País: Estados Unidos
Idioma: inglés
Fuente: NLM (National Library of Medicine)
RITONAVIR (UNII: O3J8G9O825) (RITONAVIR - UNII:O3J8G9O825), DASABUVIR SODIUM MONOHYDRATE (UNII: OG6D40M62L) (DASABUVIR - UNII:DE54EQW8T1), PARITAPREVIR DIHYDRATE (UNII: HRQ5901O78) (PARITAPREVIR - UNII:OU2YM37K86), OMBITASVIR HEMINONAHYDRATE (UNII: EQE3I70J3W) (OMBITASVIR - UNII:2302768XJ8)
AbbVie Inc.
RITONAVIR
RITONAVIR 33.33 mg
PRESCRIPTION DRUG
VIEKIRA XR is indicated for the treatment of adult patients with chronic hepatitis C virus (HCV) [see Dosage and Administration (2.2) and Clinical Studies (14)] : - genotype 1b infection without cirrhosis or with compensated cirrhosis - genotype 1a infection without cirrhosis or with compensated cirrhosis for use in combination with ribavirin. - If VIEKIRA XR is administered with ribavirin, the contraindications to ribavirin also apply to this combination regimen. Refer to the ribavirin prescribing information for a list of contraindications for ribavirin. - VIEKIRA XR is contraindicated: In patients with moderate to severe hepatic impairment (Child-Pugh B and C) due to risk of potential toxicity [see Warnings and Precautions (5.2), Use in Specific Populations (8.6) and Clinical Pharmacology (12.3)] . With drugs that are highly dependent on CYP3A for clearance and for which elevated plasma concentrations are associated with serious and/or life-threatening events [see Drug Interactions (7) and Clinical Pharmac
VIEKIRA XR is dispensed in a monthly carton for a total of 28 days of therapy. Each monthly carton contains four weekly cartons. Each weekly carton contains seven daily dose packs. Each child-resistant daily dose pack contains three tablets. The NDC number is 0074-0063-28. Dasabuvir, ombitasvir, paritaprevir, and ritonavir 200 mg/8.33 mg/50 mg/33.33 mg tablets are pale yellow-colored, film-coated, oblong shaped, debossed with “3QD” on one side. Store at or below 30°C (86°F).
New Drug Application
AbbVie Inc. ---------- MEDICATION GUIDE VIEKIRA XR (vee-KEE-rah-XR) (dasabuvir, ombitasvir, paritaprevir, and ritonavir) extended-release tablets for oral use Important: When taking VIEKIRA XR in combination with ribavirin, you should also read the Medication Guide that comes with ribavirin. What is the most important information I should know about VIEKIRA XR? VIEKIRA XR can cause serious side effects, including: • Hepatitis B virus reactivation: Before starting treatment with VIEKIRA XR, your healthcare provider will do blood tests to check for hepatitis B virus infection. If you have ever had hepatitis B virus infection, the hepatitis B virus could become active again during or after treatment for hepatitis C virus with VIEKIRA XR. Hepatitis B virus that becomes active again (called reactivation) may cause serious liver problems including liver failure and death. Your healthcare provider will monitor you if you are at risk for hepatitis B virus reactivation during treatment and after you stop taking VIEKIRA XR. • Severe liver problems, especially in people with certain types of cirrhosis. These severe liver problems can lead to the need for a liver transplant, or can lead to death. If you have cirrhosis, your healthcare provider will check your liver before and during treatment with VIEKIRA XR. • Increases in your liver function blood tests, especially if you use ethinyl estradiol-containing medicines (contained in certain birth control products). • You must stop using ethinyl estradiol-containing medicines before you start treatment with VIEKIRA XR. See the section “Do not take VIEKIRA XR if you” for a list of these medicines. • If you use these medicines as a method of birth control, you must use another method of birth control during treatment with VIEKIRA XR, and for about 2 weeks after you finish treatment with VIEKIRA XR. Your healthcare provider will tell you when you may begin taking ethinyl estradiol-containing medicines. • Your healthcare provider should do blood tests to check your l Leer el documento completo
VIEKIRA XR- DASABUVIR AND OMBITASVIR AND PARITAPREVIR AND RITONAVIR ABBVIE INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE VIEKIRA XR SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR VIEKIRA XR. VIEKIRA XR (DASABUVIR, OMBITASVIR, PARITAPREVIR, AND RITONAVIR) EXTENDED-RELEASE TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 2014 WARNING: RISK OF HEPATITIS B VIRUS REACTIVATION IN PATIENTS COINFECTED WITH HCV AND HBV _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ HEPATITIS B VIRUS (HBV) REACTIVATION HAS BEEN REPORTED, IN SOME CASES RESULTING IN FULMINANT HEPATITIS, HEPATIC FAILURE, AND DEATH. (5.1) RECENT MAJOR CHANGES Contraindications (4) 12/2019 INDICATIONS AND USAGE VIEKIRA XR includes dasabuvir, a hepatitis C virus non-nucleoside NS5B palm polymerase inhibitor, ombitasvir, a hepatitis C virus NS5A inhibitor, paritaprevir, a hepatitis C virus NS3/4A protease inhibitor, and ritonavir, a CYP3A inhibitor and is indicated for the treatment of adult patients with chronic hepatitis C virus (HCV): genotype 1b infection without cirrhosis or with compensated cirrhosis genotype 1a infection without cirrhosis or with compensated cirrhosis for use in combination with ribavirin. (1) DOSAGE AND ADMINISTRATION Testing Prior to the Initiation of Therapy: Test all patients for HBV infection by measuring HBsAg and anti-HBc. (2.1) Assess for laboratory and clinical evidence of hepatic decompensation. (2.1) Recommended dosage: Three tablets taken once daily. VIEKIRA XR must be taken with a meal because administration under fasting conditions may result in reduced virologic response and possible development of resistance. (2.2) TREATMENT REGIMEN AND DURATION BY PATIENT POPULATION PATIENT POPULATION T REATMENT* DURATIO N GENOTYPE 1A, WITHOUT CIRRHOSIS VIEKIRA XR + ribavirin 12 weeks GENOTYPE 1A, WITH COMPENSATED CIRRHOSIS VIEKIRA XR + ribavirin 24 weeks** GENOTYPE 1B, WITH OR WITHOUT COMPENSATED CIRRHOSIS VIEKIRA XR 12 weeks *Note: Follow Leer el documento completo