מדינה: ארצות הברית
שפה: אנגלית
מקור: NLM (National Library of Medicine)
Anagrelide Hydrochloride (UNII: VNS4435G39) (Anagrelide - UNII:K9X45X0051)
Physicians Total Care, Inc.
Anagrelide Hydrochloride
Anagrelide 0.5 mg
ORAL
PRESCRIPTION DRUG
Anagrelide hydrochloride capsules are indicated for the treatment of patients with thrombocythemia, secondary to myeloproliferative disorders, to reduce the elevated platelet count and the risk of thrombosis and to ameliorate associated symptoms including thrombo-hemorrhagic events (see CLINICAL STUDIES , DOSAGE AND ADMINISTRATION ). Anagrelide is contraindicated in patients with severe hepatic impairment. Exposure to anagrelide is increased 8 fold in patients with moderate hepatic impairment (see CLINICAL PHARMACOLOGY ). Use of anagrelide in patients with severe hepatic impairment has not been studied (see also WARNINGS, Hepatic ).
Anagrelide Hydrochloride Capsules are available as light gray cap/white body hard gelatin capsules, spin printed in black ink “5241” on the cap and "0.5 mg" on the body containing 0.5 mg of anagrelide base (as anagrelide hydrochloride) packaged in bottles of 30 capsules. PHARMACIST: Dispense in a tight, light-resistant container as defined in the USP, with a child-resistant closure (as required). Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Manufactured In India By: Cipla Ltd. Goa, India Manufactured For: TEVA PHARMACEUTICALS USA Sellersville, PA 18960 Rev. C 2/2011 ANAGRELIDE HYDROCHLORIDE CAPSULES Relabeling and Repackaging by: Physicians Total Care, Inc. Tulsa, Oklahoma 74146
Abbreviated New Drug Application
ANAGRELIDE HYDROCHLORIDE - ANAGRELIDE HYDROCHLORIDE CAPSULE PHYSICIANS TOTAL CARE, INC. ---------- ANAGRELIDE HYDROCHLORIDE CAPSULES RX ONLY DESCRIPTION Anagrelide hydrochloride is an off white powder that is very slightly soluble in water and sparingly soluble in dimethyl sulfoxide and in dimethylformamide. Anagrelide hydrochloride is a platelet- reducing agent with a chemical name of 6,7-dichloro-1,5-dihydroimidazo[2,1-b] quinazolin-2(3H)-one monohydrochloride monohydrate, and it has the following structural formula: C H Cl N O·HCl·H O M.W. 310.55 Each anagrelide hydrochloride capsule, for oral administration, contains either 0.5 mg or 1 mg of anagrelide base (as anagrelide hydrochloride) and has the following inactive ingredients: black iron oxide, crospovidone, D&C yellow #10 aluminum lake, FD&C blue #1/brilliant blue aluminum lake, FD&C blue #2/indigo carmine aluminum lake, FD&C red #40/allura red aluminum lake, gelatin, lactose anhydrous, lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone, propylene glycol, shellac glaze and titanium dioxide. CLINICAL PHARMACOLOGY The mechanism by which anagrelide reduces blood platelet count is still under investigation. Studies in patients support a hypothesis of dose-related reduction in platelet production resulting from a decrease in megakaryocyte hypermaturation. In blood withdrawn from normal volunteers treated with anagrelide, a disruption was found in the postmitotic phase of megakaryocyte development and a reduction in megakaryocyte size and ploidy. At therapeutic doses, anagrelide does not produce significant changes in white cell counts or coagulation parameters, and may have a small, but clinically insignificant effect on red cell parameters. Anagrelide inhibits cyclic AMP phosphodiesterase III (PDEIII). PDEIII inhibitors can also inhibit platelet aggregation. However, significant inhibition of platelet aggregation is observed only at doses of anagrelide higher than those required to reduce platelet count. Following oral administrat קרא את המסמך השלם