Country: Amerika Syarikat
Bahasa: Inggeris
Sumber: NLM (National Library of Medicine)
CLOZAPINE (UNII: J60AR2IKIC) (CLOZAPINE - UNII:J60AR2IKIC)
TYA Pharmaceuticals
CLOZAPINE
CLOZAPINE 25 mg
ORAL
PRESCRIPTION DRUG
CLOZARIL is indicated for the treatment of severely ill patients with schizophrenia who fail to respond adequately to standard antipsychotic treatment. Because of the significant risk of agranulocytosis and seizure associated with its use, CLOZARIL should be used only in patients who have failed to respond adequately to standard antipsychotic treatment . [see Warnings and Precautions (5.1, 5.4)] The effectiveness of CLOZARIL in treatment-resistant schizophrenia was demonstrated in a 6-week, randomized, double-blind, active-controlled study comparing CLOZARIL and chlorpromazine in patients who had failed other antipsychotics . [see Clinical Studies (14.1)] CLOZARIL is indicated for reducing the risk of recurrent suicidal behavior in patients with schizophrenia or schizoaffective disorder who are judged to be at chronic risk for re-experiencing suicidal behavior, based on history and recent clinical state. Suicidal behavior refers to action
NDC:64725-1260-1 in a CONTAINER of 30 TABLETS CLOZARIL® (clozapine) is available as 25 mg and 100 mg round, pale-yellow, uncoated tablets with a facilitated score on one side. Storage temperature should not exceed 30°C (86°F). Keep out of reach of children.
New Drug Application
CLOZARIL- CLOZAPINE TABLET TYA PHARMACEUTICALS ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE CLOZARIL SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR CLOZARIL. CLOZARIL® (CLOZAPINE) TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 1989 WARNING: AGRANULOCYTOSIS; ORTHOSTATIC HYPOTENSION, BRADYCARDIA, AND SYNCOPE; SEIZURE; MYOCARDITIS AND CARDIOMYOPATHY; INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ AGRANULOCYTOSIS: CAN LEAD TO SERIOUS INFECTION AND DEATH. MONITOR WHITE BLOOD CELL COUNT AND ABSOLUTE NEUTROPHIL COUNT PRIOR TO AND DURING TREATMENT. MONITOR FOR SYMPTOMS OF AGRANULOCYTOSIS AND INFECTION. ( , ) 2.15.1 BECAUSE OF RISK OF AGRANULOCYTOSIS, CLOZARIL IS AVAILABLE ONLY THROUGH A RESTRICTED PROGRAM CALLED THE CLOZARIL NATIONAL REGISTRY. PRESCRIBERS, PATIENTS, AND PHARMACIES MUST ENROLL IN THE PROGRAM. ( ) 5.2 ORTHOSTATIC HYPOTENSION, BRADYCARDIA, AND SYNCOPE: RISK IS DOSE-RELATED. STARTING DOSE IS 12.5 MG. TITRATE GRADUALLY AND USE DIVIDED DOSAGES. ( , , ) 2.22.55.3 SEIZURE: RISK IS DOSE-RELATED. TITRATE GRADUALLY AND USE DIVIDED DOSES. USE WITH CAUTION IN PATIENTS WITH HISTORY OF SEIZURE OR RISK FACTORS FOR SEIZURE. ( , ) 2.25.4 MYOCARDITIS AND CARDIOMYOPATHY: CAN BE FATAL. DISCONTINUE AND OBTAIN CARDIAC EVALUATION IF FINDINGS SUGGEST THESE CARDIAC REACTIONS. ( ) 5.5 INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS: CLOZARIL IS NOT APPROVED FOR THIS CONDITION. ( ) 5.6 RECENT MAJOR CHANGES Dosage and Administration ( , , ) 07/2013 2.12.62.7 Contraindications ( ) 07/2013 4 Warnings and Precautions ( , ) 07/2013 5.25.3 INDICATIONS AND USAGE CLOZARIL is an atypical antipsychotic indicated for: Treatment-resistant schizophrenia. Efficacy was established in an active-controlled study. ( , ) 1.114.1 Reducing suicidal behavior in patients with schizophrenia or schizoaffective disorder. Efficacy was established in an active-control Baca dokumen lengkap