Country: Amerika Syarikat
Bahasa: Inggeris
Sumber: NLM (National Library of Medicine)
DEFERASIROX (UNII: V8G4MOF2V9) (DEFERASIROX - UNII:V8G4MOF2V9)
Ascend Laboratories, LLC
ORAL
PRESCRIPTION DRUG
Deferasirox tablets are indicated for the treatment of chronic iron overload due to blood transfusions (transfusional hemosiderosis) in patients 2 years of age and older. Deferasirox tablets is indicated for the treatment of chronic iron overload in patients 10 years of age and older with non-transfusion-dependent thalassemia (NTDT) syndromes and with a liver iron concentration (LIC) of at least 5 milligrams of iron per gram of liver dry weight (mg Fe/g dw) and a serum ferritin greater than 300 mcg/L. The safety and efficacy of deferasirox when administered with other iron chelation therapy have not been established. Deferasirox is contraindicated in patients with: - Estimated GFR less than 40 mL/min/1.73 m2 [see Dosage and Administration (2.5), Warnings and Precautions (5.1)]; - Poor performance status [see Warnings and Precautions (5.1, 5.3)] ; - High-risk myelodysplastic syndromes (this patient population was not studied and is not expected to benefit from chelation therapy) ; - Advanced malignancies [se
90 mg tablets - Light blue color, film coated, oval shaped, biconvex tablets, debossed with 'DFX' on the one side and '90' on other side. Tablets are provided as follows: Bottle of 30: NDC 67877-552-30 Bottle of 90: NDC 67877-552-90 180 mg tablets - Blue color, film coated, oval shaped, biconvex tablets, debossed with 'DFX' on the one side and '180' on other side. Tablets are provided as follows: Bottle of 30: NDC 67877-553-30 Bottle of 90: NDC 67877-553-90 360 mg tablets - Dark blue color, film coated, oval shaped, biconvex tablets, debossed with 'DFX' on the one side and '360' on other side. Tablets are provided as follows: Bottle of 30: NDC 67877-554-30 Bottle of 90: NDC 67877-554-90 Store Deferasirox tablets at 20°C to 25°C (68°F to 77°F); excursions are permitted between 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Protect from moisture.
Abbreviated New Drug Application
DEFERASIROX - DEFERASIROX TABLET, FILM COATED Ascend Laboratories, LLC ---------- MEDICATION GUIDE DEFERASIROX (de FER a sir ox) Tablets What is the most important information I should know about deferasirox? Deferasirox can cause serious side effects, including: Kidney problems. Deferasirox can cause sudden (acute) kidney problems, including kidney failure that may require treatment with dialysis, and may cause death. Deaths have happened mostly in people who also have other health problems and had a blood disorder that was in an advanced stage. Adults and children who already have kidney problems and are taking certain medicines with deferasirox may also have an increased risk of sudden kidney problems. Be sure to tell your healthcare provider about all the medicines you take during treatment with deferasirox. Your healthcare provider should do blood and urine tests to check your or your child’s kidney function before and during treatment withdeferasirox. Call your healthcare provider right away if: • your child becomes sick with fever, vomiting, or diarrhea and cannot drink fluids normally during treatment with deferasirox. Your child may be dehydrated. Your healthcare provider may need to temporarily stop treatment with deferasirox and treat your child for dehydration to help prevent kidney problems. Your healthcare provider may monitor your child’s kidney function more closely. • you notice that you or your child are passing less urine than usual during treatment with deferasirox. Liver problems. Deferasirox can cause liver problems, including liver failure that can sometimes cause death. Liver problems withdeferasirox may be more common in people who are over 55 years of age but can also happen in children. Liver failure has happened more often in people with cirrhosis of the liver and failure of other organs. Liver failure has also happened along with kidney problems in certain children who become dehydrated. See “Kidney problems” above. Your healthcare provider should do blood tests to check y Baca dokumen lengkap
DEFERASIROX - DEFERASIROX TABLET, FILM COATED ASCEND LABORATORIES, LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE DEFERASIROX TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR DEFERASIROX TABLETS. DEFERASIROX TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 2005 WARNING: RENAL FAILURE, HEPATIC FAILURE, AND GASTROINTESTINAL HEMORRHAGE _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ DEFERASIROX MAY CAUSE SERIOUS AND FATAL: ACUTE KIDNEY INJURY, INCLUDING ACUTE RENAL FAILURE REQUIRING DIALYSIS AND RENAL TUBULAR TOXICITY INCLUDING FANCONI SYNDROME (5.1) HEPATIC TOXICITY, INCLUDING FAILURE (5.2) GASTROINTESTINAL HEMORRHAGE (5.3) DEFERASIROX THERAPY REQUIRES CLOSE PATIENT MONITORING, INCLUDING LABORATORY TESTS OF RENAL AND HEPATIC FUNCTION. (5) RECENT MAJOR CHANGES Indications and Usage, Limitations of Use (1.3) 7/2019 INDICATIONS AND USAGE Deferasirox tablets is an iron chelator indicated for the treatment of chronic iron overload due to blood transfusions in patients 2 years of age and older. (1.1) Deferasirox tablets is indicated for the treatment of chronic iron overload in patients 10 years of age and older with non-transfusion-dependent thalassemia (NTDT) syndromes, and with a liver iron (Fe) concentration (LIC) of at least 5 mg Fe per gram of dry weight (Fe/g dw) and a serum ferritin greater than 300 mcg/L. (1.2) Limitations of Use: The safety and efficacy of deferasirox when administered with other iron chelation therapy have not been established. (1.3) DOSAGE AND ADMINISTRATION Transfusional Iron Overload: Initial dose for patients with estimated glomerular filtration rate (eGFR) greater than 60 mL/min/1.73 m2 is 14 mg per kg (calculated to nearest whole tablet) once daily. (2.1) • NTDT Syndromes: Initial dose for patients with eGFR greater than 60 mL/min/1.73 m2 is 7 mg per kg (calculated to nearest whole tablet once daily. (2.2) • See full prescribing information for information regarding monitoring, admi Baca dokumen lengkap