURE THAT APPROPRIATE TREATMENT WILL BE AVAILABLE (5.4). INSTRUCT PATIENTS NOT TO CONSUME ALCOHOL OR ANY PRODUCT CONTAINING ALCOHOL WHILE TAKING OPANA ER BECAUSE CO-INGESTION CAN RESULT IN FA Přečtěte si celý dokument