Country: United States
Language: English
Source: NLM (National Library of Medicine)
EZOGABINE (UNII: 12G01I6BBU) (EZOGABINE - UNII:12G01I6BBU)
GlaxoSmithKline LLC
EZOGABINE
EZOGABINE 50 mg
ORAL
PRESCRIPTION DRUG
POTIGA® is indicated as adjunctive treatment of partial-onset seizures in patients aged 18 years and older who have responded inadequately to several alternative treatments and for whom the benefits outweigh the risk of retinal abnormalities and potential decline in visual acuity [see Warnings and Precautions (5.1)] . None. Pregnancy Category C. There are no adequate and well-controlled studies in pregnant women. POTIGA should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. In animal studies, doses associated with maternal plasma exposures (AUC) to ezogabine and its major circulating metabolite, N-acetyl metabolite of ezogabine (NAMR), similar to or below those expected in humans at the maximum recommended human dose (MRHD) of 1,200 mg per day produced developmental toxicity when administered to pregnant rats and rabbits. The maximum doses evaluated were limited by maternal toxicity (acute neurotoxicity). Treatment of pregnant rats with ezogabine (oral doses
POTIGA is supplied as film-coated immediate-release tablets for oral administration containing 50 mg, 200 mg, 300 mg, or 400 mg of ezogabine in the following packs: Store at 25°C (77°F); excursions permitted to 15°-30°C (59°-86°F) [See USP Controlled Room Temperature.]
New Drug Application
POTIGA- EZOGABINE TABLET, FILM COATED GlaxoSmithKline LLC ---------- MEDICATION GUIDE POTIGA® (po-TEE-ga) tablets, CV (ezogabine) Read this Medication Guide before you start taking POTIGA and each time you get a refill. There may be new information. This Medication Guide does not take the place of talking to your healthcare provider about your medical condition or treatment. If you have questions about POTIGA, ask your healthcare provider or pharmacist. What is the most important information I should know about POTIGA? Do not stop POTIGA without first talking to a healthcare provider. Stopping POTIGA suddenly can cause serious problems. Stopping POTIGA suddenly can cause you to have more seizures more often. 1. POTIGA can cause changes to your retina, which is located in the back of your eye and is needed for vision. These types of changes can cause vision loss. • If a decrease in your vision happens, it is not known if it will get better. • You and your healthcare provider should decide if the benefit of taking POTIGA is more important than the possible risk of vision loss. • You should have a complete eye exam if you are currently taking POTIGA or before starting treatment, and then every 6 months while taking POTIGA. • Tell your healthcare provider right away if you notice any changes in your vision. 2. POTIGA can make it hard for you to urinate (empty your bladder) and may cause you to be unable to urinate. Call your healthcare provider right away if you: • are unable to start urinating. • have trouble emptying your bladder. • have a weak urine stream. • have pain with urination. 3. POTIGA can cause changes in the color of your skin, nails, lips, roof of your mouth, and whites of your eyes or insides of your eyelids. • The changes in color may be blue, grey-blue, or brown. • Most changes in color have happened in people who have taken POTIGA for at least 2 years, but may happen earlier. • It is not known if the changes in color go away after stopping POTIGA. • Tell your healthcare pro Read the complete document
POTIGA- EZOGABINE TABLET, FILM COATED GLAXOSMITHKLINE LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE POTIGA SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR POTIGA. POTIGA (EZOGABINE) TABLETS, FOR ORAL USE, CV INITIAL U.S. APPROVAL: 2011 WARNING: RETINAL ABNORMALITIES AND POTENTIAL VISION LOSS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ • • • • • • RECENT MAJOR CHANGES Boxed Warning 5/2016 Dosage and Administration (2.3) 5/2016 Warnings and Precautions (5.1) 5/2016 INDICATIONS AND USAGE POTIGA is a potassium channel opener indicated as adjunctive treatment of partial-onset seizures in patients aged 18 years and older who have responded inadequately to several alternative treatments and for whom the benefits outweigh the risk of retinal abnormalities and potential decline in visual acuity. (1) DOSAGE AND ADMINISTRATION • • • • • • • • • • DOSAGE FORMS AND STRENGTHS Tablets: 50 mg, 200 mg, 300 mg, and 400 mg. (3) POTIGA CAN CAUSE RETINAL ABNORMALITIES WITH FUNDUSCOPIC FEATURES SIMILAR TO THOSE SEEN IN RETINAL PIGMENT DYSTROPHIES, WHICH ARE KNOWN TO RESULT IN DAMAGE TO THE PHOTORECEPTORS AND VISION LOSS. MACULAR ABNORMALITIES CHARACTERIZED AS VITELLIFORM LESIONS HAVE ALSO BEEN OBSERVED. (5.1) SOME PATIENTS WITH RETINAL ABNORMALITIES HAVE BEEN FOUND TO HAVE ABNORMAL VISUAL ACUITY. IT IS NOT POSSIBLE TO DETERMINE WHETHER POTIGA CAUSED THIS DECREASED VISUAL ACUITY. (5.1) THE RATE OF PROGRESSION AND REVERSIBILITY ARE UNKNOWN. (5.1) PATIENTS WHO FAIL TO SHOW SUBSTANTIAL CLINICAL BENEFIT AFTER ADEQUATE TITRATION SHOULD BE DISCONTINUED FROM POTIGA. (5.1) ALL PATIENTS TAKING POTIGA SHOULD HAVE BASELINE AND PERIODIC (EVERY 6 MONTHS) SYSTEMATIC VISUAL MONITORING BY AN OPHTHALMIC PROFESSIONAL. TESTING SHOULD INCLUDE VISUAL ACUITY, DILATED FUNDUS PHOTOGRAPHY, AND OPTICAL COHERENCE TOMOGRAPHY. (5.1) IF RETINAL PIGMENTARY ABNORMALITIES OR VISION CHANGES ARE DETECTED, POTIGA SHOULD BE DISCONTINUED Read the complete document