Land: USA
Sprog: engelsk
Kilde: NLM (National Library of Medicine)
DOXERCALCIFEROL (UNII: 3DIZ9LF5Y9) (DOXERCALCIFEROL - UNII:3DIZ9LF5Y9)
Rising Pharmaceuticals, Inc.
ORAL
PRESCRIPTION DRUG
- Doxercalciferol capsules are indicated for the treatment of secondary hyperparathyroidism in adult patients with Stage 3 or Stage 4 chronic kidney disease (CKD) and adult patients with CKD on dialysis. Doxercalciferol is contraindicated in patients with: - Hypercalcemia [see Warnings and Precautions (5.1)] - Vitamin D toxicity [see Warnings and Precautions (5.1)] - Known hypersensitivity to doxercalciferol or any of the inactive ingredients of doxercalciferol capsules; serious hypersensitivity reactions including anaphylaxis and angioedema have been reported [see Warnings and Precautions (5.3), Adverse Reactions (6.2)]. Risk Summary The limited available data with doxercalciferol in pregnant women are insufficient to identify a drug-associated risk for major birth defects, miscarriage or adverse maternal or fetal outcomes. There are risks to the mother and fetus associated with chronic kidney disease in pregnancy [see Clinical Considerations] . In reproduction studies in r
How Supplied Doxercalciferol Capsules 0.5 mcg are available in opaque red oval soft gel capsules with “L” imprinted on one side and plain on the other side. Bottle of 50 count NDC 64980-228-50 Doxercalciferol Capsules 1 mcg are available in opaque pink oval soft gel capsules with "M" imprinted on one side and plain on the other side. Bottle of 50 count NDC 64980-229-50 Doxercalciferol Capsules 2.5 mcg are available in opaque yellow oval soft gel capsules with "H" imprinted on one side and plain on the other side. Bottle of 50 count NDC 64980-230-50 Storage Store at 20 to 25°C (68 to 77°F) [see USP Controlled Room Temperature].
Abbreviated New Drug Application
DOXERCALCIFEROL- DOXERCALCIFEROL CAPSULE RISING PHARMACEUTICALS, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE DOXERCALCIFEROL CAPSULES SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR DOXERCALCIFEROL CAPSULES. DOXERCALCIFEROL CAPSULES, FOR ORAL USE INITIAL U.S. APPROVAL: 1999 INDICATIONS AND USAGE Doxercalciferol Capsules is a synthetic vitamin D analog: Doxercalciferol capsules are indicated for the treatment of secondary hyperparathyroidism in adult patients with Stage 3 or Stage 4 chronic kidney disease (CKD) and adult patients with CKD on dialysis. (1) DOSAGE AND ADMINISTRATION Before initiating treatment, ensure serum calcium is not above the upper limit of normal. (2.1) Dosage for doxercalciferol capsules in patients with: Stage 3 or 4 CKD: Initiate dosing at 1 mcg orally once daily. Maximum dose is 3.5 mcg once daily. (2.2) CKD on dialysis: Initiate dosing at 10 mcg orally three times weekly at dialysis (no more frequently than every other day). Maximum dose is 20 mcg three times weekly for a total of 60 mcg weekly. (2.3) Target the maintenance dose of doxercalciferol to intact parathyroid hormone (PTH) levels within the desired therapeutic range and serum calcium within normal limits. (2) See Full Prescribing Information for dose titration, laboratory monitoring, and important administration instructions. (2) DOSAGE FORMS AND STRENGTHS Capsules: 0.5 mcg, 1 mcg, and 2.5 mcg (3) CONTRAINDICATIONS Hypercalcemia (4) Vitamin D toxicity (4) Know hypersensitivity to doxercalciferol or any of the inactive ingredients of doxercalciferol capsules (4) WARNINGS AND PRECAUTIONS Hypercalcemia: Can occur during treatment with doxercalciferol and can lead to cardiac arrhythmias and seizures. Severe hypercalcemia may require emergency attention. Risk may be increased when used concomitantly with high dose calcium preparations, thiazide diuretics, or vitamin D compounds. Monitor serum calcium prior to initiation and during treatment and Læs hele dokumentet