Šalis: Jungtinės Valstijos
kalba: anglų
Šaltinis: NLM (National Library of Medicine)
DOXERCALCIFEROL (UNII: 3DIZ9LF5Y9) (DOXERCALCIFEROL - UNII:3DIZ9LF5Y9)
Hikma Pharmaceuticals USA Inc.
DOXERCALCIFEROL
DOXERCALCIFEROL 2 ug in 1 mL
INTRAVENOUS
PRESCRIPTION DRUG
Doxercalciferol injection is indicated for the treatment of secondary hyperparathyroidism in patients with chronic kidney disease on dialysis. Doxercalciferol injection should not be given to patients with a tendency towards hypercalcemia or current evidence of vitamin D toxicity. Doxercalciferol injection is contraindicated in patients with previous hypersensitivity to doxercalciferol or any of its ingredients (see WARNINGS and ADVERSE REACTIONS ).
Doxercalciferol Injection is available in the following package: 4 mcg/2 mL (2 mcg/mL), 2 mL pre-scored amber ampuls packaged in 25s (NDC 0641-6154-25) Store at 25°C (77°F), excursions permitted to 15 to 30°C (59 to 86°F) [See USP Controlled Room Temperature]. Protect from light. To report SUSPECTED ADVERSE REACTIONS, contact West-Ward Pharmaceuticals Corp. at 1-877-845-0689, or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. For Product Inquiry call 1-877-845-0689. Manufactured by: HIKMA FARMACÊUTICA (PORTUGAL), S.A. Estrada do Rio da Mό, 8, 8A e 8B – Fervença – 2705-906 Terrugem SNT, PORTUGAL Distributed by: WEST-WARD A Hikma Company Eatontown, NJ 07724 USA PIN349-WES/2 Revised July 2016
Abbreviated New Drug Application
DOXERCALCIFEROL- DOXERCALCIFEROL INJECTION HIKMA PHARMACEUTICALS USA INC. ---------- DOXERCALCIFEROL INJECTION Rx only DESCRIPTION Doxercalciferol, the active ingredient in Doxercalciferol Injection, is a synthetic vitamin D analog that undergoes metabolic activation _in vivo_ to form 1a,25-dihydroxyvitamin D (1a,25-(OH) D ), a naturally occurring, biologically active form of vitamin D . Doxercalciferol injection is available as a sterile, clear, colorless aqueous solution for intravenous injection. Doxercalciferol single-use injection is supplied in a 2 mL amber glass ampul containing 4 mcg/2 mL or 2 mcg/mL. Each milliliter (mL) of solution contains doxercalciferol, 2 mcg; Polysorbate 20, 4 mg; sodium chloride, 1.5 mg; sodium ascorbate, 10 mg; sodium phosphate, dibasic, anhydrous 7.6 mg; sodium dihydrogen phosphate, dihydrate, 2.34 mg; and disodium edetate, 1.1 mg. Doxercalciferol is a colorless crystalline compound with a calculated molecular weight of 412.66 and a molecular formula of C H O . It is soluble in oils and organic solvents, but is relatively insoluble in water. Chemically, doxercalciferol is (1α,3β,5Z,7E,22E)-9,10-secoergosta-5,7,10(19),22-tetraene- 1,3-diol and has the structural formula presented in Figure 1. FIGURE 1: CHEMICAL STRUCTURE OF DOXERCALCIFEROL Other names frequently used for doxercalciferol are 1α-hydroxyvitamin D , 1α-OH-D , and 1α- hydroxyergocalciferol. CLINICAL PHARMACOLOGY Vitamin D levels in humans depend on two sources: (1) exposure to the ultraviolet rays of the sun for conversion of 7-dehydrocholesterol in the skin to vitamin D (cholecalciferol) and (2) dietary intake of either vitamin D (ergocalciferol) or vitamin D . Vitamin D and vitamin D must be metabolically activated in the liver and kidney before becoming fully active on target tissues. The initial step in the activation process is the introduction of a hydroxyl group in the side chain at C-25 by the hepatic enzyme, CYP 27 (a vitamin D-25-hydroxylase). The products of this reaction are 25-(OH)D and 25- 2 2 2 2 2 Perskaitykite visą dokumentą