Country: Ireland
Language: English
Source: HPRA (Health Products Regulatory Authority)
CINACALCET
Accord Healthcare Limited
H05BX01
CINACALCET
60 Milligram
Film Coated Tablet
Product subject to prescription which may be renewed (B)
cinacalcet
Not Marketed
2016-12-02
1 PACKAGE LEAFLET: INFORMATION FOR THE PATIENT CINACALCET ACCORD 30 MG FILM-COATED TABLETS CINACALCET ACCORD 60 MG FILM-COATED TABLETS CINACALCET ACCORD 90 MG FILM-COATED TABLETS cinacalcet READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START TAKING THIS MEDICINE BECAUSE IT CONTAINS IMPORTANT INFORMATION FOR YOU. - Keep this leaflet. You may need to read it again. - If you have any further questions, ask your doctor, pharmacist or nurse. - This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. - If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4. WHAT IS IN THIS LEAFLET 1. What Cinacalcet Accord is and what it is used for 2. What you need to know before you take Cinacalcet Accord 3. How to take Cinacalcet Accord 4. Possible side effects 5. How to store Cinacalcet Accord 6. Contents of the pack and other information 1. WHAT CINACALCET ACCORD IS AND WHAT IT IS USED FOR Cinacalcet Accord works by controlling the levels of parathyroid hormone (PTH), calcium and phosphorus in your body. It is used to treat problems with organs called parathyroid glands. The parathyroids are four small glands in the neck, near the thyroid gland, that produce parathyroid hormone (PTH). Cinacalcet Accord is used: • to treat secondary hyperparathyroidism in patients with serious kidney disease who need dialysis to clear their blood of waste products. • to reduce high levels of calcium in the blood (hypercalcaemia) in patients with parathyroid cancer. • to reduce high levels of calcium in the blood (hypercalcaemia) in patients with primary hyperparathyroidism when removal of the gland is not possible. In primary and secondary hyperparathyroidism too much PTH is produced by the parathyroids glands. “Primary” means that the hyperparathyroidism is not caused by any other condition and “secondary” means that the hyperparathyroidism is cau Read the complete document
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Cinacalcet Accord 60 mg film-coated tablets 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each film-coated tablet contains 60 mg cinacalcet (as hydrochloride). Excipient(s) with known effect: Each film coated tablet contains 134.3 mg of lactose monohydrate. For the full list of excipients, see section 6.1. 3 PHARMACEUTICAL FORM Film-coated tablet. Light green, oval, biconvex film-coated tablet of 12.3-12.7 mm length debossed ‘C’ on one side and ‘60’ on the other. 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Treatment of secondary hyperparathyroidism (HPT) in patients with end-stage renal disease (ESRD) on maintenance dialysis therapy. Cinacalcet Accord may be used as part of a therapeutic regimen including phosphate binders and/or Vitamin D sterols, as appropriate (see section 5.1). Reduction of hypercalcaemia in patients with: parathyroid carcinoma. primary HPT for whom parathyroidectomy would be indicated on the basis of serum calcium levels (as defined by relevant treatment guidelines), but in whom parathyroidectomy is not clinically appropriate or is contraindicated. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION POSOLOGY Secondary hyperparathyroidism _Adults and elderly (> 65 years)_ The recommended starting dose for adults is 30 mg once per day. Cinacalcet Accord should be titrated every 2 to 4 weeks to a maximum dose of 180 mg once daily to achieve a target parathyroid hormone (PTH) in dialysis patients of between 150-300 pg/ml (15.9-31.8 pmol/l) in the intact PTH (iPTH) assay. PTH levels should be assessed at least 12 hours after dosing with Cinacalcet Accord. Reference should be made to current treatment guidelines. PTH should be measured 1 to 4 weeks after initiation or dose adjustment of Cinacalcet Accord. PTH should be monitored approximately every 1-3 months during maintenance. Either the intact PTH (iPTH) or bio-intact PTH (biPTH) may be used to measure PTH levels; treatment with cinacalcet does not alter the relationship betwe Read the complete document