Country: Amerika Syarikat
Bahasa: Inggeris
Sumber: NLM (National Library of Medicine)
CEVIMELINE HYDROCHLORIDE (UNII: P81Q6V85NP) (CEVIMELINE - UNII:K9V0CDQ56E)
Bionpharma Inc
ORAL
PRESCRIPTION DRUG
Cevimeline hydrochloride capsules are indicated for the treatment of symptoms of dry mouth in patients with Sjögren’s Syndrome. Cevimeline is contraindicated in patients with uncontrolled asthma, known hypersensitivity to cevimeline, and when miosis is undesirable, e.g., in acute iritis and in narrow-angle (angle-closure) glaucoma.
Cevimeline hydrochloride capsules are available as white, hard gelatin capsules with white opaque cap and white opaque body filled with white to off-white powder blend. The capsule is printed with CH in black ink on the body. It is supplied in child-resistant bottles of: 100 capsules (NDC 69452-316-20) Store at 20°C to 25°C (68°F to 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [See USP Controlled Room Temperature]. Dispense in tight containers. Keep this and all drugs out of the reach of children. Distributed by: Bionpharma Inc. Princeton, NJ 08540 MADE IN INDIA Revised: 9/2023 FDA-04 948026810
Abbreviated New Drug Application
CEVIMELINE- CEVIMELINE HYDROCHLORIDE CAPSULE BIONPHARMA INC ---------- CEVIMELINE HYDROCHLORIDE CAPSULES RX ONLY DESCRIPTION Cevimeline is cis-2’-methylspiro {1-azabicyclo [2.2.2] octane-3, 5’ -[1,3] oxathiolane} hydrochloride, hydrate (2:1). Its molecular formula is C H NOS•HCl•½ H O, and its structural formula is: Cevimeline hydrochloride, USP has a molecular weight of 244.79. It is a white to off white crystalline powder with a melting point range of 201°C and 203°C. It is freely soluble in alcohol and chloroform, very soluble in water, and virtually insoluble in ether. The pH of a 1% solution ranges from 4.6 to 5.6. Each capsule for oral administration contains 30 mg of cevimeline hydrochloride, USP. Inactive ingredients include hydroxypropyl cellulose, lactose monohydrate, and magnesium stearate. The capsule shell is composed of gelatin, and titanium dioxide. The capsules are printed with black ink composed of black iron oxide, potassium hydroxide, propylene glycol, shellac, and strong ammonia solution. CLINICAL PHARMACOLOGY PHARMACODYNAMICS Cevimeline is a cholinergic agonist which binds to muscarinic receptors. Muscarinic agonists in sufficient dosage can increase secretion of exocrine glands, such as salivary and sweat glands and increase tone of the smooth muscle in the gastrointestinal and urinary tracts. PHARMACOKINETICS _Absorption:_After administration of a single 30 mg capsule, cevimeline was rapidly absorbed with a mean time to peak concentration of 1.5 hours to 2 hours. No accumulation of active drug or its metabolites was observed following multiple dose administration. When administered with food, there is a decrease in the rate of absorption, with a fasting T of 1.53 hours and a T of 2.86 hours after a meal; the peak concentration is reduced by 17.3%. Single oral doses across the clinical dose range are dose proportional. _Distribution:_Cevimeline has a volume of distribution of approximately 6L/kg and is < 20% 10 17 2 max max bound to human plasma proteins. This suggests that cevime Baca dokumen lengkap