Nazione: Stati Uniti
Lingua: inglese
Fonte: NLM (National Library of Medicine)
INSULIN DEGLUDEC (UNII: 54Q18076QB) (INSULIN DEGLUDEC - UNII:54Q18076QB)
Novo Nordisk Pharma, Inc.
SUBCUTANEOUS
PRESCRIPTION DRUG
Insulin Degludec is indicated to improve glycemic control in patients 1 year of age and older with diabetes mellitus. Limitations of Use Insulin Degludec is contraindicated: Risk Summary Available data from one unpublished trial and the published literature with Insulin Degludec use during pregnancy have not identified a drug-associated risk of major birth defects, miscarriage, or other adverse maternal or fetal outcomes. In a randomized, parallel-group, open-label actively controlled clinical trial that included 91 pregnant women with type 1 diabetes who were administered Insulin Degludec once daily and insulin aspart, beginning in gestational weeks 8 to 13 or prior to conception, no clear evidence of maternal or fetal risk associated with Insulin Degludec use was observed (see Data ). There are risks to the mother and fetus associated with poorly controlled diabetes in pregnancy (see Clinical Considerations). Rats and rabbits were exposed to insulin degludec in animal reproduction studies during organogene
Insulin Degludec injection is available as a clear and colorless solution as follows: Table 17: Presentations of Insulin Degludec Insulin Degludec Presentation Total volume Concentration Total units available in presentation NDC number Max dose per injection Dose increment Package Size U-100 single-patient-use FlexTouch Pen 3 mL 100 units/mL 300 Units 73070-403-15 80 Units 1 Unit 5 pens/pack U-100 multiple-dose Vial 10 mL 100 units/mL 1,000 Units 73070-400-11 _ _ 1 vial/pack U-200 single-patient-use FlexTouch Pen 3 mL 200 units/mL 600 Units 73070-503-15 160 Units 2 Unit 3 pens/pack Additional Information about Insulin Degludec FlexTouch: Dispense in the original sealed carton with the enclosed Instructions for Use. Store Insulin Degludec vials in the original carton to protect from light. Store unused Insulin Degludec in a refrigerator (36ºF to 46ºF [2ºC to 8ºC]). Do not store in the freezer or directly adjacent to the refrigerator cooling element. Do not freeze. Do not use Insulin Degludec if it has been frozen. The storage conditions are summarized in Table 18: Table 18: Storage Conditions for Insulin Degludec Not in-use (unopened) In-use (opened) Refrigerated (36°F to 46°F [2°C to 8°C]) Room Temperature (up to 86°F [30°C]) Room Temperature (up to 86°F [30°C]) Refrigerated (36°F to 46°F [2°C to 8°C]) 3 mL single-patient-use Insulin Degludec U-100 FlexTouch Until expiration date 56 days (8 weeks) 56 days (8 weeks) 56 days (8 weeks) 10 mL multiple-dose Insulin Degludec U-100 Vial Until expiration date 56 days (8 weeks) 56 days (8 weeks) 56 days (8 weeks) 3 mL single-patient-use Insulin Degludec U-200 FlexTouch Until expiration date 56 days (8 weeks) 56 days (8 weeks) 56 days (8 weeks)
Biologic Licensing Application
INSULIN DEGLUDEC- INSULIN DEGLUDEC INJECTION, SOLUTION NOVO NORDISK PHARMA, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE INSULIN DEGLUDEC SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR INSULIN DEGLUDEC. INSULIN DEGLUDEC INJECTION, FOR SUBCUTANEOUS USE INITIAL U.S. APPROVAL: 2015 THIS PRODUCT IS TRESIBA (INSULIN DEGLUDEC). INDICATIONS AND USAGE Insulin Degludec is a long-acting human insulin analog indicated to improve glycemic control in patients 1 year of age and older with diabetes mellitus (1). Limitations of Use: • DOSAGE AND ADMINISTRATION • • • • • • • • • DOSAGE FORMS AND STRENGTHS Injection: Available as: • • • CONTRAINDICATIONS • • WARNINGS AND PRECAUTIONS • • • • • • • Not recommended for the treatment of diabetic ketoacidosis. See Full Prescribing Information for important administration instructions (2.1). Inject Insulin Degludec subcutaneously into the thigh, upper arm, or abdomen (2.1). Rotate injection sites to reduce risk of lipodystrophy and localized cutaneous amyloidosis (2.1). For pediatric patients requiring less than 5 units of Insulin Degludec each day, use an Insulin Degludec U-100 vial (2.1). In adults, inject subcutaneously once daily at any time of day (2.2). In pediatric patients inject subcutaneously once daily at the same time every day (2.2). Individualize dose based on type of diabetes, metabolic needs, blood glucose monitoring results and glycemic control goal (2.2). The recommended days between dose increases are 3 to 4 days (2.2). See Full Prescribing Information for recommended starting dose in insulin naïve patients and patients already on insulin therapy (2.3, 2.4). 100 units/mL (U-100): 3 mL single-patient-use FlexTouch prefilled pen (3). ® 100 units/mL (U-100): 10 mL multiple-dose vial (3). 200 units/mL (U-200): 3 mL single-patient-use FlexTouch prefilled pen (3). ® During episodes of hypoglycemia (4). Hypersensitivity to insulin degludec o Leggi il documento completo