Šalis: Jungtinės Valstijos
kalba: anglų
Šaltinis: NLM (National Library of Medicine)
CLOZAPINE (UNII: J60AR2IKIC) (CLOZAPINE - UNII:J60AR2IKIC)
Teva Pharmaceuticals USA Inc
CLOZAPINE
CLOZAPINE 12.5 mg
ORAL
PRESCRIPTION DRUG
Clozapine ODT is indicated for the treatment of severely ill patients with schizophrenia who fail to respond adequately to standard antipsychotic treatment. Because of the risks of severe neutropenia and of seizure associated with its use, Clozapine ODT should be used only in patients who have failed to respond adequately to standard antipsychotic treatment [see Warnings and Precautions (5.1, 5.5 )] . The effectiveness of clozapine in treatment-resistant schizophrenia was demonstrated in a 6-week, randomized, double-blind, active-controlled study comparing clozapine and chlorpromazine in patients who had failed other antipsychotics [see Clinical Studies (14.1 )] . Clozapine ODT is indicated for reducing the risk of recurrent suicidal behavior in patients with schizophrenia or schizoaffective disorder who are judged to be at chronic risk for re-experiencing suicidal behavior, based on history and recent clinical state. Suicidal behavior refers to actions by a patient that put him/herself at risk for death. The
12.5 mg 1/4-inch diameter round yellow tablet debossed with “A05” on one side. Bottles of 100: 100 tablets in an HDPE bottle with child-resistant cap……....................... NDC No. 0093-3011-01 25 mg 5/16-inch diameter round yellow tablet debossed with “A06” on one side. Bottles of 100: 100 tablets in an HDPE bottle with child-resistant cap……....................... NDC No. 0093-3012-01 Cartons of 48 for Institutional Use Only: 8 cards, 6 non child-resistant blisters per card... NDC No. 0093-3012-84 100 mg 1/2-inch diameter round yellow tablet debossed with “A08” on one side. Bottles of 100: 100 tablets in an HDPE bottle with child-resistant cap…………………... NDC No. 0093-3010-01 Cartons of 48 for Institutional Use Only: 8 cards, 6 non child-resistant blisters per card... NDC No. 0093-3010-84 150 mg 9/16-inch diameter round, yellow tablet debossed with “A09” on one side. Bottles of 100: 100 tablets in an HDPE bottle with child-resistant cap…………………... NDC No. 0093-3086-01 Cartons of 48 for Institutional Use Only: 8 cards, 6 non child-resistant blisters per card... NDC No. 0093-3086-84 200 mg 5/8-inch diameter round, yellow tablet debossed with “A10” on one side. Bottles of 100: 100 tablets in an HDPE bottle with child-resistant cap…………………... NDC No. 0093-3087-01 Cartons of 48 for Institutional Use Only: 8 cards, 6 non child-resistant blisters per card... NDC No. 0093-3087-84 Store Clozapine ODT at 20°C to 25°C (68° to 77°F); excursions permitted to 15°C to 30°C (59° to 86°F). (See USP Controlled Room Temperature.) Protect from moisture. KEEP OUT OF REACH OF CHILDREN. Clozapine ODT must remain in the original package until used by the patient. Drug dispensing should not ordinarily exceed a weekly supply. If a patient is eligible for ANC testing every 2 weeks, then a 2-week supply of Clozapine ODT can be dispensed. If a patient is eligible for ANC testing every 4 weeks, then a 4-week supply of Clozapine can be dispensed. Dispensing should be contingent upon the ANC testing results.
New Drug Application Authorized Generic
CLOZAPINE- CLOZAPINE TABLET, ORALLY DISINTEGRATING TEVA PHARMACEUTICALS USA INC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE CLOZAPINE ODT (ORALLY DISINTEGRATING TABLETS) SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR CLOZAPINE ODT (ORALLY DISINTEGRATING TABLETS). CLOZAPINE ODT (ORALLY DISINTEGRATING TABLETS) FOR ORAL USE INITIAL U.S. APPROVAL: 1989 WARNING: SEVERE NEUTROPENIA; ORTHOSTATIC HYPOTENSION, BRADYCARDIA, AND SYNCOPE; SEIZURE; MYOCARDITIS AND CARDIOMYOPATHY; INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING_. • • • • • • RECENT MAJOR CHANGES • INDICATIONS AND USAGE Clozapine ODT is an atypical antipsychotic indicated for: • • DOSAGE AND ADMINISTRATION • • • • • • • DOSAGE FORMS AND STRENGTHS Orally disintegrating tablets: 12.5 mg, 25 mg, 100 mg, 150 mg and 200 mg (3). CONTRAINDICATIONS SEVERE NEUTROPENIA: CLOZAPINE CAN CAUSE SEVERE NEUTROPENIA, WHICH CAN LEAD TO SERIOUS AND FATAL INFECTIONS. PATIENTS INITIATING AND CONTINUING TREATMENT WITH CLOZAPINE ODT MUST HAVE A BASELINE BLOOD ABSOLUTE NEUTROPHIL COUNT (ANC) MEASURED BEFORE TREATMENT INITIATION AND REGULAR ANC MONITORING DURING TREATMENT (2.1, 5.1). CLOZAPINE ODT IS AVAILABLE ONLY THROUGH A RESTRICTED PROGRAM CALLED THE CLOZAPINE REMS (5.2). ORTHOSTATIC HYPOTENSION, BRADYCARDIA, AND SYNCOPE: RISK IS DOSE-RELATED. STARTING DOSE IS 12.5 MG. TITRATE GRADUALLY AND USE DIVIDED DOSAGES (2.2, 2.6, 5.3). SEIZURE: RISK IS DOSE-RELATED. TITRATE GRADUALLY AND USE DIVIDED DOSES. USE WITH CAUTION IN PATIENTS WITH HISTORY OF SEIZURE OR RISK FACTORS FOR SEIZURE (2.2, 5.5). MYOCARDITIS AND CARDIOMYOPATHY: CAN BE FATAL. DISCONTINUE AND OBTAIN CARDIAC EVALUATION IF FINDINGS SUGGEST THESE CARDIAC REACTIONS (5.6). INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS: CLOZAPINE ODT IS NOT APPROVED FOR THIS CONDITION (5.7). Warnings and Precautions, Falls ( Perskaitykite visą dokumentą