Šalis: Jungtinės Valstijos
kalba: anglų
Šaltinis: NLM (National Library of Medicine)
CYCLOSPORINE (UNII: 83HN0GTJ6D) (CYCLOSPORINE - UNII:83HN0GTJ6D)
Physicians Total Care, Inc.
CYCLOSPORINE
CYCLOSPORINE 0.5 mg in 1 mL
OPHTHALMIC
PRESCRIPTION DRUG
RESTASIS ® ophthalmic emulsion is indicated to increase tear production in patients whose tear production is presumed to be suppressed due to ocular inflammation associated with keratoconjunctivitis sicca. Increased tear production was not seen in patients currently taking topical anti-inflammatory drugs or using punctal plugs. RESTASIS ® is contraindicated in patients with active ocular infections and in patients with known or suspected hypersensitivity to any of the ingredients in the formulation.
RESTASIS ® ophthalmic emulsion is packaged in single use vials. Each vial contains 0.4 mL fill in a 0.9 mL LDPE vial; 30 vials are packaged in a polypropylene tray with an aluminum peelable lid. The entire contents of each tray (30 vials) must be dispensed intact. RESTASIS ® is also provided in a 60 count (2 x 30) package (one month supply) that must be dispensed intact. 30 Vials 0.4 mL each - NDC 54868-4793-1 Storage: Store RESTASIS ® ophthalmic emulsion at 15 - 25° C (59 - 77° F). KEEP OUT OF THE REACH OF CHILDREN. Rx Only Revised: 02/2010 © 2010 Allergan, Inc. Irvine, CA 92612, U.S.A. ® marks owned by Allergan, Inc. U.S. Patent 5,474,979 Made in the U.S.A. 71876US14B Relabeling of "Additional" bar code label by: Physicians Total Care, Inc. Tulsa, OK 74146
New Drug Application
RESTASIS - CYCLOSPORINE EMULSION PHYSICIANS TOTAL CARE, INC. ---------- RESTASIS (CYCLOSPORINE OPHTHALMIC EMULSION) 0.05% Sterile, Preservative-Free DESCRIPTION RESTASIS (cyclosporine ophthalmic emulsion) 0.05% contains a topical immunomodulator with anti- inflammatory effects. Cyclosporine's chemical name is Cyclo[[(_E_)-(2_S_,3_R_,4_R_)-3-hydroxy-4-methyl-2- (methylamino)-6-octenoyl]-L-2-aminobutyryl-_N_-methylglycyl-_N_-methyl-L-leucyl-L-valyl-_N_-methyl-L- leucyl-L-alanyl-D-alanyl-_N_-methyl-L-leucyl-_N_-methyl-L-leucyl-_N_-methyl-L-valyl] and it has the following structure: Structural Formula Cyclosporine is a fine white powder. RESTASIS appears as a white opaque to slightly translucent homogeneous emulsion. It has an osmolality of 230 to 320 mOsmol/kg and a pH of 6.5-8.0. Each mL of RESTASIS ophthalmic emulsion contains: ACTIVE: cyclosporine 0.05%. INACTIVES: glycerin; castor oil; polysorbate 80; carbomer copolymer type A; purified water; and sodium hydroxide to adjust pH. CLINICAL PHARMACOLOGY MECHANISM OF ACTION Cyclosporine is an immunosuppressive agent when administered systemically. In patients whose tear production is presumed to be suppressed due to ocular inflammation associated with keratoconjunctivitis sicca, cyclosporine emulsion is thought to act as a partial immunomodulator. The exact mechanism of action is not known. PHARMACOKINETICS Blood cyclosporin A concentrations were measured using a specific high pressure liquid chromatography-mass spectrometry assay. Blood concentrations of cyclosporine, in all the samples collected, after topical administration of RESTASIS 0.05%, BID, in humans for up to 12 months, were below the quantitation limit of 0.1 ng/mL. There was no detectable drug accumulation in blood during 12 months of treatment with RESTASIS ophthalmic emulsion. ® ® ® ® ® ® CLINICAL EVALUATIONS Four multicenter, randomized, adequate and well-controlled clinical studies were performed in approximately 1200 patients with moderate to severe keratoconjunctivitis sicca. RESTASIS demonst Perskaitykite visą dokumentą