Land: USA
Språk: engelsk
Kilde: NLM (National Library of Medicine)
LEFLUNOMIDE (UNII: G162GK9U4W) (LEFLUNOMIDE - UNII:G162GK9U4W)
Golden State Medical Supply, Inc.
LEFLUNOMIDE
LEFLUNOMIDE 10 mg
PRESCRIPTION DRUG
Abbreviated New Drug Application
LEFLUNOMIDE- LEFLUNOMIDE TABLET GOLDEN STATE MEDICAL SUPPLY, INC. ---------- LEFLUNOMIDE TABLETS, 10 MG AND 20 MG CONTRAINDICATIONS AND WARNINGS PREGNANCY PREGNANCY MUST BE EXCLUDED BEFORE THE START OF TREATMENT WITH LEFLUNOMIDE. LEFLUNOMIDE IS CONTRAINDICATED IN PREGNANT WOMEN, OR WOMWN OF CHILDBEARING POTENTIAL WHO ARE NOT USING RELIABLE CONTACEPTION. (SEE CONTRAINDICATIONS AND WARNINGS). PREGNANCY MUST BE AVOIDED DURING LEFLUNOMIDE TREATMENT OR PRIOR TO THE COMPLETION OF THE DRUG ELIMINAT PROCEDURE AFTER LEFLUNOMIDE TREATMENT. HEPATOTOXICITY SEVERE LIVER INJURY, INCLUDING FATAL LIVER FAILURE, HAS BEEN REPORTED IN SOME PATIENTS TREATED WITH LEFLUNOMIDE. PATIENTS WITH PRE-EXISTING ACUTE OR CHRONIC LIVER DISEASE, OR THOSE WITH SERUM ALANINE AMINOTRANSFERADE (ALT) >2XULN BEFORE INITIATING TREATMENT, SHOULD NOT BE TREATED WITH LEFLUNOMIDE. USE CAUTION WHEN LEFLUNOMIDE IS GIVEN WITH OTHER POTENTIALLY HEPATOTOXIC DRUGS. MONITORING OF ALT LEVELS IS RECOMMENDED AT LEAST MONTHLY FOR SIX MONTHS AFTER STARTING LEFLUNOMIDE, AND THEREAFTER EVERY SIX TO EIGHT WEEKS. IF ALTELEVATION > 3 FOLD ULN OCCURS, INTERRUPT LEFLUNOMIDE THERAPY WHILE INVESTIGATING THE PROBABLE CAUSE OF THE ALT ELEVATION BY CLOSE OBSERVATION AND ADDITIONAL TESTS. IF LIKELY LEFLUNOMIDE-INDUCED, START CHOLESTYRAMINE WASHOUT AND MONITOR LIVER TESTS WEEKLY UNTIL NORMALIZED. IF LEFLUNOMIDE- INDUCED LIVER INJURY IS UNLIKELY BECAUSE SOME OTHER PROBABLE CAUSE HAS BEEN FOUND, RESUMPTION OF LEFLUNOMIDE THERAPY MAY BE CONSIDERED. (SEE WARNINGS –HEPATOTOXICITY). DESCRIPTION Leflunomide is a pyrimidine synthesis inhibitor. The chemical name for leflunomide is N-(4'- trifluoromethylphenyl)-5-methylisoxazole-4-carboxamide. It has an empirical formula C H F N O , a molecular weight of 270.2 and the following structural formula: Leflunomide is available for oral administration as tablets containing 10 or 20 mg of active drug. Each Leflunomide Tablet, USP contains anhydrous lactose, colloidal silicon dioxide, crospovidone, and 12 9 3 2 2 magnesium stearate. CLINICAL PHAR Les hele dokumentet