Երկիր: Ամերիկայի Միացյալ Նահանգներ
Լեզու: անգլերեն
Աղբյուրը: NLM (National Library of Medicine)
pioglitazone hydrochloride (UNII: JQT35NPK6C) (pioglitazone - UNII:X4OV71U42S), glimepiride (UNII: 6KY687524K) (glimepiride - UNII:6KY687524K)
Takeda Pharmaceuticals America, Inc.
pioglitazone hydrochloride
pioglitazone 30 mg
ORAL
PRESCRIPTION DRUG
DUETACT is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus who are already treated with a thiazolidinedione and sulfonylurea or who have inadequate glycemic control on a thiazolidinedione alone or a sulfonylurea alone [see Clinical Studies (14)] . Important Limitations of Use Pioglitazone exerts its antihyperglycemic effect only in the presence of endogenous insulin. DUETACT should not be used to treat type 1 diabetes or diabetic ketoacidosis, as it would not be effective in these settings. Use caution in patients with liver disease [see Warnings and Precautions (5.5)] . Reported hypersensitivity reactions with glimepiride include cutaneous eruptions with or without pruritus as well as more serious reactions (e.g., anaphylaxis, angioedema, Stevens-Johnson Syndrome, dyspnea) [see Warnings and Precautions ( 5.3) and Adverse Reactions (6.2)] Risk Summary Limited data with DUETACT or pioglitazone in pregnant women are not sufficient to determine a d
DUETACT is available in 30 mg pioglitazone plus 2 mg glimepiride or 30 mg pioglitazone plus 4 mg glimepiride tablets as follows: 30 mg/2 mg tablet: white to off-white, round, convex tablets, debossed with 4833G on one side and 30/2 on the other, available in: NDC 64764-302-30 Bottles of 30 NDC 64764-302-90 Bottles of 90 30 mg/4 mg tablet: white to off-white, round, convex tablets, debossed with 4833G on one side and 30/4 on the other, available in: NDC 64764-304-30 Bottles of 30 NDC 64764-304-90 Bottles of 90 Storage Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. Keep container tightly closed and protect from moisture and humidity.
New Drug Application
DUETACT- PIOGLITAZONE AND GLIMEPIRIDE TABLET Takeda Pharmaceuticals America, Inc. ---------- MEDICATION GUIDE DUETACT (doo-et' -ăct) (pioglitazone and glimepiride) tablets Read this Medication Guide carefully before you start taking DUETACT and each time you get a refill. There may be new information. This information does not take the place of talking with your doctor about your medical condition or your treatment. If you have any questions about DUETACT, ask your doctor or pharmacist. What is the most important information I should know about DUETACT? DUETACT can cause serious side effects, including new or worse heart failure. • Pioglitazone, one of the medicines in DUETACT, can cause your body to keep extra fluid (fluid retention), which leads to swelling (edema) and weight gain. Extra body fluid can make some heart problems worse or lead to heart failure. Heart failure means your heart does not pump blood well enough • Do not take DUETACT if you have severe heart failure • If you have heart failure with symptoms (such as shortness of breath or swelling), even if these symptoms are not severe, DUETACT may not be right for you Call your doctor right away if you have any of the following: • swelling or fluid retention, especially in the ankles or legs • shortness of breath or trouble breathing, especially when you lie down • an unusually fast increase in weight • unusual tiredness DUETACT can have other serious side effects. See "What are the possible side effects of DUETACT?" What is DUETACT? DUETACT is a prescription medicine used with diet and exercise to improve blood sugar (glucose) control in adults with type 2 diabetes. DUETACT contains 2 prescription diabetes medicines called pioglitazone (ACTOS) and glimepiride, a sulfonylurea. DUETACT is not for people with type 1 diabetes. DUETACT is not for people with diabetic ketoacidosis (increased ketones in your blood or urine). It is not known if DUETACT is safe and effective in children under the age of 18. DUETACT is not recommended for use in Կարդացեք ամբողջական փաստաթուղթը
DUETACT- PIOGLITAZONE AND GLIMEPIRIDE TABLET TAKEDA PHARMACEUTICALS AMERICA, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE DUETACT SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR DUETACT. DUETACT (PIOGLITAZONE AND GLIMEPIRIDE) TABLETS FOR ORAL USE INITIAL U.S. APPROVAL: 2006 WARNING: CONGESTIVE HEART FAILURE _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ • • • • RECENT MAJOR CHANGES Warnings and Precautions Urinary bladder tumors (5.6) 12/2016 INDICATIONS AND USAGE DUETACT is a thiazolidinedione and a sulfonylurea combination product indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus when treatment with both pioglitazone and glimepiride is appropriate. (1) Important Limitations of Use: • DOSAGE AND ADMINISTRATION • • • • DOSAGE FORMS AND STRENGTHS • • CONTRAINDICATIONS • • THIAZOLIDINEDIONES, INCLUDING PIOGLITAZONE, WHICH IS A COMPONENT OF DUETACT, CAUSE OR EXACERBATE CONGESTIVE HEART FAILURE IN SOME PATIENTS. (5.1) AFTER INITIATION OF DUETACT, AND AFTER DOSE INCREASES, MONITOR PATIENTS CAREFULLY FOR SIGNS AND SYMPTOMS OF HEART FAILURE (E.G., EXCESSIVE, RAPID WEIGHT GAIN, DYSPNEA, AND/OR EDEMA). IF HEART FAILURE DEVELOPS, IT SHOULD BE MANAGED ACCORDING TO CURRENT STANDARDS OF CARE AND DISCONTINUATION OR DOSE REDUCTION OF DUETACT MUST BE CONSIDERED. (5.1) DUETACT IS NOT RECOMMENDED IN PATIENTS WITH SYMPTOMATIC HEART FAILURE. (5.1) INITIATION OF DUETACT IN PATIENTS WITH ESTABLISHED NEW YORK HEART ASSOCIATION (NYHA) CLASS III OR IV HEART FAILURE IS CONTRAINDICATED. (4, 5.1) Not for treatment of type 1 diabetes or diabetic ketoacidosis. (1) Individualize the starting dose of DUETACT based on the patient's current regimen. (2.1) May adjust the dosing based on effectiveness and tolerability while not exceeding the maximum recommended daily dose of pioglitazone 45 mg and glimepiride 8 mg. (2.1) DUETACT should be given in a single do Կարդացեք ամբողջական փաստաթուղթը