Country: United States
Language: English
Source: NLM (National Library of Medicine)
SELEGILINE HYDROCHLORIDE (UNII: 6W731X367Q) (SELEGILINE - UNII:2K1V7GP655)
Bausch Health US, LLC
SELEGILINE HYDROCHLORIDE
SELEGILINE HYDROCHLORIDE 1.25 mg
ORAL
PRESCRIPTION DRUG
ZELAPAR is indicated as an adjunct in the management of patients with Parkinson’s disease being treated with levodopa/carbidopa who exhibit deterioration in the quality of their response to this therapy. There is no evidence from controlled studies that ZELAPAR has any beneficial effect in the absence of concurrent levodopa therapy [see Clinical Studies (14) ]. ZELAPAR is contraindicated in patients with: Risk Summary There are no adequate data on the developmental risk associated with the use of ZELAPAR in pregnant women. In animal studies, administration of selegiline during pregnancy was associated with developmental toxicity (decreased embryofetal and postnatal offspring growth and survival) at doses greater than those used clinically. In the U.S. general population, the estimated background risk of major birth defects and of miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively. The background risk of major birth defects and miscarriage in the indicated population is u
ZELAPAR Orally Disintegrating Tablets are available containing 1.25 mg selegiline hydrochloride in a Zydis® formulation. Each pale yellow tablet is imprinted with a stylized “V”. Ten tablets in a blister card are provided in a sachet pouch. The sachet pouch is stored inside a clear child-resistant outer pouch and is packaged in a carton. The blister card and sachet pouch are not child-resistant. The clear outer pouch is child-resistant. ZELAPAR (selegiline hydrochloride) is available as: Store at controlled room temperature, 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F). Use within 3 months of opening pouch and immediately upon opening individual blister. Store blister tablets in sachet pouch at all times. Keep sachet pouch sealed or closed inside clear child-resistant pouch provided. Potency cannot be guaranteed after 3 months of opening the sachet pouch.
New Drug Application
ZELAPAR- SELEGILINE HYDROCHLORIDE TABLET, ORALLY DISINTEGRATING BAUSCH HEALTH US, LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ZELAPAR SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ZELAPAR. ZELAPAR (SELEGILINE HYDROCHLORIDE) ORALLY DISINTEGRATING TABLETS INITIAL U.S. APPROVAL: 2006 RECENT MAJOR CHANGES Contraindications (4) 6/2021 Warnings and Precautions, INDICATIONS AND USAGE ZELAPAR, a monoamine oxidase type B (MAO-B) inhibitor, is indicated as an adjunct in the management of patients with Parkinson’s disease being treated with levodopa/carbidopa who exhibit deterioration in the quality of their response to this therapy (1) DOSAGE AND ADMINISTRATION • • • DOSAGE FORMS AND STRENGTHS Orally Disintegrating Tablets: 1.25 mg (3) CONTRAINDICATIONS ZELAPAR is contraindicated in patients using the following drugs: opioid drugs (e.g., meperidine, tramadol, methadone), MAO inhibitors including selective MAO-B inhibitors, dextromethorphan, St. John’s wort, and cyclobenzaprine (4) WARNINGS AND PRECAUTIONS • • • • • • • • • • ADVERSE REACTIONS The most common adverse reactions (incidence at least 3% greater than on placebo) are constipation, skin disorders, vomiting, dizziness, dyskinesia, insomnia, dyspnea, myalgia, and rash (6.1) TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT BAUSCH HEALTH US, LLC AT 1-800-321- 4576 OR FDA AT 1-800-FDA-1088 OR WWW.FDA.GOV/MEDWATCH. USE IN SPECIFIC POPULATIONS • • SEE 17 FOR PATIENT COUNSELING INFORMATION. ® Melanoma-removal (5.9) 6/2021 Risk for Patients with Phenylketonuria (5.10) 6/2021 Initiate treatment with 1.25 mg given once a day for at least 6 weeks; after 6 weeks, the dose may be escalated to 2.5 mg once a day (2.1) Place tablet on top of the tongue where the tablet will disintegrate in seconds; avoid food and liquid intake 5 minutes before and after each dose (2.1) In patients with mild or moderate hepatic impairment, the dose should be reduced to 1.25 mg; Read the complete document