Šalis: Jungtinės Valstijos
kalba: anglų
Šaltinis: NLM (National Library of Medicine)
MITOXANTRONE HYDROCHLORIDE (UNII: U6USW86RD0) (MITOXANTRONE - UNII:BZ114NVM5P)
Teva Parenteral Medicines, Inc.
MITOXANTRONE HYDROCHLORIDE
MITOXANTRONE 2 mg in 1 mL
INTRAVENOUS
PRESCRIPTION DRUG
Mitoxantrone injection USP (concentrate) is indicated for reducing neurologic disability and/or the frequency of clinical relapses in patients with secondary (chronic) progressive, progressive relapsing, or worsening relapsing-remitting multiple sclerosis (i.e., patients whose neurologic status is significantly abnormal between relapses). Mitoxantrone injection USP (concentrate) is not indicated in the treatment of patients with primary progressive multiple sclerosis. The clinical patterns of multiple sclerosis in the studies were characterized as follows: secondary progressive and progressive relapsing disease were characterized by gradual increasing disability with or without superimposed clinical relapses, and worsening relapsing-remitting disease was characterized by clinical relapses resulting in a step-wise worsening of disability. Mitoxantrone injection USP (concentrate) in combination with corticosteroids is indicated as initial chemotherapy for the treatment of patients with pain related to advanced
Mitoxantrone injection USP (concentrate) is a sterile aqueous solution containing mitoxantrone hydrochloride USP at a concentration equivalent to 2 mg mitoxantrone free base per mL supplied in vials for multidose use as follows: NDC 0703-4685 -01 10 mL/multidose vial (20 mg) NDC 0703-4680 -01 12.5 mL/multidose vial (25 mg) NDC 0703-4686 -01 15 mL/multidose vial (30 mg) Mitoxantrone injection USP (concentrate) should be stored at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. DO NOT FREEZE. Rev. C 5/2012 Teva Parenteral Medicines, Inc. Irvine, CA 92618
Abbreviated New Drug Application
Teva Parenteral Medicines, Inc. ---------- MEDICATION GUIDE mitoXANTRONE (mito-xan-trone) Injection USP (concentrate) Read this medication guide before you start receiving mitoXANTRONE and each time you receive mitoXANTRONE. There may be new information. This information does not take the place of talking to your doctor about your medical condition or your treatment. What is the most important information I should know about mitoXANTRONE? mitoXANTRONE can cause serious side effects, including: • decrease in the ability of your bone marrow to make blood cells (myelosuppression). Your doctor may do blood tests during treatment with mitoXANTRONE to check your blood cell counts. The symptoms of myelosuppression can include: • feeling tired • increased infections • bruising and bleeding easily • heart problems (congestive heart failure) that may lead to death even in people who have never had heart problems before. Heart failure can happen while you receive mitoXANTRONE, or months to years after you stop receiving mitoXANTRONE. Your risk of heart failure increases the more mitoXANTRONE you receive. Call your doctor or get medical help right away if you have any of these problems during or after treatment with mitoXANTRONE: • shortness of breath • swelling of your ankles or feet • sudden weight gain • fast heartbeat or pounding in your chest Before receiving mitoXANTRONE for the first time, you should have the following tests done: • physical examination • a test to check your heart’s electrical activity (electrocardiogram) • a test to check your heart’s ability to pump blood If you receive mitoXANTRONE to treat Multiple Sclerosis (MS), your doctor should also do the tests above: • before you receive each mitoXANTRONE dose • yearly after you stop receiving mitoXANTRONE treatment • acute myeloid leukemia (AML). Receiving mitoXANTRONE increases your risk of AML. AML is a cancer of the blood-forming cells of your bone marrow. Symptoms of AML can include: • feeling unusually tired and we Perskaitykite visą dokumentą
MITOXANTRONE- MITOXANTRONE INJECTION, SOLUTION, CONCENTRATE TEVA PARENTERAL MEDICINES, INC. ---------- MITOXANTRONE INJECTION USP (CONCENTRATE) RX ONLY 4680 4685 4686 WARNING Mitoxantrone injection (concentrate) should be administered under the supervision of a physician experienced in the use of cytotoxic chemotherapy agents. Mitoxantrone injection (concentrate) should be given slowly into a freely flowing intravenous infusion. It must _never _be given subcutaneously, intramuscularly, or intra-arterially. Severe local tissue damage may occur if there is extravasation during administration (see ADVERSE REACTIONS, GENERAL, _CUTANEOUS_ and DOSAGE AND ADMINISTRATION, PREPARATION AND ADMINISTRATION PRECAUTIONS). NOT FOR INTRATHECAL USE. Severe injury with permanent sequelae can result from intrathecal administration (see WARNINGS, GENERAL). Except for the treatment of acute nonlymphocytic leukemia, mitoxantrone injection (concentrate) therapy generally should not be given to patients with baseline neutrophil counts of less than 1,500 cells/mm . In order to monitor the occurrence of bone marrow suppression, primarily neutropenia, which may be severe and result in infection, it is recommended that frequent peripheral blood cell counts be performed on all patients receiving mitoxantrone injection (concentrate). Cardiotoxicity Congestive heart failure (CHF), potentially fatal, may occur either during therapy with mitoxantrone injection (concentrate) or months to years after termination of therapy. Cardiotoxicity risk increases with cumulative mitoxantrone injection (concentrate) dose and may occur whether or not cardiac risk factors are present. Presence or history of cardiovascular disease, radiotherapy to the mediastinal/pericardial area, previous therapy with other anthracyclines or anthracenediones, or use of other cardiotoxic drugs may increase this risk. In cancer patients, the risk of symptomatic CHF was estimated to be 2.6% for patients receiving up to a cumulative dose of 140 mg/m . To mitigate the cardiotoxicit Perskaitykite visą dokumentą