Land: Bandaríkin
Tungumál: enska
Heimild: NLM (National Library of Medicine)
EPLERENONE (UNII: 6995V82D0B) (EPLERENONE - UNII:6995V82D0B)
Rebel Distributors Corp.
EPLERENONE
EPLERENONE 50 mg
ORAL
PRESCRIPTION DRUG
Serum potassium levels should be measured before initiating eplerenone therapy and eplerenone should not be prescribed if serum potassium is >5.5 mEq/L. [See 4 CONTRAINDICATIONS]. Eplerenone is indicated to improve survival of stable patients with left ventricular (LV) systolic dysfunction (ejection fraction ≤40%) and clinical evidence of congestive heart failure (CHF) after an acute myocardial infarction (MI). Eplerenone is indicated for the treatment of hypertension. Eplerenone may be used alone or in combination with other antihypertensive agents. For All Patients Eplerenone tablets are contraindicated in all patients with: - serum potassium >5.5 mEq/L at initiation, - creatinine clearance ≤30 mL/min, or - concomitant administration of strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, nefazodone, troleandomycin, clarithromycin, ritonavir and nelfinavir). [See DRUG INTERACTIONS , 7.1 CYP3A4 Inhibitors, CLINICAL PHARMACOLOGY , 12.3 Pharmacokinetics.] For Patients Treated for Hypertension Eplerenon
Eplerenone Tablets, 50 mg, are round, yellow, film-coated tablets. They are debossed with “SZ” on one side and “16” on the other. They are supplied as: NDC 42254-011-90 bottles of 90 Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Protect from moisture.
Abbreviated New Drug Application
EPLERENONE- EPLERENONE TABLET REBEL DISTRIBUTORS CORP. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE EPLERENONE TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR EPLERENONE TABLETS. INITIAL U.S. APPROVAL: 2002 INDICATIONS AND USAGE Eplerenone is an aldosterone antagonist indicated for: (1) Improving survival of stable patients with LV systolic dysfunction (LVEF ≤40%) and CHF after an acute myocardial infarction. (1.2) Hypertension, alone or combined with other agents. (1.3) DOSAGE AND ADMINISTRATION _CHF Post-MI_: Initiate treatment with 25 mg once daily. Titrate to maximum of 50 mg once daily within 4 weeks, as tolerated. Dose adjustments may be required based on potassium levels. (2.1) (2) _Hypertension_: 50 mg once daily, alone or combined with other antihypertensive agents. For inadequate response, increase to 50 mg twice daily. Higher dosages are not recommended. (2.2) (2) _For all patients:_ (2) Measure serum potassium before starting eplerenone and periodically thereafter. (2.3) (2) DOSAGE FORMS AND STRENGTHS Tablets: 25 mg, 50 mg (3) (3) CONTRAINDICATIONS For all patients: (4) Serum potassium >5.5 mEq/L at initiation (4) Creatinine clearance ≤30 mL/min (4) Concomitant use with strong CYP3A4 inhibitors (4, 7.1) For the treatment of hypertension: (4) Type 2 diabetes with microalbuminuria (4)_ _ Serum creatinine >2.0 mg/dL in males, >1.8 mg/dL in females (4) Creatinine clearance <50 mL/min (4) Concomitant use of potassium supplements or potassium-sparing diuretics (4) WARNINGS AND PRECAUTIONS Hyperkalemia: Patients with decreased renal function and diabetics with proteinuria are at increased risk. Proper patient selection and monitoring and avoiding certain concomitant medications can minimize the risk. (5.1) Eplerenone Tablets 50 mg contain FD&C Yellow No. 5 (tartrazine) which may cause allergic-type reactions (including bronchial asthma) in certain susceptible persons. Although the overall incidence of FD&C Yellow N Lestu allt skjalið