国: アメリカ合衆国
言語: 英語
ソース: NLM (National Library of Medicine)
ISOCARBOXAZID (UNII: 34237V843T) (ISOCARBOXAZID - UNII:34237V843T)
Validus Pharmaceuticals LLC
ORAL
PRESCRIPTION DRUG
Marplan is indicated for the treatment of depression. Because of its potentially serious side effects, Marplan is not an antidepressant of first choice in the treatment of newly diagnosed depressed patients. The efficacy of Marplan in the treatment of depression was established in 6-week controlled trials of depressed outpatients. These patients had symptoms that corresponded to the DSM-IV category of major depressive disorder; however, they often also had signs and symptoms of anxiety (anxious mood, panic, and/or phobic symptoms) ( see CLINICAL PHARMACOLOGY ). A major depressive episode (DSM-IV) implies a prominent and relatively persistent (nearly every day for at least 2 weeks) depressed or dysphoric mood that usually interferes with daily functioning, and includes at least five of the following nine symptoms: depressed mood, loss of interest in usual activities, significant change in weight and/or appetite, insomnia or hypersomnia, psychomotor agitation or retardation, increased fatigue, feelings of gui
Marplan tablets 10 mg are peach colored, round and scored with "MARPLAN 10" imprinted on one side and scored on the other. Supplied in bottles of 100 (NDC 30698-032-01). Storage: Store at 77ºF (25ºC); excursions permitted to 59º to 86ºF (15º to 30ºC) [See USP Controlled Room Temperature]. Dispense in a tight, light-resistant container as defined in USP. R x O nly Manufactured for and Distributed by: Validus Pharmaceuticals LLC Parsippany, NJ 07054 info@validuspharma.com www.validuspharma.com 1-866-982-5438 © 2023 Validus Pharmaceuticals LLC All rights reserved 60009-09 April 2023
New Drug Application
MARPLAN- ISOCARBOXAZID TABLET Validus Pharmaceuticals LLC ---------- Medication Guide Marplan® Tablets (isocarboxazid) Antidepressant Medicines, Depression and other Serious Mental Illnesses, and Suicidal Thoughts or Actions Read the Medication Guide that comes with your or your family member’s antidepressant medicine. This Medication Guide is only about the risk of suicidal thoughts and actions with antidepressant medicines. Talk to your or your family member’s, healthcare provider about: • all risks and benefits of treatment with antidepressant medicines • all treatment choices for depression or other serious mental illness What is the most important information I should know about antidepressant medicines, depression and other serious mental illnesses, and suicidal thoughts or actions? 1. Antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment. 2. Depression and other serious mental illnesses are the most important causes of suicidal thoughts and actions. Some people may have a particularly high risk of having suicidal thoughts or actions. These include people who have (or have a family history of) bipolar illness (also called manic-depressive illness) or suicidal thoughts or actions. 3. How can I watch for and try to prevent suicidal thoughts and actions in myself or a family member? • Pay close attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings. This is very important when an antidepressant medicine is started or when the dose is changed. • Call the healthcare provider right away to report new or sudden changes in mood, behavior, thoughts, or feelings. • Keep all follow-up visits with the healthcare provider as scheduled. Call the healthcare provider between visits as needed, especially if you have concerns about symptoms. Call a healthcare provider right away if you or your family member has any of the following symptoms, especially if they are new, wor 完全なドキュメントを読む
MARPLAN- ISOCARBOXAZID TABLET VALIDUS PHARMACEUTICALS LLC ---------- MARPLAN BRAND OF ISOCARBOXAZID TABLETS SUICIDALITY AND ANTIDEPRESSANT DRUGS ANTIDEPRESSANTS INCREASED THE RISK COMPARED TO PLACEBO OF SUICIDAL THINKING AND BEHAVIOR (SUICIDALITY) IN CHILDREN, ADOLESCENTS, AND YOUNG ADULTS IN SHORT-TERM STUDIES WITH MAJOR DEPRESSIVE DISORDER (MDD) AND OTHER PSYCHIATRIC DISORDERS. ANYONE CONSIDERING THE USE OF MARPLAN OR ANY OTHER ANTIDEPRESSANT IN A CHILD, ADOLESCENT OR YOUNG ADULT MUST BALANCE THIS RISK WITH THE CLINICAL NEED. SHORT-TERM STUDIES DID NOT SHOW AN INCREASE IN THE RISK OF SUICIDALITY WITH ANTIDEPRESSANTS COMPARED TO PLACEBO IN ADULTS BEYOND AGE 24; THERE WAS A REDUCTION IN RISK WITH ANTIDEPRESSANTS COMPARED TO PLACEBO IN ADULTS AGED 65 AND OLDER. DEPRESSION AND CERTAIN OTHER PSYCHIATRIC DISORDERS ARE THEMSELVES ASSOCIATED WITH INCREASES IN THE RISK OF SUICIDE. PATIENTS OF ALL AGES WHO ARE STARTED ON ANTIDEPRESSANT THERAPY SHOULD BE MONITORED APPROPRIATELY AND OBSERVED CLOSELY FOR CLINICAL WORSENING, SUICIDALITY, OR UNUSUAL CHANGES IN BEHAVIOR. FAMILIES AND CAREGIVERS SHOULD BE ADVISED OF THE NEED FOR CLOSE OBSERVATION AND COMMUNICATION WITH THE PRESCRIBER. MARPLAN IS NOT APPROVED FOR USE IN PEDIATRIC PATIENTS _(SEE_ _WARNINGS: CLINICAL WORSENING AND SUICIDE RISK, PRECAUTIONS: INFORMATION_ _FOR PATIENTS, AND PRECAUTIONS: PEDIATRIC USE)_. POOLED ANALYSES OF SHORT-TERM (4 TO 16 WEEKS) PLACEBO-CONTROLLED TRIALS OF 9 ANTIDEPRESSANT DRUGS (SSRIS AND OTHERS) IN CHILDREN AND ADOLESCENTS WITH MAJOR DEPRESSIVE DISORDER (MDD), OBSESSIVE COMPULSIVE DISORDER (OCD), OR OTHER PSYCHIATRIC DISORDERS (A TOTAL OF 24 TRIALS INVOLVING OVER 4400 PATIENTS) HAVE REVEALED A GREATER RISK OF ADVERSE EVENTS REPRESENTING SUICIDAL THINKING OR BEHAVIOR (SUICIDALITY) DURING THE FIRST FEW MONTHS OF TREATMENT IN THOSE RECEIVING ANTIDEPRESSANTS. THE AVERAGE RISK OF SUCH EVENTS IN PATIENTS RECEIVING ANTIDEPRESSANTS WAS 4%, TWICE THE PLACEBO RISK OF 2%. NO SUICIDES OCCURRED IN THESE TRIALS. DESCRIPTION Marplan (isocarboxazid), a monoam 完全なドキュメントを読む