United States - English - NLM (National Library of Medicine)

medicure international inc. - sodium nitroprusside (unii: eao03pe1tc) (nitroprusside - unii:169d1260km) - sodium nitroprusside is indicated for the immediate reduction of blood pressure of adult and pediatric patients in hypertensive crises. concomitant longer-acting antihypertensive medication should be administered so that the duration of treatment with sodium nitroprusside can be minimized. sodium nitroprusside is also indicated for producing controlled hypotension in order to reduce bleeding during surgery. sodium nitroprusside is also indicated for the treatment of acute congestive heart failure. sodium nitroprusside should not be used in the treatment of compensatory hypertension, where the primary hemodynamic lesion is aortic coarctation or arteriovenous shunting. sodium nitroprusside should not be used to produce hypotension during surgery in patients with known inadequate cerebral circulation, or in moribund patients (a.s.a. class 5e) coming to emergency surgery. patients with congenital (leber’s) optic atrophy or with tobacco amblyopia have unusually high cyanide/thiocyanate ratios. these rare condition

United States - English - NLM (National Library of Medicine)

medicure international inc. - valsartan (unii: 80m03yxj7i) (valsartan - unii:80m03yxj7i) - valsartan 4 mg in 1 ml - prexxartan is indicated for the treatment of hypertension in adults and children six years and older, to lower blood pressure. lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. these benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes including the class to which valsartan principally belongs. there are no controlled trials in hypertensive patients demonstrating risk reduction with valsartan. control of high blood pressure should be part of comprehensive cardiovascular risk management, including, as appropriate, lipid control, diabetes management, antithrombotic therapy, smoking cessation, exercise, and limited sodium intake. many patients will require more than one drug to achieve blood pressure goals. for specific advice on goals and management, see published guidelines, such as those of the national high blood pressure education program’s joint national committee

United States - English - NLM (National Library of Medicine)

