País: Estados Unidos
Idioma: inglés
Fuente: NLM (National Library of Medicine)
DIPHENOXYLATE (UNII: 73312P173G) (DIPHENOXYLATE - UNII:73312P173G), ATROPINE (UNII: 7C0697DR9I) (ATROPINE - UNII:7C0697DR9I)
RedPharm Drug, Inc.
ORAL
PRESCRIPTION DRUG
Diphenoxylate HCl and atropine sulfate tablets are indicated as adjunctive therapy in the management of diarrhea in patients 13 years of age and older. Diphenoxylate HCl and atropine sulfate tablets are contraindicated in: - Pediatric patients less than 6 years of age due to the risks of respiratory and central nervous system (CNS) depression (see WARNINGS ). Pediatric patients less than 6 years of age due to the risks of respiratory and central nervous system (CNS) depression (see WARNINGS ). - Patients with diarrhea associated with pseudomembranous enterocolitis ( Clostridium difficile ) or other enterotoxin-producing bacteria due to the risk of gastrointestinal (GI) complications, including sepsis (see WARNINGS ). Patients with diarrhea associated with pseudomembranous enterocolitis ( Clostridium difficile ) or other enterotoxin-producing bacteria due to the risk of gastrointestinal (GI) complications, includin
Diphenoxylate Hydrochloride and Atropine Sulfate Tablets, USP are available as a round, white, convex 2.5 mg/0.025 mg tablet, imprinted with LCI on one side and 1170 on the other side, supplied in bottles of 100, 500 and 1000 tablets. 100 Tablets NDC 0527-1170-01 500 Tablets NDC 0527-1170-05 1000 Tablets NDC 0527-1170-10 Store below 25°C (77°F). This product’s label may have been updated. For current full prescribing information, please call 1-844-834-0530. Distributed by: Lannett Company, Inc. Philadelphia, PA 19154 CIB71133E Rev. 03/18
Abbreviated New Drug Application
DIPHENOXYLATE HYDROCHLORIDE AND ATROPINE SULFATE- DIPHENOXYLATE HYDROCHLORIDE AND ATROPINE SULFATE TABLET REDPHARM DRUG, INC. ---------- DIPHENOXYLATE HCL & ATROPINE SULF TABS DESCRIPTION Each Diphenoxylate Hydrochloride and Atropine Sulfate Tablet, USP contains: 2.5 mg of diphenoxylate hydrochloride USP (equivalent to 2.3 mg of diphenoxylate) and 0.025 mg of atropine sulfate USP (equivalent to 0.01 mg of atropine) Diphenoxylate hydrochloride, an antidiarrheal, is ethyl 1-(3-cyano-3,3-diphenylpropyl)-4- phenylisonipecotate monohydrochloride and has the following structural formula: Atropine sulfate, an anticholinergic, is endo-(±)-α-(hydroxymethyl) benzeneacetic acid 8-methyl-8- azabicyclo[3.2.1]oct-3-yl ester sulfate (2:1) (salt) monohydrate and has the following structural formula: A subtherapeutic amount of atropine sulfate is present to discourage deliberate overdosage. Inactive ingredients of diphenoxylate HCl and atropine sulfate tablets include lactose monohydrate, acacia, calcium stearate, methylcellulose, and cornstarch. CLINICAL PHARMACOLOGY Diphenoxylate is rapidly and extensively metabolized in man by ester hydrolysis to diphenoxylic acid (difenoxine), which is biologically active and the major metabolite in the blood. After a 5 mg oral dose of carbon-14 labeled diphenoxylate hydrochloride in ethanolic solution was given to three healthy volunteers, an average of 14% of the drug plus its metabolites was excreted in the urine and 49% in the feces over a four-day period. Urinary excretion of the unmetabolized drug constituted less than 1% of the dose, and diphenoxylic acid plus its glucuronide conjugate constituted about 6% of the dose. In a 16-subject crossover bioavailability study, a linear relationship in the dose range of 2.5 to 10 mg was found between the dose of diphenoxylate hydrochloride (given as diphenoxylate HCl and atropine sulfate oral solution) and the peak plasma concentration, the area under the plasma concentration-time curve, and the amount of diphenoxylic acid excreted in the urine Leer el documento completo