Pajjiż: Stati Uniti
Lingwa: Ingliż
Sors: NLM (National Library of Medicine)
TRIENTINE HYDROCHLORIDE (UNII: HC3NX54582) (TRIENTINE - UNII:SJ76Y07H5F)
Actavis Pharma, Inc.
TRIENTINE HYDROCHLORIDE
TRIENTINE HYDROCHLORIDE 250 mg
ORAL
PRESCRIPTION DRUG
Trientine hydrochloride is indicated in the treatment of patients with Wilson's disease who are intolerant of penicillamine. Clinical experience with trientine hydrochloride is limited and alternate dosing regimens have not been well-characterized; all endpoints in determining an individual patient's dose have not been well defined. Trientine hydrochloride and penicillamine cannot be considered interchangeable. Trientine hydrochloride should be used when continued treatment with penicillamine is no longer possible because of intolerable or life endangering side effects. Unlike penicillamine, trientine hydrochloride is not recommended in cystinuria or rheumatoid arthritis. The absence of a sulfhydryl moiety renders it incapable of binding cystine and, therefore, it is of no use in cystinuria. In 15 patients with rheumatoid arthritis, trientine hydrochloride was reported not to be effective in improving any clinical or biochemical parameter after 12 weeks of treatment. Trientine hydrochloride is not indicated f
Trientine hydrochloride capsules, USP 250 mg, are white to off-white opaque hard gelatin capsules radially printed “A272” on the cap with black ink and body is plain. They are supplied as follows: NDC 0591-4910-01 in bottles of 100. Storage Store at 2° to 8°C (36° to 46°F). Keep container tightly closed. Manufactured In India By: Watson Pharma Private Limited Verna, Salcette Goa 403 722 INDIA Manufactured For: Teva Pharmaceuticals Parsippany, NJ 07054 Rev. A 1/2022
Abbreviated New Drug Application
TRIENTINE HYDROCHLORIDE- TRIENTINE HYDROCHLORIDE CAPSULE ACTAVIS PHARMA, INC. ---------- TRIENTINE HYDROCHLORIDE CAPSULES, USP RX ONLY DESCRIPTION Trientine hydrochloride, USP is _N,N'_-bis (2-aminoethyl)-1,2-ethanediamine dihydrochloride. It is a white to pale yellow crystalline hygroscopic powder. It is freely soluble in water, soluble in methanol, slightly soluble in ethanol, and insoluble in chloroform and ether. The empirical formula is C H N •2HCl with a molecular weight of 219.2. The structural formula is: NH (CH ) NH(CH ) NH(CH ) NH •2HCl Trientine hydrochloride, USP is a chelating compound for removal of excess copper from the body. Trientine hydrochloride, USP is available as 250 mg capsules for oral administration. Trientine hydrochloride capsules, USP contain black iron oxide, gelatin, potassium hydroxide, propylene glycol, shellac, stearic acid and titanium dioxide as inactive ingredients. CLINICAL PHARMACOLOGY INTRODUCTION Wilson's disease (hepatolenticular degeneration) is an autosomal inherited metabolic defect resulting in an inability to maintain a near-zero balance of copper. Excess copper accumulates possibly because the liver lacks the mechanism to excrete free copper into the bile. Hepatocytes store excess copper but when their capacity is exceeded copper is released into the blood and is taken up into extrahepatic sites. This condition is treated with a low copper diet and the use of chelating agents that bind copper to facilitate its excretion from the body. CLINICAL SUMMARY Forty-one patients (18 male and 23 female) between the ages of 6 and 54 with a diagnosis of Wilson's disease and who were intolerant of d-penicillamine were treated in two separate studies with trientine hydrochloride. The dosage varied from 450 to 2400 mg per day. The average dosage required to achieve an optimal clinical response varied between 1000 mg and 2000 mg per day. The mean duration of trientine hydrochloride therapy was 48.7 months (range 2 to 164 months). Thirty-four of the 41 patients improved, 4 had n Aqra d-dokument sħiħ