Country: Amerika Syarikat
Bahasa: Inggeris
Sumber: NLM (National Library of Medicine)
AMLODIPINE BESYLATE (UNII: 864V2Q084H) (AMLODIPINE - UNII:1J444QC288), VALSARTAN (UNII: 80M03YXJ7I) (VALSARTAN - UNII:80M03YXJ7I), HYDROCHLOROTHIAZIDE (UNII: 0J48LPH2TH) (HYDROCHLOROTHIAZIDE - UNII:0J48LPH2TH)
Physicians Total Care, Inc.
AMLODIPINE BESYLATE
AMLODIPINE 10 mg
ORAL
PRESCRIPTION DRUG
Exforge HCT (amlodipine, valsartan, hydrochlorothiazide) is indicated for the treatment of hypertension. This fixed combination drug is not indicated for the initial therapy of hypertension [see Dosage and Administration (2)]. Because of the hydrochlorothiazide component, Exforge HCT is contraindicated in patients with anuria or hypersensitivity to other sulfonamide-derived drugs. Pregnancy Category D Valsartan, like other drugs that act on the renin angiotensin system, can cause fetal and neonatal morbidity and death when used during the second or third trimester of pregnancy. If Exforge HCT is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to the fetus. Angiotensin II receptor antagonists, like valsartan, and angiotensin converting enzyme (ACE) inhibitors exert similar effects on the renin-angiotensin system. In several dozen published cases, ACE inhibitor use during the second and third trimesters of pregnancy was as
Exforge HCT (amlodipine, valsartan, hydrochlorothiazide) is available as film-coated tablets containing amlodipine besylate equivalent to 10 mg of amlodipine free-base with valsartan 320 mg and hydrochlorothiazide 25 mg, providing for the following available combination: 10/320/25 mg. 10 mg amlodipine /320 mg valsartan /25 mg hydrochlorothiazide Tablets – Brown-yellow, non-scored, film-coated tablet, ovaloid, biconvex with beveled edge with debossing “NVR” on one side and “VFL” on the other side. Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F), [see USP controlled room temperature.] Protect from moisture. Dispense in tight container (USP).
New Drug Application
EXFORGE HCT - AMLODIPINE VALSARTAN AND HYDROCHLOROTHIAZIDE TABLET, FILM COATED PHYSICIANS TOTAL CARE, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE EXFORGE HCT SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR EXFORGE HCT. EXFORGE HCT (AMLODIPINE, VALSARTAN, HYDROCHLOROTHIAZIDE) TABLETS INITIAL U.S. APPROVAL: 2009 WARNING: AVOID USE IN PREGNANCY WHEN PREGNANCY IS DETECTED, DISCONTINUE EXFORGE HCT AS SOON AS POSSIBLE. DRUGS THAT ACT DIRECTLY ON THE RENIN-ANGIOTENSIN SYSTEM CAN CAUSE INJURY OR DEATH TO THE DEVELOPING FETUS. (5.1) RECENT MAJOR CHANGES Warnings and Precautions: Acute Angle-Closure Glaucoma (5.11) 2/2011 INDICATIONS AND USAGE Exforge HCT is for the treatment of hypertension (1) Not indicated for initial therapy DOSAGE AND ADMINISTRATION Dose once-daily Exforge HCT may be used as add-on/switch therapy for patients not adequately controlled on any two of the following antihypertensive classes: calcium channel blockers, angiotensin receptor blockers, and diuretics. Exforge HCT may be substituted for its individually titrated components for patients on amlodipine, valsartan and hydrochlorothiazide (2). The full blood pressure lowering effect was achieved 2 weeks after being on the maximal dose of Exforge HCT (2). DOSAGE FORMS AND STRENGTHS Tablets: (amlodipine/valsartan/hydrochlorothiazide mg) (3) 5/160/12.5 (3) 10/160/12.5 (3) 5/160/25 (3) 10/160/25 (3) 10/320/25 (3) (3) CONTRAINDICATIONS Anuria; Hypersensitivity to sulfonamide-derived drugs (4) WARNINGS AND PRECAUTIONS Avoid fetal or neonatal exposure (5.1) Symptomatic hypotension with volume- or salt-depletion. Correct volume-depletion prior to administration (5.2) Increased angina and/or myocardial infarction (5.3) Avoid in patients with severely impaired hepatic (2.1, 5.4) or renal function (creatinine clearance ≤30 mL/min) (2.1, 5.5) Observe for signs of fluid or electrolyte imbalance (5.10) Thiazide diuretics may cause an exacerbation or activation of systemic lu Baca dokumen lengkap