Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
DEFERIPRONE
IMEKS PHARMA SDN. BHD.
DEFERIPRONE
100tablet Tablets
The Government Pharmaceutical Organization
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ GPO-L-ONE TABLET 500MG Deferiprone (500 mg) _ _ 1 WHAT IS IN THE LEAFLET 1. What GPO-L-One is used for 2. How GPO-L-One works 3. Before you use GPO-L-One 4. How to use GPO-L-One 5. While you are using it 6. Side effects 7. Storage and Disposal of GPO-L-One 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of Revision WHAT GPO-L-ONE IS USED FOR GPO-L-One is used to treat iron overload caused by frequent blood transfusions in patients with thalassaemia major (a type of anaemia). HOW GPO-L-ONE WORKS GPO-L-One contains the active ingredient deferiprone. It helps to remove excess iron from the body. BEFORE YOU USE GPO-L-ONE _ _ - _When you must not use it_ Do not take GPO-L-One if you: • Are allergic to deferiprone or any other ingredients in the formulation. • Have history of repeated episodes of neutropenia (low white blood cells count). • Have history of agranulocytosis (very low white blood cell count). • Are pregnant or breast-feeding. - _Before you start to use it _ Tell your doctor if you have allergies to: • Any other substances, including foods, preservatives or dyes. Tell your doctor if you have or have had any medical conditions, especially the following: • Neutropenia or agranulocytosis • Kidney problems • Liver problems • HIV positive or any impaired immune system problems • Low serum ferritin level Your doctor will also ask you to come in for tests to monitor body iron load. In addition he or she also might ask you to undergo liver biopsies. - _Taking other medicines _ Inform your doctor or pharmacist if you are taking or if you have recently taken any other medicines, including medicines obtained without a prescription. Some medicines and GPO-L-One may interfere with each other. It is important to tell your doctor or pharmacist if you are taking: • Aluminium-based antacids (relieve heartburn or indigestion caused by excess stomach acid) • Medicines known to cause neutropenia or agranulocytosis • Vit Baca dokumen lengkap
DOSAGE FORM / STRENGTH Film coated tablet, each tablet contains Deferiprone 500 mg. DESCRIPTION Dark green, oblong biconvex, film-coated tablet, one side bisected with DFP and 500 marked on each section. PROPERTIES Deferiprone (L1) is an orally active iron chelator belonging to the group of hydroxypyridones. It binds to iron in a 3:1 molar ratio. The water soluble complex of iron formed is rapidly excreted in the urine thus reducing pathological iron deposits in organs and tissues. Studies have demonstrated that deferiprone is effective in promoting iron excretion and can lower serum ferritin levels and tissue iron stores in patients with transfusion-dependent thalassaemia, however, the precise mechanism of deferiprone in promoting iron excretion and preventing the progress of iron accumulation is unknown. _PHARMACOKINETICS_ Absorption: Deferiprone is rapidly absorbed from the upper part of the gastrointestinal tract. Peak serum concentrations are reached 45 to 60 minutes following administration of a single dose in fasted patients. This may be extended to 2 hours in fed patients. There was no decrease in the amount of drug absorbed when given with food. Biotransformation: Deferiprone is metabolized predominantly to a glucuronide conjugate. Peak serum concentrations of the glucuronide occur 2 to 3 hours after administration of deferiprone. Elimination: Deferiprone is eliminated mainly via kidneys (75% to 90% of ingested dose reportedly recoverable from urine during the first 24 hours), in the form of free deferiprone, the glucuronide metabolite and the iron-deferiprone complex. The elimination half-life in most patients is 2 to 3 hours. INDICATION GPO-L-ONE TABLET is indicated for treatment of iron overload in patients with thalassaemia major when deferoxamine therapy is contraindicated or inadequate. RECOMMENDED DOSAGE ADULT & CHILDREN OVER 6 YEARS GPO-L-ONE TABLET is given orally, 75 MG/KG BODY WEIGHT DAILY, IN 2 TO 4 DIVIDED DOSES. Dosage per kg body weight should be calculated to the nearest half tablet (see Baca dokumen lengkap