Land: USA
Språk: engelsk
Kilde: NLM (National Library of Medicine)
CEVIMELINE HYDROCHLORIDE (UNII: P81Q6V85NP) (CEVIMELINE - UNII:K9V0CDQ56E)
Advagen Pharma Ltd
ORAL
PRESCRIPTION DRUG
Cevimeline is indicated for the treatment of symptoms of dry mouth in patients with Sjögren’s Syndrome. Cevimeline is contraindicated in patients with uncontrolled asthma, known hypersensitivity to cevimeline, and when miosis is undesirable, e.g., in acute iritis and in narrow-angle (angle-closure) glaucoma.
Cevimeline hydrochloride capsules 30 mg are available as opaque white cap printed ‘˄’ in black and white opaque body printed ‘A20’in black containing white to off white powder. They are supplied as follows: Bottles of 30, NDC 72888-118-30 Bottles of 100, NDC 72888-118-01 Bottles of 500, NDC 72888-118-05 Bottles of 1,000, NDC 72888-118-00 Store at 20° to 25°C (68° to 77°F); excursions permitted between 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. Distributed By: Advagen Pharma Ltd., 666 Plainsboro Road, Suite 605 Plainsboro, NJ 08536, USA. Manufactured by: Rubicon Research Private Limited Ambernath, Dist: Thane, 421506 India. Rev.01, 12/2022
Abbreviated New Drug Application
CEVIMELINE HYDROCHLORIDE- CEVIMELINE HYDROCHLORIDE CAPSULE ADVAGEN PHARMA LTD ---------- CEVIMELINE HYDROCHLORIDE CAPSULES 30MG RX ONLY DESCRIPTION Cevimeline is cis -2’-methylspiro{1-azabicyclo [2.2.2] octane-3, 5’-[1,3] oxathiolane} hydrochloride, hydrate (2:1). Its empirical formula is C H NOS.HCl.½ H O, and its structural formula is: Cevimeline has a molecular weight of 244.79. It is a white to off white crystalline powder with a melting point range of 201 to 203 C. It is freely soluble in alcohol and chloroform, very soluble in water, and virtually insoluble in ether. The pH of a 1% solution ranges from 4.6 to 5.6. Cevimeline hydrochloride is available as 30 mg capsules for oral administration. Inactive ingredients include lactose monohydrate, hydroxypropyl cellulose, and magnesium stearate, gelatin, titanium dioxide, sodium lauryl sulphate, shellac, propylene glycol, black iron oxide and potassium hydroxide. CLINICAL PHARMACOLOGY _Pharmacodynamics_ Cevimeline is a cholinergic agonist which binds to muscarinic receptors. Muscarinic agonists in sufficient dosage can increase secretion of exocrine glands, such as salivary and sweat glands and increase tone of the smooth muscle in the gastrointestinal and urinary tracts. _Pharmacokinetics_ Absorption: After administration of a single 30 mg capsule, cevimeline was rapidly absorbed with a mean time to peak concentration of 1.5 to 2 hours. No accumulation of active drug or its metabolites was observed following multiple dose administration. When administered with food, there is a decrease in the rate of absorption, with a fasting T of 1.53 hours and a T of 2.86 hours after a meal; the peak concentration is reduced by 17.3%. Single oral doses across the clinical dose range are dose proportional. Distribution: Cevimeline has a volume of distribution of approximately 6L/kg and is 10 17 2 o max max <20% bound to human plasma proteins. This suggests that cevimeline is extensively bound to tissues; however, the specific binding sites are unknown. Metabolism: Isozym Les hele dokumentet