Country: Amerika Syarikat
Bahasa: Inggeris
Sumber: NLM (National Library of Medicine)
ANAGRELIDE HYDROCHLORIDE (UNII: YTM763Y5C8) (ANAGRELIDE - UNII:K9X45X0051)
Teva Pharmaceuticals USA, Inc.
ANAGRELIDE HYDROCHLORIDE
ANAGRELIDE 0.5 mg
ORAL
PRESCRIPTION DRUG
Anagrelide capsules are indicated for the treatment of patients with thrombocythemia, secondary to myeloproliferative neoplasms, to reduce the elevated platelet count and the risk of thrombosis and to ameliorate associated symptoms including thrombo-hemorrhagic events. None. Risk Summary Available data from case reports with anagrelide use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. In animal embryo-fetal studies, delayed fetal development (delayed skeletal ossification and reduced body weight) was observed in rats administered anagrelide hydrochloride during organogenesis at doses approximately 97 times the maximum clinical dose (10 mg/day) based on body surface area (see Data) . There are adverse effects on maternal and fetal outcomes associated with thrombocythemia in pregnancy (see Clinical Considerations). The estimated background risk of major birth defects and miscarriage for the indicated population is unknown
Anagrelide Capsules USP, 0.5 mg are available as light gray opaque cap/white opaque body hard gelatin capsules, spin printed in black ink “Ivax hourglass logo” “5241” on the cap and “0.5 mg” on the body containing 0.5 mg of anagrelide base (as anagrelide hydrochloride, USP). NDC 0172-5241 -60 0.5 mg packaged in bottles of 100 capsules Anagrelide Capsules USP, 1 mg are available as white opaque hard gelatin capsules, spin printed in black ink “Ivax hourglass logo” “5240” on the cap and “1 mg” on the body containing 1 mg of anagrelide base (as anagrelide hydrochloride, USP). NDC 0172-5240 -60 1 mg packaged in bottles of 100 capsules Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Dispense in a tight, light-resistant container as defined in the USP, with a child-resistant closure (as required). KEEP THIS AND ALL MEDICATIONS OUT OF THE REACH OF CHILDREN.
Abbreviated New Drug Application
ANAGRELIDE HYDROCHLORIDE- ANAGRELIDE HYDROCHLORIDE CAPSULE TEVA PHARMACEUTICALS USA, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ANAGRELIDE CAPSULES SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ANAGRELIDE CAPSULES. ANAGRELIDE CAPSULES, FOR ORAL USE INITIAL U.S. APPROVAL: 1997 INDICATIONS AND USAGE Anagrelide is a platelet reducing agent indicated for the treatment of thrombocythemia, secondary to myeloproliferative neoplasms, to reduce the elevated platelet count and the risk of thrombosis and to ameliorate associated symptoms including thrombo-hemorrhagic events. (1) DOSAGE AND ADMINISTRATION The starting dose for adults is 0.5 mg four times a day or 1 mg twice a day. (2.1) The starting dose for pediatric patients is 0.5 mg per day. (2.1) Maintain the starting dose for at least one week and then titrate to maintain target platelet counts. (2.2) Do not exceed a dose increment of 0.5 mg/day in any one week. Do not exceed 10 mg/day or 2.5 mg in a single dose. (2.2) Moderate hepatic impairment: Start with 0.5 mg per day. (2.3) DOSAGE FORMS AND STRENGTHS Capsules: 0.5 mg and 1 mg. (3) CONTRAINDICATIONS None. (4) WARNINGS AND PRECAUTIONS Cardiovascular Toxicity: QT prolongation and ventricular tachycardia have been reported with anagrelide. Obtain a pre-treatment cardiovascular examination including an ECG in all patients. Monitor patients for cardiovascular effects. (5.1) Pulmonary Hypertension: Assess underlying cardiopulmonary disease prior to initiating therapy. (5.2) Bleeding Risk: Monitor patients for bleeding, including those receiving concomitant therapy with other drugs known to cause bleeding. (5.3) ADVERSE REACTIONS The most common adverse reactions (incidence ≥ 5%) are headache, palpitations, diarrhea, asthenia, edema, nausea, abdominal pain, dizziness, pain, dyspnea, cough, flatulence, vomiting, fever, peripheral edema, rash, chest pain, anorexia, tachycardia, malaise, paresthesia, back pain, pruritus, and dyspep Baca dokumen lengkap