国: アメリカ合衆国
言語: 英語
ソース: NLM (National Library of Medicine)
THALIDOMIDE (UNII: 4Z8R6ORS6L) (THALIDOMIDE - UNII:4Z8R6ORS6L)
Celgene Corporation
THALIDOMIDE
THALIDOMIDE 50 mg
ORAL
PRESCRIPTION DRUG
THALOMID in combination with dexamethasone is indicated for the treatment of patients with newly diagnosed multiple myeloma (MM) [see Clinical Studies (14.1)] . THALOMID is indicated for the acute treatment of the cutaneous manifestations of moderate to severe erythema nodosum leprosum (ENL). THALOMID is not indicated as monotherapy for such ENL treatment in the presence of moderate to severe neuritis. THALOMID is also indicated as maintenance therapy for prevention and suppression of the cutaneous manifestations of ENL recurrence [see Clinical Studies (14.2)]. THALOMID is contraindicated in females who are pregnant. THALOMID can cause fetal harm when administered to a pregnant female [see Boxed Warning, Warnings and Precautions (5.1) and Use in Specific Populations (8.1)] . THALOMID is a powerful human teratogen, inducing a high frequency of severe and life-threatening birth defects, even after a single dose [see Boxed Warning] . Mortality at or shortly after birth has been reported in about 40% of infants.
(THIS PRODUCT IS ONLY SUPPLIED TO PHARMACIES CERTIFIED IN THE THALOMID REMS PROGRAM - See BOXED WARNING) 50 mg capsules [white opaque], imprinted "BMS/50 mg" with a "Do Not Get Pregnant" logo. Individual blister packs of 1 capsule (NDC 59572-205-17). Individual blister packs of 28 capsules (NDC 59572-205-14). 100 mg capsules [tan], imprinted "BMS/100 mg" with a "Do Not Get Pregnant" logo. Individual blister packs of 28 capsules (NDC 59572-210-15). 150 mg capsules [tan and blue], imprinted "BMS/150 mg" with a "Do Not Get Pregnant" logo. Individual blister packs of 28 capsules (NDC 59572-215-13). 200 mg capsules [blue], imprinted "BMS/200 mg" with a "Do Not Get Pregnant" logo. Individual blister packs of 28 capsules (NDC 59572-220-16). This drug must not be repackaged. Store at 20°C- 25°C (68°F -77°F); excursions permitted to 15-30º C (59-86º F). [See USP Controlled Room Temperature]. Protect from light. Care should be exercised in handling of THALOMID. THALOMID capsules should not be opened or crushed. If powder from THALOMID contacts the skin, wash the skin immediately and thoroughly with soap and water. If THALOMID contacts the mucous membranes, flush thoroughly with water. Procedures for proper handling and disposal of anticancer drugs should be considered. Several guidelines on the subject have been published1 . Rx only and only able to be prescribed and dispensed under the terms of the THALOMID REMS Restricted Distribution Program.
New Drug Application
Celgene Corporation ---------- This Medication Guide has been approved by the U.S. Food and Drug Administration. Revised: March 2023 MEDICATION GUIDE THALOMID® (tha-lo-mid) (thalidomide) capsules What is the most important information I should know about THALOMID? Before you begin taking THALOMID, you must read and agree to all of the instructions in the THALOMID REMS® program. For more information, call 1-888-423-5436 or go to www.thalomidrems.com. Before prescribing THALOMID, your healthcare provider will explain the THALOMID REMS program to you and have you sign the Patient-Physician Agreement Form. THALOMID can cause serious side effects including: • Severe and life-threatening human birth defects (deformed babies) or death of an unborn baby. Females who are pregnant or who plan to become pregnant must not take THALOMID. • Females must not get pregnant: o For at least 4 weeks before starting THALOMID o While taking THALOMID o During any breaks (interruptions) in your treatment with THALOMID o For at least 4 weeks after stopping THALOMID • Females who can become pregnant: o Will have pregnancy tests weekly for 4 weeks, then every 4 weeks if your menstrual cycle is regular, or every 2 weeks if your menstrual cycle is irregular. o If you miss your period or have unusual bleeding, you will need to have a pregnancy test and receive counseling. o Must agree to use two acceptable forms of birth control at the same time, for at least 4 weeks before, while taking, during any breaks (interruptions) in your treatment, and for at least 4 weeks after stopping THALOMID. o Talk with your healthcare provider to find out about options for acceptable forms of birth control that you may use to prevent pregnancy before, during, and after treatment with THALOMID. o Stop taking THALOMID and call your healthcare provider right away if you have unprotected sex or if you think your birth control has failed. • If you become pregnant while taking THALOMID, stop taking it right away and call your healthcare provider. If your h 完全なドキュメントを読む
THALOMID- THALIDOMIDE CAPSULE CELGENE CORPORATION ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE THALOMID SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR THALOMID. THALOMID (THALIDOMIDE) CAPSULES, FOR ORAL USE INITIAL U.S. APPROVAL: 1998 WARNING: EMBRYO-FETAL TOXICITY AND VENOUS THROMBOEMBOLISM _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ EMBRYO -FETAL TOXICITY • • THALOMID IS ONLY AVAILABLE THROUGH A RESTRICTED DISTRIBUTION PROGRAM, THE THALOMID REMS PROGRAM (5.2). VENOUS THROMBOEMBOLISM • INDICATIONS AND USAGE • • DOSAGE AND ADMINISTRATION • • DOSAGE FORMS AND STRENGTHS Capsules: 50 mg, 100 mg, 150 mg and 200 mg. (3) CONTRAINDICATIONS • • WARNINGS AND PRECAUTIONS • ® IF THALOMID IS TAKEN DURING PREGNANCY, IT CAN CAUSE SEVERE BIRTH DEFECTS OR EMBRYO-FETAL DEATH. THALOMID SHOULD NEVER BE USED BY FEMALES WHO ARE PREGNANT OR WHO COULD BE PREGNANT WHILE TAKING THE DRUG. EVEN A SINGLE DOSE [1 CAPSULE (REGARDLESS OF STRENGTH)] TAKEN BY A PREGNANT WOMAN DURING HER PREGNANCY CAN CAUSE SEVERE BIRTH DEFECTS. PREGNANCY MUST BE EXCLUDED BEFORE START OF TREATMENT. PREVENT PREGNANCY THEREAFTER BY THE USE OF TWO RELIABLE METHODS OF CONTRACEPTION. (5.1, 8.3) ® SIGNIFICANT INCREASED RISK OF DEEP VEIN THROMBOSIS (DVT) AND PULMONARY EMBOLISM (PE) IN PATIENTS WITH MULTIPLE MYELOMA RECEIVING THALOMID WITH DEXAMETHASONE (5.3). THALOMID in combination with dexamethasone is indicated for the treatment of patients with newly diagnosed multiple myeloma (MM). (1.1) THALOMID is indicated for the acute treatment of the cutaneous manifestations of moderate to severe erythema nodosum leprosum (ENL). THALOMID is not indicated as monotherapy for such ENL treatment in the presence of moderate to severe neuritis. THALOMID is also indicated as maintenance therapy for prevention and suppression of the cutaneous manifestations of ENL recurrence. (1.2) MM: 200 mg orally once daily. The recommended dose of dexamethasone is 40 mg/day 完全なドキュメントを読む