Ország: Egyesült Államok
Nyelv: angol
Forrás: NLM (National Library of Medicine)
Diphenoxylate hydrochloride (UNII: W24OD7YW48) (Diphenoxylate - UNII:73312P173G), Atropine sulfate (UNII: 03J5ZE7KA5) (Atropine - UNII:7C0697DR9I)
Aphena Pharma Solutions - Tennessee, LLC
ORAL
PRESCRIPTION DRUG
Diphenoxylate hydrochloride and atropine sulfate tablets are indicated as adjunctive therapy in the management of diarrhea in patients 13 years of age and older. Diphenoxylate hydrochloride and atropine sulfate tablets are contraindicated in: - Pediatric patients less than 6 years of age due to the risks of respiratory and central nervous system (CNS) depression [see WARNINGS ] . - Patients with diarrhea associated with pseudomembranous enterocolitis (Clostridium difficile ) or other enterotoxin-producing bacteria due to the risk of gastrointestinal (GI) complications, including sepsis [see WARNINGS ] . - Patients with known hypersensitivity to diphenoxylate or atropine. - Patients with obstructive jaundice. Diphenoxylate hydrochloride and atropine sulfate is classified as a Schedule V controlled substance by federal regulation. Diphenoxylate hydrochloride is chemically related to the narcotic analgesic meperidine. In doses used for the treatment of diarrhea, whether acute or chronic, diphenoxylate has not
Diphenoxylate hydrochloride and atropine sulfate tablets, USP are supplied as white to off-white, round, bi-convex tablets, engraved on one side "U-S" and "90" on the other side. They are supplied as follows: Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Protect from light. Dispense only in a well closed, light-resistant container with a child-resistant closure.
Abbreviated New Drug Application
DIPHENOXYLATE HYDROCHLORIDE AND ATROPINE SULFATE- DIPHENOXYLATE HYDROCHLORIDE AND ATROPINE SULFATE TABLET APHENA PHARMA SOLUTIONS - TENNESSEE, LLC ---------- DIPHENOXYLATE HYDROCHLORIDE AND ATROPINE SULFATE TABLETS, USP, FOR ORAL USE CV RX ONLY DESCRIPTION Each diphenoxylate hydrochloride and atropine sulfate tablet, USP contains: Diphenoxylate hydrochloride, USP 2.5 mg (equivalent to 2.3 mg of diphenoxylate) Atropine sulfate, USP 0.025 mg (equivalent to 0.01 mg of atropine) Diphenoxylate hydrochloride, USP an antidiarrheal, is ethyl 1-(3-cyano-3,3- diphenylpropyl)-4-phenylisonipecotate monohydrochloride and has the following structural formula: Atropine sulfate, USP an anticholinergic, is endo-(±)-α-(hydroxymethyl) benzeneacetic acid 8-methyl-8-azabicyclo[3.2.1] oct-3-yl ester sulfate (2:1) (salt) monohydrate and has the following structural formula: A subtherapeutic amount of atropine sulfate, USP is present to discourage deliberate overdosage. Diphenoxylate hydrochloride and atropine sulfate tablets, USP contain the following inactive ingredients: colloidal silicon dioxide, microcrystalline stearate, pregelatinized starch and stearic acid. CLINICAL PHARMACOLOGY Diphenoxylate is rapidly and extensively metabolized in man by ester hydrolysis to diphenoxylic acid (difenoxine), which is biologically active and the major metabolite in the blood. After a 5-mg oral dose of carbon-14 labeled diphenoxylate hydrochloride in ethanolic solution was given to three healthy volunteers, an average of 14% of the drug plus its metabolites was excreted in the urine and 49% in the feces over a four-day period. Urinary excretion of the unmetabolized drug constituted less than 1% of the dose, and diphenoxylic acid plus its glucuronide conjugate constituted about 6% of the dose. In a 16-subject crossover bioavailability study, a linear relationship in the dose range of 2.5 to 10 mg was found between the dose of diphenoxylate hydrochloride (given as diphenoxylate hydrochloride and atropine sulfate liquid) and the peak plasma concen Olvassa el a teljes dokumentumot