Država: Sjedinjene Američke Države
Jezik: engleski
Izvor: NLM (National Library of Medicine)
Temozolomide (UNII: YF1K15M17Y) (Temozolomide - UNII:YF1K15M17Y)
Sandoz Inc.
Temozolomide
Temozolomide 5 mg
ORAL
PRESCRIPTION DRUG
Temozolomide is indicated for the treatment of adult patients with newly diagnosed glioblastoma concomitantly with radiotherapy and then as maintenance treatment. Temozolomide is indicated for the treatment of adult patients with refractory anaplastic astrocytoma who have experienced disease progression on a drug regimen containing nitrosourea and procarbazine. Temozolomide is contraindicated in patients with a history of hypersensitivity reactions to: - temozolomide or any other ingredients in temozolomide; and - dacarbazine, since both temozolomide and dacarbazine are metabolized to the same active metabolite 5-(3-methyltriazen-1-yl)-imidazole-4-carboxamide. Reactions to temozolomide have included anaphylaxis [see Adverse Reactions (6.2)]. Risk Summary Based on its mechanism of action [see Clinical Pharmacology (12.1)] and findings from animal studies, temozolomide can cause fetal harm when administered to a pregnant woman. Available postmarketing reports describe cases of spontaneous abortions and congeni
Temozolomide is a cytotoxic drug. Follow applicable special handling and disposal procedures.1 Temozolomide capsules Temozolomide capsules are supplied in amber glass bottles with child-resistant polypropylene caps containing the following capsule strengths: 5 mg: opaque white bodies with opaque white caps. The capsule is imprinted with the dosage strength and "Temozolomide". They are supplied as follows: 20 mg: opaque white bodies with opaque white caps. The capsule is imprinted with the dosage strength and "Temozolomide". They are supplied as follows: 100 mg: opaque white bodies with opaque white caps. The capsule is imprinted with the dosage strength and "Temozolomide". They are supplied as follows: 140 mg: opaque white bodies with opaque white caps. The capsule is imprinted with the dosage strength and "Temozolomide". They are supplied as follows: 180 mg: opaque white bodies with opaque white caps. The capsule is imprinted with the dosage strength and "Temozolomide". They are supplied as follows: 250 mg: opaque white bodies with opaque white caps. The capsule is imprinted with the dosage strength and "Temozolomide". They are supplied as follows: Store temozolomide capsules at 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Store temozolomide for injection refrigerated at 2°C to 8°C (36°F to 46°F).
New Drug Application Authorized Generic
TEMOZOLOMIDE- TEMOZOLOMIDE CAPSULE SANDOZ INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE TEMOZOLOMIDE CAPSULES SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR TEMOZOLOMIDE CAPSULES. TEMOZOLOMIDE CAPSULES, FOR ORAL USE TEMOZOLOMIDE FOR INJECTION MARKETED AS TEMODAR , FOR INTRAVENOUS USE INITIAL U.S. APPROVAL: 1999 INDICATIONS AND USAGE Temozolomide is an alkylating drug indicated for the treatment of adult patients with: Newly diagnosed glioblastoma concomitantly with radiotherapy and then as maintenance treatment. (1.1) Refractory anaplastic astrocytoma who have experienced disease progression on a drug regimen containing nitrosourea and procarbazine. (1.2) DOSAGE AND ADMINISTRATION Administer either orally or intravenously. Newly Diagnosed Glioblastoma: 75 mg/m once daily for 42 days concomitant with focal radiotherapy followed by initial maintenance dose of 150 mg/m once daily for Days 1 to 5 of each 28-day cycle for 6 cycles. May increase maintenance dose to 200 mg/m for cycles 2 to 6 based on toxicity. (2.1) Provide _Pneumocystis_ pneumonia (PCP) prophylaxis during concomitant phase and continue in patients who develop lymphopenia until resolution to Grade 1 or less. (2.1) Refractory Anaplastic Astrocytoma: Initial dose of 150 mg/m once daily on Days 1 to 5 of each 28-day cycle. (2.2) DOSAGE FORMS AND STRENGTHS Capsules: 5 mg, 20 mg, 100 mg, 140 mg, 180 mg, and 250 mg. (3) For injection: 100 mg as a lyophilized powder in single-dose vial for reconstitution. (3) CONTRAINDICATIONS History of hypersensitivity to temozolomide or any other ingredients in temozolomide and dacarbazine. WARNINGS AND PRECAUTIONS Myelosuppression: Monitor absolute neutrophil count (ANC) and platelet count prior to each cycle and during treatment. Geriatric patients and women have a higher risk of developing myelosuppression. (5.1) Myelodysplastic Syndrome and Secondary Malignancies, including myeloid leukemia, have been observed. (5.2) _Pneumocystis_ Pročitajte cijeli dokument