Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
TENOFOVIR DISOPROXIL FUMARATE
MEDISPEC (M) SDN.BHD
TENOFOVIR DISOPROXIL FUMARATE
30 Tablets
SHIJIAZHUANG LONZEAL PHARMACEUTICALS CO., LTD
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ TENOLON 300MG FILM COATED TABLET Tenofovir Disoproxil Fumarate (300mg) 1 WHAT IS IN THIS LEAFLET 1. What _Tenolon_ is used for 2. How _Tenolon_ works 3. Before you use _Tenolon_ 4. How to use _Tenolon_ 5. While you are using it 6. Side effects 7. Storage and Disposal of _Tenolon_ 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT _TENOLON_ IS USED FOR _ _ _Tenolon_ is indicated in combination with other antiretroviral agents for the treatment of Human Immunodeficiency Virus (HIV) infection in adults and pediatric patients over 12 years of age. _ _ _Tenolon_ is also indicated for the treatment of chronic hepatitis B in adults. HOW _TENOLON_ WORKS _In vivo_ , tenofovir DF is hydrolysed to tenofovir, which is then phosphorylated by cellular kinases to the pharmacologically active metabolite tenofovir diphosphate. Tenofovir diphosphate inhibits the activity of HIV reverse transcriptase by competing with the nucleotide deoxyadenosine 5′- triphosphate for incorporation into viral DNA. Once incorporated into viral DNA, it terminates DNA elongation because of lack of a ribose ring _._ BEFORE YOU USE _TENOLON_ - _When you must not use it _ _ _ Tell your doctor immediately and do not take _Tenolon_ if you are allergic (hypersensitive) to tenofovir, or any of the other ingredients of _Tenolon_ . _ _ - _Before you start to use it _ Do not give _Tenolon_ to children and adolescents under 12 years of age. Take special care with _Tenolon_ - _Patients with history of liver disease, _ _including hepatitis. _ Caution should be observed when nucleoside analogs are used in patients with known risk factors for liver disease. - _Patients co-infected with HIV and _ _HBV. _ If you are coinfected with HIV-1 and HBV, your doctor will prescribe Tenolon as part of an appropriate antiretroviral combination regimen. - _Impaired Renal Function _ Your doctor will recommended that the dosing interval for tenofovir DF be modified in patients with cre Baca dokumen lengkap
For the use only of a Registered Medical Practitioner or a Hospital or a Laboratory TENOLON 300MG FILM COATED TABLET TENOFOVIR DISOPROXIL FUMARATE 300 mg Film-Coated Tablet Antiviral (Nucleoside and Nucleotide Reverse Transcriptase Inhibitor) WARNINGS Lactic acidosis and severe hepatomegaly with steatosis, including fatal cases, have been reported with the use of nucleoside analogs including Tenofovir disoproxil fumarate in combination with other antiretrovirals (see warning and precautions). Severe acute exacerbations of hepatitis have been reported in hepatitis B virus (HBV)-infected patients who have discontinued anti-hepatitis B therapy, including Tenofovir disoproxil fumarate. Hepatic function should be monitored closely with both clinical and laboratory follow-up for at least several months in patients who discontinue anti-hepatitis B therapy, including Tenofovir disoproxil fumarate if appropriate, resumption of anti-hepatitis B therapy may be warranted (see warning and precautions). COMPOSITION Each film coated tablet contains: Tenofovir Disoproxil Fumarate 300mg Equivalent to Tenofovir Disoproxil 245mg DESCRIPTION Blue, almond-shaped, film coated tablets with white cores, and debossed with “LZ30” on one side and with “300” on the other side. PHARMACOLOGY PHARMACODYNAMICS _In vivo_ , tenofovir DF is hydrolysed to tenofovir, which is then phosphorylated by cellular kinases to the pharmacologically active metabolite tenofovir diphosphate. Tenofovir diphosphate inhibits the activity of HIV reverse transcriptase by competing with the nucleotide deoxyadenosine 5′- triphosphate for incorporation into viral DNA. Once incorporated into viral DNA, it terminates DNA elongation because of lack of a ribose ring _. _ PHARMACOKINETICS _Absorption and Distribution _ The oral bioavailability of tenofovir after administration of tenofovir DF 300 mg/day was 25% and increased to 39% when tenofovir DF was administered with a standardised high fat meal. Median steady-state maximum serum tenofovir concentrations (Cmax Baca dokumen lengkap