Land: USA
Språk: engelsk
Kilde: NLM (National Library of Medicine)
CLOZAPINE (UNII: J60AR2IKIC) (CLOZAPINE - UNII:J60AR2IKIC)
Avera McKennan Hospital
CLOZAPINE
CLOZAPINE 100 mg
PRESCRIPTION DRUG
Abbreviated New Drug Application
CLOZAPINE- CLOZAPINE TABLET AVERA MCKENNAN HOSPITAL ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE CLOZAPINE TABLETS USP SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR CLOZAPINE TABLETS USP. CLOZAPINE TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 1989 WARNING: SEVERE NEUTROPENIA; ORTHOSTATIC HYPOTENSION, BRADYCARDIA, AND SYNCOPE; SEIZURE; MYOCARDITIS AND CARDIOMYOPATHY; INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ • • • • • • RECENT MAJOR CHANGES • • • • • INDICATIONS AND USAGE Clozapine tablets USP are an atypical antipsychotic indicated for: • • DOSAGE AND ADMINISTRATION • • • • • • DOSAGE FORMS AND STRENGTHS CONTRAINDICATIONS SEVERE NEUTROPENIA: CLOZAPINE CAN CAUSE SEVERE NEUTROPENIA, WHICH CAN LEAD TO SERIOUS AND FATAL INFECTIONS. PATIENTS INITIATING AND CONTINUING TREATMENT WITH CLOZAPINE MUST HAVE A BASELINE BLOOD ABSOLUTE NEUTROPHIL COUNT (ANC) MEASURED BEFORE TREATMENT INITIATION AND REGULAR ANC MONITORING DURING TREATMENT (2.1, 5.1). CLOZAPINE IS AVAILABLE ONLY THROUGH A RESTRICTED PROGRAM CALLED THE CLOZAPINE REMS (5.2). ORTHOSTATIC HYPOTENSION, BRADYCARDIA, AND SYNCOPE: RISK IS DOSE-RELATED. STARTING DOSE IS 12.5 MG. TITRATE GRADUALLY AND USE DIVIDED DOSAGES (2.2, 2.5, 5.3). SEIZURE: RISK IS DOSE-RELATED. TITRATE GRADUALLY AND USE DIVIDED DOSES. USE WITH CAUTION IN PATIENTS WITH HISTORY OF SEIZURE OR RISK FACTORS FOR SEIZURE (2.2, 5.4). MYOCARDITIS AND CARDIOMYOPATHY: CAN BE FATAL. DISCONTINUE AND OBTAIN CARDIAC EVALUATION IF FINDINGS SUGGEST THESE CARDIAC REACTIONS (5.5). INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS: CLOZAPINE IS NOT APPROVED FOR THIS CONDITION (5.6). Indications and Usage (1.1) 09/2015 Boxed Warning, Severe Neutropenia 09/2015 Dosage and Administration, Required Laboratory Testing Prior to Initiation and During Therapy (2.1), Discontinuation of Treatme Les hele dokumentet