Land: USA
Sprog: engelsk
Kilde: NLM (National Library of Medicine)
SODIUM PHENYLBUTYRATE (UNII: NT6K61736T) (PHENYLBUTYRIC ACID - UNII:7WY7YBI87E)
Par Pharmaceutical, Inc.
SODIUM PHENYLBUTYRATE
SODIUM PHENYLBUTYRATE 500 mg
ORAL
PRESCRIPTION DRUG
Sodium Phenylbutyrate Tablets is indicated as adjunctive therapy in the chronic management of patients with urea cycle disorders involving deficiencies of carbamylphosphate synthetase (CPS), ornithine transcarbamylase (OTC), or argininosuccinic acid synthetase (AS). It is indicated in all patients with neonatal-onset deficiency (complete enzymatic deficiency, presenting within the first 28 days of life). It is also indicated in patients with late-onset disease (partial enzymatic deficiency, presenting after the first month of life) who have a history of hyperammonemic encephalopathy. It is important that the diagnosis be made early and treatment initiated immediately to improve survival. Any episode of acute hyperammonemia should be treated as a life-threatening emergency. Sodium Phenylbutyrate Tablets must be combined with dietary protein restriction and, in some cases, essential amino acid supplementation. (See Nutritional Supplementation subsection of the DOSAGE AND ADMINISTRATION section.) Previously, ne
Sodium Phenylbutyrate Tablets are available as 500 mg in bottles of 250 Sodium Phenylbutyrate Tablets (NDC 49884-170-04). The bottles are equipped with child-resistant caps. White to off-white, oval shaped tablet debossed 'EP 340' on one side and plain on the other side. Each tablet contains 500 mg of sodium phenylbutyrate, USP. Store at 20º to 25º C (68º to 77ºF); [see USP Controlled Temperature]; Excursions permitted to 15º to 30ºC (59º to 86ºF) . After opening, keep bottle tightly closed.
Abbreviated New Drug Application
SODIUM PHENYLBUTYRATE- SODIUM PHENYLBUTYRATE TABLETS, 500 MG TABLET PAR PHARMACEUTICAL, INC. ---------- SODIUM PHENYLBUTYRATE TABLETS, 500 MG RX ONLY DESCRIPTION Sodium Phenylbutyrate Tablets for oral administration contain Sodium phenylbutyrate, USP. Sodium Phenylbutyrate, USP is an off-white crystalline substance which is soluble in water and has a strong salty taste. Sodium Phenylbutyrate, USP also is freely soluble in methanol and practically insoluble in acetone and diethyl ether. It is known chemically as 4-phenylbutyric acid, sodium salt with a molecular weight of 186 and the molecular formula C H O Na. Chemical Structure: Each tablet of Sodium Phenylbutyrate Tablets contains 500 mg of Sodium Phenylbutyrate, USP and the inactive ingredients calcium stearate NF, colloidal silicon dioxide NF, magnesium stearate and microcrystalline cellulose. CLINICAL PHARMACOLOGY Sodium phenylbutyrate is a pro-drug and is rapidly metabolized to phenylacetate. Phenylacetate is a metabolically-active compound that conjugates with glutamine via acetylation to form phenylacetylglutamine. Phenylacetylglutamine then is excreted by the kidneys. On a molar basis, it is comparable to urea (each containing two moles of nitrogen). Therefore, phenylacetylglutamine provides an alternate vehicle for waste nitrogen excretion. PHARMACOKINETICS GENERAL: Pharmacokinetic studies have not been conducted in the primary patient population (neonates, infants, and children), but pharmacokinetic data were obtained from normal adult subjects. ABS ORPTION: Peak plasma levels of phenylbutyrate occur within 1 hour after a single dose of 5 grams of sodium phenylbutyrate tablet with a C of 218 mcg/mL under fasting conditions. The effect of food on phenylbutyrate's absorption is unknown. DIS POS ITION: The overall disposition of sodium phenylbutyrate and its metabolites has not been characterized fully. However, the drug is known to be metabolized to phenylacetate and subsequently to phenylacetylglutamine. Following oral administration of 5 grams (tablets Læs hele dokumentet