Land: Malasía
Tungumál: enska
Heimild: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
RITONAVIR; LOPINAVIR
CIPLA MALAYSIA SDN BHD
RITONAVIR; LOPINAVIR
Container containing 120 tablet each Tablets
CIPLA LTD
24 March 2021 MY-CIPLA/RA/0321(13) National Pharmaceutical Regulatory Agency Lot 36, Jalan Universiti, 46200 Petaling Jaya, Selangor. Dear Sir / Madam, LETTER OF COMMITMENT – SUBMISSION OF PIL / RIMUP LOPIMUNE TABLETS 200/50 MG (LOPINAVIR AND RITONAVIR 200/50 MG) MAL12020021AZ We commit to submit PIL / RiMUP for above mentioned product to Pharmacovigilance Section, Centre of Compliance and Quality Control (PKKK) for approval. Sincerely, GIAM WEI LI DEPUTY MANAGER – REGULATORY AFFAIRS GIAM.WEILI@CIPLA.COM Lestu allt skjalið
_For the use of a Registered Medical Practitioner or a Hospital or a Laboratory only OR for Specialist _ _Use only_ _ _ _ _ LOPIMUNE TABLETS 200/50MG Lopinavir and Ritonavir Tablets 200/50 mg COMPOSITION Each film coated tablet contains: Lopinavir USP… .................... 200 mg Ritonavir USP… ............... 50 mg DESCRIPTION Yellow coloured, capsule shaped, film coated tablets debossed with “LRT” on one side and plain on other side. DOSAGE FORM Film coated Tablets PHARMACOLOGY _PHARMACODYNAMICS _ Pharmaco-therapeutic group: antivirals for systemic use, antivirals for treatment of HIV infections, combinations, ATC code: J05AR10 Mechanism of action Lopinavir provides the antiviral activity of lopinavir/ritonavir tablets. Lopinavir is an inhibitor of the HIV-1 and HIV-2 proteases. Inhibition of HIV protease prevents cleavage of the _gag-pol _ polyprotein resulting in the production of immature, non-infectious virus. Effects on the electrocardiogram QTcF interval was evaluated in a randomised, placebo and active (moxifloxacin 400 mg once daily) controlled crossover study in 39 healthy adults, with 10 measurements over 12 hours on Day 3. The maximum mean (95% upper confidence bound) differences in QTcF from placebo were 3.6 (6.3) and 13.1(15.8) for 400/100 mg twice daily and supratherapeutic 800/200 mg twice daily LPV/r, respectively. The induced QRS interval prolongation from 6 ms to 9.5 ms with high dose lopinavir/ritonavir (800/200 mg twice daily) contributes to QT prolongation. The two regimens resulted in exposures on Day 3 which were approximately 1.5 and 3-fold higher than those observed with recommended once-daily or twice-daily LPV/r doses at steady state. No subject experienced an increase in QTcF of ≥ 60 ms from baseline or a QTcF interval exceeding the potentially clinically relevant threshold of 500 ms. Modest prolongation of the PR interval was also noted in subjects receiving lopinavir/ritonavir in the same study on Day 3. The mean changes from baseline in PR interval ranged from 11.6 ms to Lestu allt skjalið