Country: United States
Language: English
Source: NLM (National Library of Medicine)
ENTECAVIR ANHYDROUS (UNII: NNU2O4609D) (ENTECAVIR ANHYDROUS - UNII:NNU2O4609D)
Solco Healthcare LLC
ENTECAVIR ANHYDROUS
ENTECAVIR ANHYDROUS 0.5 mg
ORAL
PRESCRIPTION DRUG
Entecavir is indicated for the treatment of chronic hepatitis B virus infection in adults and pediatric patients 2 years of age and older with evidence of active viral replication and either evidence of persistent elevations in serum aminotransferases (ALT or AST) or histologically active disease. None. Pregnancy Exposure Registry There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to Entecavir during pregnancy. Healthcare providers are encouraged to register patients by calling the Antiretroviral Pregnancy Registry (APR) at 1-800-258-4263. Risk Summary Prospective pregnancy data from the APR are not sufficient to adequately assess the risk of birth defects, miscarriage or adverse maternal or fetal outcomes. Entecavir use during pregnancy has been evaluated in a limited number of individuals reported to the APR and the number of exposures to entecavir is insufficient to make a risk assessment compared to a reference population. The estimated background rate for major birth
Entecavir tablets, USP, are available in the following strengths: 0.5 mg film-coated White to off-white, triangular-shaped 30 tablets 43547-436-03 tablet tablet, debossed with “S” on one side 90 tablets 43547-436-09 and “064” on the other side. 500 tablets 43547-436-50 1 mg film-coated Pink, triangular-shaped tablet, 30 tablets 43547-437-03 tablet debossed with “S” on one side 90 tablets 43547-437-09 and “065” on the other side. 500 tablets 43547-437-50 Storage Entecavir tablets should be stored in a tightly closed container between 20°C and 25°C (68°F and 77°F); excursions permitted between 15°C and 30°C (59°F and 86°F) [see USP Controlled Room Temperature]. Keep the container out of light.
Abbreviated New Drug Application
ENTECAVIR- ENTECAVIR TABLET, FILM COATED Solco Healthcare LLC ---------- PATIENT INFORMATION Entecavir Tablets, USP (en-TEK-a-vir) Dispense with Patient Information available at: www.solcohealthcare.com/medguide/entecavir-tablets.pdf Read this Patient Information before you start taking entecavir tablets and each time you get a refill. There may be new information. This information does not take the place of talking with your healthcare provider about your medical condition or treatment. What is the most important information I should know about entecavir tablets? 1. Your hepatitis B virus (HBV) infection may get worse if you stop taking entecavir tablets. This usually happens within 6 months after stopping entecavir tablets. • Take entecavir tablets exactly as prescribed. • Do not run out of entecavir tablets. • Do not stop entecavir tablets without talking to your healthcare provider. • Your healthcare provider should monitor your health and do regular blood tests to check your liver if you stop taking entecavir tablets. 2. If you have or get HIV that is not being treated with medicines while taking entecavir tablets, the HIV virus may develop resistance to certain HIV medicines and become harder to treat. You should get an HIV test before you start taking entecavir tablets and anytime after that when there is a chance you were exposed to HIV. Entecavir tablets can cause serious side effects including: 3. Lactic acidosis (buildup of acid in the blood). Some people who have taken entecavir tablets or medicines like entecavir tablets (a nucleoside analogue) have developed a serious condition called lactic acidosis. Lactic acidosis is a serious medical emergency that can cause death. Lactic acidosis must be treated in the hospital. Reports of lactic acidosis with entecavir tablets generally involved patients who were seriously ill due to their liver disease or other medical condition. Call your healthcare provider right away if you get any of the following signs or symptoms of lactic acidosis: • You feel Read the complete document
ENTECAVIR- ENTECAVIR TABLET, FILM COATED SOLCO HEALTHCARE LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ENTECAVIR TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ENTECAVIR TABLETS. ENTECAVIR TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 2005 WARNING: SEVERE ACUTE EXACERBATIONS OF HEPATITIS B, PATIENTS CO-INFECTED WITH HIV AND HBV, AND LACTIC ACIDOSIS AND HEPATOMEGALY _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ • • • INDICATIONS AND USAGE Entecavir is a hepatitis B virus nucleoside analogue reverse transcriptase inhibitor indicated for the treatment of chronic hepatitis B virus infection in adults and children at least 2 years of age with evidence of active viral replication and either evidence of persistent elevations in serum aminotransferases (ALT or AST) or histologically active disease. (1) DOSAGE AND ADMINISTRATION • • • • • • DOSAGE FORMS AND STRENGTHS • CONTRAINDICATIONS • WARNINGS AND PRECAUTIONS • • • SEVERE ACUTE EXACERBATIONS OF HEPATITIS B HAVE BEEN REPORTED IN PATIENTS WHO HAVE DISCONTINUED ANTI-HEPATITIS B THERAPY, INCLUDING ENTECAVIR. HEPATIC FUNCTION SHOULD BE MONITORED CLOSELY FOR AT LEAST SEVERAL MONTHS AFTER DISCONTINUATION. INITIATION OF ANTI-HEPATITIS B THERAPY MAY BE WARRANTED. (5.1) ENTECAVIR TABLETS ARE NOT RECOMMENDED FOR PATIENTS CO-INFECTED WITH HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND HEPATITIS B VIRUS (HBV) WHO ARE NOT ALSO RECEIVING HIGHLY ACTIVE ANTIRETROVIRAL THERAPY (HAART), BECAUSE OF THE POTENTIAL FOR THE DEVELOPMENT OF RESISTANCE TO HIV NUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITORS. (5.2) LACTIC ACIDOSIS AND SEVERE HEPATOMEGALY WITH STEATOSIS, INCLUDING FATAL CASES, HAVE BEEN REPORTED WITH THE USE OF NUCLEOSIDE ANALOGUE INHIBITORS. (5.3) Nucleoside-inhibitor-treatment-naïve with compensated liver disease (greater than or equal to 16 years old): 0.5 mg once daily. (2.2) Nucleoside-inhibitor-treatment-naïve and lamivudine-experienced pediatric Read the complete document