देश: संयुक्त राज्य
भाषा: अंग्रेज़ी
स्रोत: NLM (National Library of Medicine)
LEFLUNOMIDE (UNII: G162GK9U4W) (LEFLUNOMIDE - UNII:G162GK9U4W)
Dispensing Solutions, Inc.
LEFLUNOMIDE
LEFLUNOMIDE 20 mg
ORAL
PRESCRIPTION DRUG
Leflunomide tablets are indicated in adults for the treatment of active rheumatoid arthritis (RA): - to reduce signs and symptoms - to inhibit structural damage as evidenced by X-ray erosions and joint space narrowing - to improve physical function (see CLINICAL STUDIES). Aspirin, nonsteroidal anti-inflammatory agents and/or low dose corticosteroids may be continued during treatment with leflunomide tablets (see PRECAUTIONS - Drug Interactions – NSAIDs). The combined use of leflunomide tablets with antimalarials, intramuscular or oral gold, D penicillamine, azathioprine, or methotrexate has not been adequately studied. (See WARNINGS - Immunosuppression Potential/Bone Marrow Suppression). Leflunomide tablets are contraindicated in patients with known hypersensitivity to leflunomide or any of the other components of leflunomide tablets. Leflunomide tablets can cause fetal harm when administered to a pregnant woman. Leflunomide, when administered orally to rats during organogenesis at a dose of 15 mg/kg, was ter
Leflunomide Tablets, USP in 10 and 20 mg strengths are packaged in bottles. Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. Protect from light. Rx only Manufactured for: Heritage Pharmaceuticals Inc. Edison, NJ 08837 And Relabeled By: Dispensing Solutions Inc. 3000 West Warner Ave Santa Ana, CA 92704 United States
Abbreviated New Drug Application
LEFLUNOMIDE- LEFLUNOMIDE TABLET DISPENSING SOLUTIONS, INC. ---------- LEFLUNOMIDE TABLETS, USP 10 MG AND 20 MG RX ONLY CONTRAINDICATIONS AND WARNINGS PREGNANCY PREGNANCY MUST BE EXCLUDED BEFORE THE START OF TREATMENT WITH LEFLUNOMIDE TABLETS. LEFLUNOMIDE TABLETS ARE CONTRAINDICATED IN PREGNANT WOMEN, OR WOMEN OF CHILDBEARING POTENTIAL WHO ARE NOT USING RELIABLE CONTRACEPTION. (SEE CONTRAINDICATIONS AND WARNINGS.) PREGNANCY MUST BE AVOIDED DURING LEFLUNOMIDE TABLET TREATMENT OR PRIOR TO THE COMPLETION OF THE DRUG ELIMINATION PROCEDURE AFTER LEFLUNOMIDE TABLET TREATMENT. HEPATOTOXICITY SEVERE LIVER INJURY, INCLUDING FATAL LIVER FAILURE, HAS BEEN REPORTED IN SOME PATIENTS TREATED WITH LEFLUNOMIDE. PATIENTS WITH PRE-EXISTING ACUTE OR CHRONIC LIVER DISEASE, OR THOSE WITH SERUM ALANINE AMINOTRANSFERASE (ALT) >2XULN BEFORE INITIATING TREATMENT, SHOULD NOT BE TREATED WITH LEFLUNOMIDE. USE CAUTION WHEN LEFLUNOMIDE IS GIVEN WITH OTHER POTENTIALLY HEPATOTOXIC DRUGS. MONITORING OF ALT LEVELS IS RECOMMENDED AT LEAST MONTHLY FOR SIX MONTHS AFTER STARTING LEFLUNOMIDE, AND THEREAFTER EVERY 6-8 WEEKS. IF ALT ELEVATION > 3 FOLD ULN OCCURS, INTERRUPT LEFLUNOMIDE THERAPY WHILE INVESTIGATING THE PROBABLE CAUSE OF THE ALT ELEVATION BY CLOSE OBSERVATION AND ADDITIONAL TESTS. IF LIKELY LEFLUNOMIDE-INDUCED, START CHOLESTYRAMINE WASHOUT AND MONITOR LIVER TESTS WEEKLY UNTIL NORMALIZED. IF LEFLUNOMIDE- INDUCED LIVER INJURY IS UNLIKELY BECAUSE SOME OTHER PROBABLE CAUSE HAS BEEN FOUND, RESUMPTION OF LEFLUNOMIDE THERAPY MAY BE CONSIDERED. (SEE WARNINGS – HEPATOTOXICITY). DESCRIPTION Leflunomide is a pyrimidine synthesis inhibitor. The chemical name for leflunomide is N-(4’- trifluoromethylphenyl)-5-methylisoxazole-4-carboxamide. It has a molecular formula C H F N O , a molecular weight of 270.2 and the following structural formula: 12 9 3 2 2 Leflunomide is available for oral administration as tablets containing 10 or 20 mg of active drug. Combined with leflunomide are the following inactive ingredients: colloidal silicon dioxide, croscarm पूरा दस्तावेज़ पढ़ें