medicure international inc - pitavastatin (unii: m5681q5f9p) (pitavastatin - unii:m5681q5f9p) - pitavastatin 1 mg - zypitamag is indicated as an adjunct to diet to reduce low-density lipoprotein cholesterol (ldl-c) in adults with primary hyperlipidemia. pediatric use information is approved for kowa co ltd livalo (pitavastatin) tablets. however, due to kowa co ltd marketing exclusivity rights, this drug product is not labeled with that information. zypitamag is contraindicated in the following conditions: - concomitant use of cyclosporine [see drug interactions (7)] . - acute liver failure or decompensated cirrhosis [see warnings and precautions (5.3)] - hypersensitivity to pitavastatin or any excipients in zypitamag. hypersensitivity reactions including angioedema, rash, pruritus, and urticaria have been reported with pitavastatin [see adverse reactions (6)] . risk summary discontinue zypitamag when pregnancy is recognized. alternatively, consider the ongoing therapeutic needs of the individual patient. zypitamag decreases synthesis of cholesterol and possibly other biologically active substances derived from cholesterol; therefore, zypitamag may cause fetal harm when administered to pregnant patients based on the mechanism of action [see clinical pharmacology (12.1)] . in addition, treatment of hyperlipidemia is not generally necessary during pregnancy. atherosclerosis is a chronic process and the discontinuation of lipid-lowering drugs during pregnancy should have little impact on the outcome of long-term therapy of primary hyperlipidemia for most patients. available data from case series and prospective and retrospective observational cohort studies over decades of use with statins in pregnant women have not identified a drug-associated risk of major congenital malformations. published data from prospective and retrospective observational cohort studies with statin use in pregnant women are insufficient to determine if there is a drug-associated risk of miscarriage (see data) . in animal reproduction studies, no embryo-fetal toxicity or congenital malformations were observed in pregnant rats or rabbits orally administered pitavastatin during the period of organogenesis at doses that resulted in 22 and 4 times, respectively, the human exposure at the maximum recommended human dose (mrhd) of 4 mg, based on auc (see data) . the estimated background risk of major birth defects and miscarriage for the indicated population is unknown. in the u.s. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively. data human data a medicaid cohort linkage study of 1152 statin-exposed pregnant women compared to 886,996 controls did not find a significant teratogenic effect from maternal use of statins in the first trimester of pregnancy, after adjusting for potential confounders – including maternal age, diabetes mellitus, hypertension, obesity, and alcohol and tobacco use -using propensity score-based methods. the relative risk of congenital malformations between the group with statin use and the group with no statin use in the first trimester was 1.07 (95% confidence interval 0.85 to 1.37) after controlling for confounders, particularly pre-existing diabetes mellitus. there were also no statistically significant increases in any of the organ-specific malformations assessed after accounting for confounders. in the majority of pregnancies, statin treatment was initiated prior to pregnancy and was discontinued at some point in the first trimester when pregnancy was identified. study limitations include reliance on physician coding to define the presence of a malformation, lack of control for certain confounders such as body mass index, use of prescription dispensing as verification for use of a statin, and a lack of information on non-live births. animal data embryo-fetal developmental studies were conducted in pregnant rats administered 3 mg/kg/day, 10 mg/kg/day, 30 mg/kg/day pitavastatin by oral gavage during organogenesis (gestation day 7-17). no adverse effects were observed at 3 mg/kg/day, systemic exposures 22 times human systemic exposure at 4 mg/day based on auc. embryo-fetal developmental studies were conducted in pregnant rabbits administered 0.1 mg/kg/day, 0.3 mg/kg/day, 1 mg/kg/day pitavastatin by oral gavage during the period of fetal organogenesis (gestation day 6-18). maternal toxicity consisting of reduced body weight and abortion was observed at all doses tested (4 times human systemic exposure at 4 mg/day based on auc). in perinatal/postnatal studies in pregnant rats given oral gavage doses of pitavastatin at 0.1 mg/kg/day, 0.3 mg/kg/day, 1 mg/kg/day, 3 mg/kg/day, 10 mg/kg/day, 30 mg/kg/day from organogenesis through weaning (gestation day 17 to lactation day 21), maternal toxicity consisting of mortality at ≥ 0.3 mg/kg/day and impaired lactation at all doses contributed to the decreased survival of neonates in all dose groups (0.1 mg/kg/day represents approximately 1 time human systemic exposure at 4 mg/day dose based on auc). reproductive toxicity studies have shown that pitavastatin crosses the placenta in rats and is found in fetal tissues at ≤ 36% of maternal plasma concentrations following a single dose of 1 mg/kg/day during gestation (at the end of organogenesis). risk summary there is no available information about the presence of pitavastatin in human or animal milk, the effects of the drug on the breastfed infant, or the effects of the drug on milk production. however, it has been shown that another drug in this class passes into human milk. statins, including pitavastatin, decrease cholesterol synthesis and possibly the synthesis of other biologically active substances derived from cholesterol and may cause harm to the breastfed infant. because of the potential for serious adverse reactions in a breastfed infant, based upon the mechanism of action, advise patients that breastfeeding is not recommended during treatment with zypitamag [see use in specific populations (8.1), clinical pharmacology (12.1)] . the safety and effectiveness of zypitamag in pediatric patients have not been established. pediatric use information is approved for kowa co ltd livalo (pitavastatin) tablets. however, due to kowa co ltd marketing exclusivity rights, this drug product is not labeled with that information. in controlled clinical studies, 1,209 (43%) patients were 65 years and older. no overall differences in safety or effectiveness were observed between these patients and younger patients. advanced age (≥ 65 years) is a risk factor for pitavastatin-associated myopathy and rhabdomyolysis. dose selection for a geriatric patient should be cautious, recognizing the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy and the higher risk of myopathy. monitor geriatric patients receiving zypitag for the increased risk of myopathy [see warnings and precautions (5.1)] . renal impairment is a risk factor for myopathy and rhabdomyolysis. monitor all patients with renal impairment for development of myopathy.  due to the risk of myopathy, a dosage modification of zypitamag is recommended for patients with moderate and severe renal impairment (estimated glomerular filtration rate 30 – 59 ml/min/1.73 m2 and 15 – 29 ml/min/1.73 m2 , respectively), as well as end-stage renal disease receiving hemodialysis [see dosage and administration (2.3), warnings and precautions (5.1), clinical pharmacology (12.3)] . zypitamag is contraindicated in patients with active liver failure or decompensated cirrhosis[see contraindications (4), warnings and precautions (5.3)] .

