Maa: Yhdysvallat
Kieli: englanti
Lähde: NLM (National Library of Medicine)
DEFERASIROX (UNII: V8G4MOF2V9) (DEFERASIROX - UNII:V8G4MOF2V9)
Ascend Laboratories, LLC
ORAL
PRESCRIPTION DRUG
Deferasirox oral granules are indicated for the treatment of chronic iron overload due to blood transfusions (transfusional hemosiderosis) in patients 2 years of age and older. Deferasirox oral granules is indicated for the treatment of chronic iron overload in patients 10 years of age and older with non-transfusion-dependent thalassemia (NTDT) syndromes and with a liver iron concentration (LIC) of at least 5 milligrams of iron per gram of liver dry weight (mg Fe/g dw) and a serum ferritin greater than 300 mcg/L. This indication is approved under accelerated approval based on a reduction of liver iron concentrations (to less than 5 mg Fe/g dw) and serum ferritin levels [see Clinical Studies (14)]. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials. The safety and efficacy of deferasirox when administered with other iron chelation therapy have not been established. Deferasirox is contraindicated in patients with: - Estimated GF
Deferasirox oral granules 90 mg are Off white to yellowish granular powder in sachet. They are available in cartons of 30 sachets. (NDC 67877-675-84). Deferasirox oral granules 180 mg are Off white to yellowish granular powder in sachet. They are available in cartons of 30 sachets. (NDC 67877-676-84). Deferasirox oral granules 360 mg are Off white to yellowish granular powder in sachet. They are available in cartons of 30 sachets. (NDC 67877-677-84). Store Deferasirox oral granules at 20°C to 25°C (68°F to 77°F); excursions are permitted between 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Protect from moisture.
Abbreviated New Drug Application
Ascend Laboratories, LLC ---------- MEDICATION GUIDE DEFERASIROX (de FER a sir ox) oral granules What is the most important information I should know about deferasirox oral granules? Deferasirox oral granules can cause serious side effects, including: Kidney problems. Deferasirox oral granules can cause sudden (acute) kidney problems, including kidney failure that may require treatment with dialysis, and may cause death. Deaths have happened mostly in people who also have other health problems and had a blood disorder that was in an advanced stage. Adults and children who already have kidney problems and are taking certain medicines with deferasirox oral granules may also have an increased risk of sudden kidney problems. Be sure to tell your healthcare provider about all the medicines you take during treatment with deferasirox oral granules. Your healthcare provider should do blood and urine tests to check your or your child’s kidney function before and during treatment with deferasirox oral granules. Call your healthcare provider right away if: • your child becomes sick with fever, vomiting, or diarrhea and cannot drink fluids normally during treatment with deferasirox oral granules. Your child may be dehydrated. Your child’s healthcare provider may need to temporarily stop treatment with deferasirox oral granules and treat your child for dehydration to help prevent kidney problems. Your child’s healthcare provider may monitor your child’s kidney function more closely. • you notice that you or your child are passing less urine than usual during treatment with deferasirox oral granules. Liver problems. Deferasirox oral granules can cause liver problems, including liver failure that can sometimes cause death. Liver problems with deferasirox oral granules may be more common in people who are over 55 years of age but can also happen in children. Liver failure has happened more often in people with cirrhosis of the liver and failure of other organs. Liver failure has also happened along with kidney proble Lue koko asiakirja
DEFERASIROX ORAL - DEFERASIROX ORAL GRANULE ASCEND LABORATORIES, LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE DEFERASIROX ORAL GRANULES SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR DEFERASIROX ORAL GRANULES. DEFERASIROX ORAL GRANULES, FOR ORAL USE INITIAL U.S. APPROVAL: 2005 WARNING: RENAL FAILURE, HEPATIC FAILURE, AND GASTROINTESTINAL HEMORRHAGE SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING. DEFERASIROX MAY CAUSE SERIOUS AND FATAL: • ACUTE KIDNEY INJURY, INCLUDING ACUTE RENAL FAILURE REQUIRING DIALYSIS AND RENAL TUBULAR TOXICITY INCLUDING FANCONI SYNDROME (5.1) • HEPATIC TOXICITY, INCLUDING FAILURE (5.2) • GASTROINTESTINAL HEMORRHAGE (5.3) DEFERASIROX THERAPY REQUIRES CLOSE PATIENT MONITORING, INCLUDING LABORATORY TESTS OF RENAL AND HEPATIC FUNCTION. (5) RECENT MAJOR CHANGES Indications and Usage, Limitations of Use (1.3) 7/2019 INDICATIONS AND USAGE Deferasirox is an iron chelator indicated for the treatment of chronic iron overload due to blood transfusions in patients 2 years of age and older. (1.1) Deferasirox is indicated for the treatment of chronic iron overload in patients 10 years of age and older with non-transfusion-dependent thalassemia (NTDT) syndromes, and with a liver iron (Fe) concentration (LIC) of at least 5 mg Fe per gram of dry weight (Fe/g dw) and a serum ferritin greater than 300 mcg/L. Limitations of Use: The safety and efficacy of deferasirox when administered with other iron chelation therapy have not been established. (1.3) DOSAGE AND ADMINISTRATION Transfusional Iron Overload: Initial dose for patients with estimated glomerular filtration rate (eGFR) greater than 60 mL/min/1.73 m is 14 mg per kg (calculated to nearest whole sachet content for granules) once daily. (2.1) NTDT Syndromes: Initial dose for patients with eGFR greater than 60 mL/min/1.73 m2 is 7 mg per kg (calculated to nearest whole sachet content for granules) once daily. (2.2) See full prescribing information for Lue koko asiakirja