Land: USA
Språk: engelsk
Kilde: NLM (National Library of Medicine)
GANCICLOVIR (UNII: P9G3CKZ4P5) (GANCICLOVIR - UNII:P9G3CKZ4P5)
Ranbaxy Pharmaceuticals Inc.
GANCICLOVIR
GANCICLOVIR 250 mg
ORAL
PRESCRIPTION DRUG
Ganciclovir capsules are indicated for the prevention of CMV disease in solid organ transplant recipients and in individuals with advanced HIV infection at risk for developing CMV disease. Ganciclovir capsules are also indicated as an alternative to the intravenous formulation for maintenance treatment of CMV retinitis in immunocompromised patients, including patients with AIDS, in whom retinitis is stable following appropriate induction therapy and for whom the risk of more rapid progression is balanced by the benefit associated with avoiding daily IV infusions (see CLINICAL TRIALS ). SAFETY AND EFFICACY OF GANCICLOVIR HAVE NOT BEEN ESTABLISHED FOR CONGENITAL OR NEONATAL CMV DISEASE; NOT FOR THE TREATMENT OF ESTABLISHED CMV DISEASE OTHER THAN RETINITIS; NOR FOR USE IN NON-IMMUNOCOMPROMISED INDIVIDUALS. THE SAFETY AND EFFICACY OF GANCICLOVIR CAPSULES HAVE NOT BEEN ESTABLISHED FOR TREATING ANY MANIFESTATION OF CMV DISEASE OTHER THAN MAINTENANCE TREATMENT OF CMV RETINITIS. Ganciclovir is contraindicated in pati
Ganciclovir 250 mg capsules are opaque green cap/opaque green body; size ‘1’ hard gelatin capsules, printed “RX636” on cap and body in black ink, containing white to off-white granular powder. They are supplied as follows: NDC 63304-636-60 Bottles of 60 NDC 63304-636-90 Bottles of 90 NDC 63304-636-28 Bottles of 180 NDC 63304-636-10 Bottles of 1000 Ganciclovir 500 mg capsules are opaque ivory yellow cap/opaque green body, size ‘0’ elongated hard gelatin capsules, printed “RX637” on cap and body in black ink, containing white to off-white granular powder. They are supplied as follows: NDC 63304-637-60 Bottles of 60 NDC 63304-637-90 Bottles of 90 NDC 63304-637-28 Bottles of 180 NDC 63304-637-05 Bottles of 500 Store at 20 - 25° C (68 - 77° F) [See USP Controlled Room Temperature]. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. * Retrovir® is a registered trademark of Glaxo Wellcome. # Videx® is a registered trademark of Bristol-Myers Squibb.
Abbreviated New Drug Application
GANCICLOVIR- GANCICLOVIR CAPSULE RANBAXY PHARMACEUTICALS INC. ---------- GANCICLOVIR CAPSULES RX ONLY FOR ORAL ADMINISTRATION WARNING THE CLINICAL TOXICITY OF GANCICLOVIR INCLUDES GRANULOCYTOPENIA, ANEMIA AND THROMBOCYTOPENIA. IN ANIMAL STUDIES GANCICLOVIR WAS CARCINOGENIC, TERATOGENIC AND CAUSED ASPERMATOGENESIS. GANCICLOVIR CAPSULES ARE INDICATED _ONLY_ FOR PREVENTION OF CMV DISEASE IN PATIENTS WITH ADVANCED HIV INFECTION AT RISK FOR CMV DISEASE, FOR MAINTENANCE TREATMENT OF CMV RETINITIS IN IMMUNOCOMPROMISED PATIENTS, AND FOR PREVENTION OF CMV DISEASE IN SOLID ORGAN TRANSPLANT RECIPIENTS (SEE INDICATIONS AND USAGE). BECAUSE GANCICLOVIR CAPSULES ARE ASSOCIATED WITH A RISK OF MORE RAPID RATE OF CMV RETINITIS PROGRESSION, THEY SHOULD BE USED AS MAINTENANCE TREATMENT ONLY IN THOSE PATIENTS FOR WHOM THIS RISK IS BALANCED BY THE BENEFIT ASSOCIATED WITH AVOIDING DAILY INTRAVENOUS INFUSIONS. DESCRIPTION Ganciclovir is a synthetic guanine derivative active against cytomegalovirus (CMV). Ganciclovir is available as 250 mg and 500 mg capsules. Each capsule contains 250 mg or 500 mg ganciclovir, USP respectively, and inactive ingredients croscarmellose sodium, FD&C blue #2, gelatin, iron oxide black, iron oxide yellow, lecithin, magnesium stearate, microcrystalline cellulose, povidone, shellac, simethicone, and titanium dioxide. Ganciclovir is a white to off-white crystalline powder with a molecular formula of C H N 0 and a molecular weight of 255.23. The chemical name for ganciclovir is 9-[[2-hydroxy-1- (hydroxymethyl)ethoxy]methyl]guanine. Ganciclovir is a polar hydrophilic compound with a solubility of 2.6 mg/mL in water at 25° C and an n-octanol/water partition coefficient of 0.022. The pK s for ganciclovir are 2.2 and 9.4. The molecular structure of ganciclovir is: All doses in this insert are specified in terms of ganciclovir. VIROLOGY _Mechanism of Action_: Ganciclovir is an acyclic nucleoside analogue of 2'-deoxyguanosine that inhibits 9 13 5 4 a replication of herpes viruses. Ganciclovir has been shown to be act read_full_document