Country: United States
Language: English
Source: NLM (National Library of Medicine)
NEVIRAPINE (UNII: 99DK7FVK1H) (NEVIRAPINE - UNII:99DK7FVK1H)
Amneal-Agila, LLC
NEVIRAPINE
NEVIRAPINE 200 mg
PRESCRIPTION DRUG
Abbreviated New Drug Application
NEVIRAPINE- NEVIRAPINE TABLET AMNEAL-AGILA, LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE NEVIRAPINE SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR NEVIRAPINE. NEVIRAPINE TABLETS, USP 200 MG FOR ORAL USE INITIAL U.S. APPROVAL: 1996 WARNING: LIFE-THREATENING (INCLUDING FATAL) HEPATOTOXICITY AND SKIN REACTIONS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ FATAL AND NON-FATAL HEPATOTOXICITY (5.1) FATAL AND NON-FATAL SKIN REACTIONS (5.2) DISCONTINUE IMMEDIATELY IF EXPERIENCING: SIGNS OR SYMPTOMS OF HEPATITIS (5.1) INCREASED TRANSAMINASES COMBINED WITH RASH OR OTHER SYSTEMIC SYMPTOMS (5.1) SEVERE SKIN OR HYPERSENSITIVITY REACTIONS (5.2) ANY RASH WITH SYSTEMIC SYMPTOMS (5.2) MONITORING DURING THE FIRST 18 WEEKS OF THERAPY IS ESSENTIAL. EXTRA VIGILANCE IS WARRANTED DURING THE FIRST 6 WEEKS OF THERAPY, WHICH IS THE PERIOD OF GREATEST RISK OF THESE EVENTS (5). INDICATIONS AND USAGE Nevirapine tablets, USP are an NNRTI indicated for combination antiretroviral treatment of HIV-1 infection (1) Important Considerations: Initiation of treatment is not recommended in the following populations unless the benefits outweigh the risks (1, 5.1) adult females with CD4 cell counts greater than 250 cells/mm adult males with CD4 cell counts greater than 400 cells/mm The 14-day lead-in period must be strictly followed; it has been demonstrated to reduce the frequency of rash (2.4, 5.2) DOSAGE AND ADMINISTRATION If any patient experiences rash during the 14-day lead-in period, do not increase dose until the rash has resolved. Do not continue the lead-in dosing regimen beyond 28 days (2.4) If dosing interrupted for greater than 7 days, restart 14-day lead-in dosing (2.4) ADULTS (≥16 yrs) PE DIATRIC * (>15 days) FIRST 14 DAYS 200 mg once daily 150 mg/m once daily AFTER 14 DAYS 200 mg twice daily150 mg/m twice daily *Total daily dose should not exceed 400 mg for any patient. DOSAGE FORMS AND STRENGTHS Tablets: 200 mg (3) CONTRAINDICATION Read the complete document