Država: Sjedinjene Američke Države
Jezik: engleski
Izvor: NLM (National Library of Medicine)
ZAFIRLUKAST (UNII: XZ629S5L50) (ZAFIRLUKAST - UNII:XZ629S5L50)
Par Pharmaceutical, Inc.
ZAFIRLUKAST
ZAFIRLUKAST 10 mg
ORAL
PRESCRIPTION DRUG
ACCOLATE is indicated for the prophylaxis and chronic treatment of asthma in adults and children 5 years of age and older. ACCOLATE is contraindicated in patients who are hypersensitive to zafirlukast or any of its inactive ingredients. ACCOLATE is contraindicated in patients with hepatic impairment including hepatic cirrhosis.
ACCOLATE 10 mg Tablets, (NDC 49884-589-02) white, round, biconvex, film-coated tablets debossed with “P” on one side and “10” on the other, are supplied in opaque HDPE bottles of 60 tablets. ACCOLATE 20 mg Tablets, (NDC 49884-590-02) white, round, biconvex, film-coated tablets debossed with “P” on one side and “20” on the other, are supplied in opaque HDPE bottles of 60 tablets. Store at controlled room temperature, 20-25°C (68-77°F) [see USP]. Protect from light and moisture. Dispense in the original air-tight container. ACCOLATE is a registered trademark of Par Pharmaceutical, Inc. Manufactured by: Par Pharmaceutical Companies, Inc. Chestnut Ridge, NY 10977 U.S.A. ACCOLATE® (ak-o-late) (zafirlukast) Tablets Read the Patient Information leaflet before you start taking ACCOLATE and each time you get a refill. There may be new information. This information does not take the place of talking to your healthcare provider about your medical condition or your treatment. What is ACCOLATE? ACCOLATE is a prescription medicine used to help prevent asthma attacks and for the long-term treatment of asthma symptoms in adults and children 5 years and older. It is not known if ACCOLATE is safe and effective when used in children under 5 years old. The effect of ACCOLATE on growth in children has not been determined. Do not take ACCOLATE if you need relief right away for a sudden asthma attack. If you get an asthma attack, you should follow the instructions your healthcare provider gave you for treating asthma attacks. Who should not take ACCOLATE? Do not take ACCOLATE if you; What should I tell my healthcare provider before taking ACCOLATE? Before you take ACCOLATE, tell your healthcare provider if you: Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. ACCOLATE may affect the way other medicines work, and other medicines may affect how ACCOLATE works. Especially tell your healthcare provider if you take: Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine. How should I take ACCOLATE? What are the possible side effects of ACCOLATE? ACCOLATE may cause serious side effects, including: The most common side effects of ACCOLATE in people 12 years and older include: The most common side effects of ACCOLATE in children 5 to 11 years include: Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all of the possible side effects of ACCOLATE. For more information, ask your healthcare provider or pharmacist. Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects to Par Pharmaceutical, Inc. at 1-800-828-9393. How should I store ACCOLATE? General information about the safe and effective use of ACCOLATE. Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use ACCOLATE for a condition for which it was not prescribed. Do not give ACCOLATE to other people, even if they have the same symptoms that you have. It may harm them. This Patient Information leaflet summarizes the most important information about ACCOLATE. If you would like more information, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about ACCOLATE that is written for healthcare professionals. For more information, go to www.parpharm.com, or call 1-800-828-9393. What are the ingredients in ACCOLATE? Active ingredient: zafirlukast Inactive ingredients: croscarmellose sodium, lactose, magnesium stearate, microcrystalline cellulose, povidone, hypromellose, and titanium dioxide. What do ACCOLATE tablets look like?
New Drug Application
ACCOLATE- ZAFIRLUKAST TABLET, COATED PAR PHARMACEUTICAL, INC. ---------- ACCOLATE® (_ZAFIRLUKAST_) TABLETS DESCRIPTION Zafirlukast is a synthetic, selective peptide leukotriene receptor antagonist (LTRA), with the chemical name 4-(5-cyclopentyloxy-carbonylamino-1-methyl-indol-3-ylmethyl)-3- methoxy-N-o-tolylsulfonylbenzamide. The molecular weight of zafirlukast is 575.7 and the structural formula is: The empirical formula is: C H N O S Zafirlukast, a fine white to pale yellow amorphous powder, is practically insoluble in water. It is slightly soluble in methanol and freely soluble in tetrahydrofuran, dimethylsulfoxide, and acetone. ACCOLATE is supplied as 10 and 20 mg tablets for oral administration. INACTIVE INGREDIENTS: Film-coated tablets containing croscarmellose sodium, lactose, magnesium stearate, microcrystalline cellulose, povidone, hypromellose, and titanium dioxide. CLINICAL PHARMACOLOGY 31 33 3 6 MECHANISM OF ACTION: Zafirlukast is a selective and competitive receptor antagonist of leukotriene D and E (LTD and LTE ), components of slow-reacting substance of anaphylaxis (SRSA). Cysteinyl leukotriene production and receptor occupation have been correlated with the pathophysiology of asthma, including airway edema, smooth muscle constriction, and altered cellular activity associated with the inflammatory process, which contribute to the signs and symptoms of asthma. Patients with asthma were found in one study to be 25- 100 times more sensitive to the bronchoconstricting activity of inhaled LTD than nonasthmatic subjects. _In vitro_ studies demonstrated that zafirlukast antagonized the contractile activity of three leukotrienes (LTC , LTD and LTE ) in conducting airway smooth muscle from laboratory animals and humans. Zafirlukast prevented intradermal LTD -induced increases in cutaneous vascular permeability and inhibited inhaled LTD -induced influx of eosinophils into animal lungs. Inhalational challenge studies in sensitized sheep showed that zafirlukast suppressed the airway responses to antigen; this Pročitajte cijeli dokument