Pays: États-Unis
Langue: anglais
Source: NLM (National Library of Medicine)
DIMETHYL FUMARATE (UNII: FO2303MNI2) (MONOMETHYL FUMARATE - UNII:45IUB1PX8R)
Lupin Pharmaceuticals, Inc.
PRESCRIPTION DRUG
Dimethyl fumarate is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. Dimethyl fumarate delayed-release capsules are contraindicated in patients with known hypersensitivity to dimethyl fumarate or to any of the excipients of dimethyl fumarate delayed-release capsules. Reactions have included anaphylaxis and angioedema [see WARNINGS AND PRECAUTIONS (5.1)]. Risk Summary There are no adequate data on the developmental risk associated with the use of dimethyl fumarate in pregnant women. In animals, adverse effects on offspring survival, growth, sexual maturation, and neurobehavioral function were observed when dimethyl fumarate (DMF) was administered during pregnancy and lactation at clinically relevant doses [see Data]. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2-4% an
Dimethyl fumarate delayed-release capsules are available as hard gelatin delayed-release capsules in two strengths containing either 120 mg or 240 mg of dimethyl fumarate. The yellow cap and white body 120 mg capsules are imprinted with circular LU on cap and D76 on body in black ink. The yellow cap and body 240 mg capsules are imprinted with circular LU on cap and D77 on body in black ink. Dimethyl fumarate delayed-release capsules are available as follows: 30-day Starter Pack, (NDC 68180-778-13): 7-day bottle 120 mg capsules, quantity 14 (NDC 68180-776-65) 23-day bottle 240 mg capsules, quantity 46 (NDC 68180-777-48) 120 mg capsules: 7-day bottle of 14 capsules (NDC 68180-776-14) 240 mg capsules: 30-day bottle of 60 capsules (NDC 68180-777-07) Store at 15° to 30°C (59° to 86°F). Protect the capsules from light. Store in original container.
Abbreviated New Drug Application
DIMETHYL FUMARATE - DIMETHYL FUMARATE DIMETHYL FUMARATE- DIMETHYL FUMARATE CAPSULE, DELAYED RELEASE LUPIN PHARMACEUTICALS, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE DIMETHYL FUMARATE DELAYED-RELEASE CAPSULES SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR DIMETHYL FUMARATE DELAYED-RELEASE CAPSULES. DIMETHYL FUMARATE DELAYED-RELEASE CAPSULES, FOR ORAL USE INITIAL U.S. APPROVAL: 2013 INDICATIONS AND USAGE Dimethyl fumarate is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults (1) DOSAGE AND ADMINISTRATION Starting dose: 120 mg twice a day, orally, for 7 days (2.1) Maintenance dose after 7 days: 240 mg twice a day, orally (2.1) Swallow dimethyl fumarate capsules whole and intact. Do not crush, chew, or sprinkle capsule contents on food (2.1) Take dimethyl fumarate delayed-release capsules with or without food (2.1) DOSAGE FORMS AND STRENGTHS _Delayed-release capsules_: 120 mg and 240 mg (3) CONTRAINDICATIONS Known hypersensitivity to dimethyl fumarate or any of the excipients of dimethyl fumarate delayed-release capsules. (4) WARNINGS AND PRECAUTIONS Anaphylaxis and angioedema: Discontinue and do not restart dimethyl fumarate if these occur. (5.1) Progressive multifocal leukoencephalopathy (PML): Withhold dimethyl fumarate at the first sign or symptom suggestive of PML. (5.2) Herpes zoster and other serious opportunistic infections: Consider withholding dimethyl fumarate in cases of serious infection until the infection has resolved. (5.3) Lymphopenia: Obtain a CBC including lymphocyte count before initiating dimethyl fumarate, after 6 months, and every 6 to 12 months thereafter. Consider interruption of dimethyl fumarate if lymphocyte counts <0.5 x 10 /L persist for more than six months. (5.4) Liver injury: Obtain serum aminotransferase, alkaline phosphatase, and total bilirubin lev Lire le document complet