מדינה: ארצות הברית
שפה: אנגלית
מקור: NLM (National Library of Medicine)
METHADONE HYDROCHLORIDE (UNII: 229809935B) (METHADONE - UNII:UC6VBE7V1Z)
Akorn
METHADONE HYDROCHLORIDE
METHADONE HYDROCHLORIDE 10 mg in 1 mL
INTRAMUSCULAR
PRESCRIPTION DRUG
- For the management of pain severe enough to require an opioid analgesic and for which alternative treatment options are inadequate. Limitations of Use Because of the risks of addiction, abuse, and misuse with opioids, even at recommended doses (see WARNINGS: Addiction, Abuse, and Misuse) reserve Methadone Hydrochloride Injection for use in patients for whom alternative treatment options [e.g., non-opioid analgesics or opioid combination products]: Have not been tolerated, or are not expected to be tolerated, Have not provided adequate analgesia, or are not expected to provide adequate analgesia. - Have not been tolerated, or are not expected to be tolerated, - Have not provided adequate analgesia, or are not expected to provide adequate analgesia. - For use in temporary treatment of opioid dependence in patients unable to take oral medication. Limitations of Use Injectable methadone products are not approved for the outpatient treatment of opioid dependence. In this patient population, parenteral
Methadone Hydrochloride Injection USP, 200 mg/20 mL (10 mg/mL) is a clear, colorless solution and is available in: NDC 17478-380-20 20 mL Multi-dose Vials: One vial per carton Storage: Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Protect from light. Store in carton until contents have been used. AKORN Distributed by: Akorn Operating Company LLC Gurnee, IL 60031 MH00N Rev. 10/22
Abbreviated New Drug Application
METHADONE HYDROCHLORIDE - METHADONE HYDROCHLORIDE INJECTION, SOLUTION AKORN ---------- METHADONE HYDROCHLORIDE INJECTION, USP CII 200 MG/20 ML (10 MG/ML) RX ONLY WARNING: ADDICTION, ABUSE, AND MISUSE; LIFE-THREATENING RESPIRATORY DEPRESSION; LIFE-THREATENING QT PROLONGATION; NEONATAL OPIOID WITHDRAWAL SYNDROME; INTERACTIONS WITH DRUGS AFFECTING CYTOCHROME P450 ISOENZYMES; RISKS FROM CONCOMITANT USE WITH BENZODIAZEPINES OR OTHER CNS DEPRESSANTS; AND TREATMENT OF OPIOID ADDICTION ADDICTION, ABUSE, AND MISUSE METHADONE HYDROCHLORIDE INJECTION EXPOSES PATIENTS AND OTHER USERS TO THE RISKS OF OPIOID ADDICTION, ABUSE, AND MISUSE, WHICH CAN LEAD TO OVERDOSE AND DEATH. ASSESS EACH PATIENT'S RISK PRIOR TO PRESCRIBING METHADONE HYDROCHLORIDE INJECTION, AND MONITOR ALL PATIENTS REGULARLY FOR THE DEVELOPMENT OF THESE BEHAVIORS AND CONDITIONS (SEE WARNINGS). LIFE-THREATENING RESPIRATORY DEPRESSION SERIOUS, LIFE-THREATENING, OR FATAL RESPIRATORY DEPRESSION MAY OCCUR WITH USE OF METHADONE HYDROCHLORIDE INJECTION. THE PEAK RESPIRATORY DEPRESSANT EFFECT OF METHADONE OCCURS LATER, AND PERSISTS LONGER THAN THE PEAK ANALGESIC EFFECT, ESPECIALLY DURING THE INITIAL DOSING PERIOD. MONITOR FOR RESPIRATORY DEPRESSION, ESPECIALLY DURING INITIATION OF METHADONE HYDROCHLORIDE INJECTION OR FOLLOWING A DOSE INCREASE (SEE WARNINGS). LIFE-THREATENING QT PROLONGATION QT INTERVAL PROLONGATION AND SERIOUS ARRHYTHMIA (TORSADES DE POINTES) HAVE OCCURRED DURING TREATMENT WITH METHADONE. MOST CASES INVOLVE PATIENTS BEING TREATED FOR PAIN WITH LARGE, MULTIPLE DAILY DOSES OF METHADONE, ALTHOUGH CASES HAVE BEEN REPORTED IN PATIENTS RECEIVING DOSES COMMONLY USED FOR MAINTENANCE TREATMENT OF OPIOID ADDICTION. CLOSELY MONITOR PATIENTS WITH RISK FACTORS FOR DEVELOPMENT OF PROLONGED QT INTERVAL, A HISTORY OF CARDIAC CONDUCTION ABNORMALITIES, AND THOSE TAKING MEDICATIONS AFFECTING CARDIAC CONDUCTION FOR CHANGES IN CARDIAC RHYTHM DURING INITIATION AND TITRATION OF METHADONE HYDROCHLORIDE INJECTION (SEE WARNINGS). NEONATAL OPIOID WITHDRAWAL SYNDROME NEONATAL OPI קרא את המסמך השלם