Šalis: Izraelis
kalba: anglų
Šaltinis: Ministry of Health
PARICALCITOL
LAPIDOT MEDICAL IMPORT AND MARKETING LTD
A11CC07
SOLUTION FOR INJECTION
PARICALCITOL 5 MCG / 1 ML
I.V
Required
RAFARM S.A., GREECE
PARICALCITOL
Rextol 5 mcg/ml is indicated for the prevention and treatment of secondary hyperparathyrodism in patients with chronic renal failure who are undergoing haemodialysis.
2023-01-31
Page 1 of 10 SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Rextol 5 mcg/ml Solution for Injection 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each ml of solution for injection contains 5 micrograms of paricalcitol. Each 1 ml ampoule contains 5 micrograms of paricalcitol. Each 2 ml ampoule contains 10 micrograms of paricalcitol. Excipients: Ethanol anhydrous (11% v/v) and propylene glycol (39% v/v) For a full list of excipients see section 6.1. 3 PHARMACEUTICAL FORM Solution for Injection A clear and colourless aqueous solution that is free from visible particles. 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Rextol 5 mcg/ml is indicated for the prevention and treatment of secondary hyperparathyrodism in patients with chronic renal failure who are undergoing haemodialysis. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology Adults 1) Initial Dose should be calculated based on baseline parathyroid hormone (PTH) levels: The initial dose of paricalcitol is based on the following formula: Initial dose (micrograms) = baseline intact PTH level in pmol/l 8 OR = baseline intact PTH level in pg/mL 80 Page 2 of 10 and administered as an intravenous (IV) bolus dose no more frequently then every other day at any time during dialysis. The maximum dose safely administered in clinical studies was as high as 40 micrograms. 2) Titration Dose: The currently accepted target range for PTH levels in end-stage renal failure subjects undergoing dialysis is no more than 1.5 to 3 times the non-uremic upper limit of normal, 15.9 to 31.8 pmol/l (150-300 pg/ml), for intact PTH. Close monitoring and individual dose titration are necessary to reach appropriate physiological endpoints. If hypercalcaemia or a persistently elevated corrected Ca x P product greater than 5.2 mmol 2 /l 2 (65 mg 2 /dl 2 ) is noted, the dosage should be reduced or interrupted until these parameters are normalised. Then, paricalcitol administration should be reinitiated at a lower dose. Doses may need to be decreased as the PTH levels decrease i Perskaitykite visą dokumentą