United States - English - NLM (National Library of Medicine)

medicure international inc - tirofiban hydrochloride (unii: 6h925f8o5j) (tirofiban - unii:ggx234si5h) - tirofiban 5 mg in 100 ml - aggrastat® is indicated to reduce the rate of thrombotic cardiovascular events (combined endpoint of death, myocardial infarction, or refractory ischemia/repeat cardiac procedure) in patients with non-st elevation acute coronary syndrome (nste-acs). aggrastat is contraindicated in patients with: - severe hypersensitivity reaction to aggrastat (i.e., anaphylactic reactions) [see adverse reactions (6.2)] . - a history of thrombocytopenia following prior exposure to aggrastat [see adverse reactions (6.1)] . - active internal bleeding or a history of bleeding diathesis, major surgical procedure or severe physical trauma within the previous month [see adverse reactions (6.1) ]. risk summary while published data cannot definitively establish the absence of risk, available published case reports have not established an association with tirofiban use during pregnancy and major birth defects, miscarriage, or adverse maternal or fetal outcomes. untreated myocardial infarction can be fatal to the pregnant woman and f

United States - English - NLM (National Library of Medicine)

medicure international inc - tirofiban hydrochloride (unii: 6h925f8o5j) (tirofiban - unii:ggx234si5h) - aggrastat® is indicated to reduce the rate of thrombotic cardiovascular events (combined endpoint of death, myocardial infarction, or refractory ischemia/repeat cardiac procedure) in patients with non-st elevation acute coronary syndrome (nste-acs). aggrastat is contraindicated in patients with: - severe hypersensitivity reaction to aggrastat (i.e., anaphylactic reactions) [see adverse reactions (6.2)] . - a history of thrombocytopenia following prior exposure to aggrastat [see adverse reactions (6.1)] . - active internal bleeding or a history of bleeding diathesis, major surgical procedure or severe physical trauma within the previous month [see adverse reactions (6.1) ]. risk summary while published data cannot definitively establish the absence of risk, available published case reports have not established an association with tirofiban use during pregnancy and major birth defects, miscarriage, or adverse maternal or fetal outcomes. untreated myocardial infarction can be fatal to the pregnant woman and f

Singapore - English - HSA (Health Sciences Authority)

medquest marketing pte ltd - general hospital - intended for the infusion of fluids such as parenteral nutrition and administration of other drugs and medicines, and maintaining hydration and/or correct dehydration in patients who are unable to take sufficient volume of oral fluids.

Singapore - English - HSA (Health Sciences Authority)

medquest marketing pte ltd - general hospital - the polyway 3-way stop cock is intended to deliver intravenous fluid and medicines into human circulating system. the polyway 3-way stop cock is designed to provide access into iv cannula system for administration of two fluids or drugs at a time. the polyway 3-way stop cock is indicated for infusion of fluids such as solutions, parenteral nutrition and administration to other drugs. in addition, it is indicated for maintaining hydration and/or correct dehydration in patients who are unable to take sufficient volume of oral fluids as well as transfusion of blood or blood components.

Australia - English - Department of Health (Therapeutic Goods Administration)

livingstone international pty ltd - 32172 - infusion stopcock - the product is used to deliver intravenous fluid and medicines into human circulating system. the three way stop cock family is designed to provide access into iv cannula system for administration of two fluids or drugs at a time.

Australia - English - Department of Health (Therapeutic Goods Administration)

livingstone international pty ltd - 44033 - blood donor set, single-pack - the product is used to collect and store whole human blood and blood components

Uganda - English - National Drug Authority

win-medicure ltd - tramadol hydrochloride - parenteral ordinary ampoules - 50mg/ml