Land: USA
Språk: engelsk
Kilde: NLM (National Library of Medicine)
SEVELAMER CARBONATE (UNII: 9YCX42I8IU) (SEVELAMER - UNII:941N5DUU5C)
Proficient Rx LP
ORAL
PRESCRIPTION DRUG
Sevelamer carbonate tablets are indicated for the control of serum phosphorus in adults with chronic kidney disease (CKD) on dialysis. Pediatric use information is approved for Genzyme Corporation’s RENVELA® (sevelamer carbonate) tablets and RENVELA® (sevelamer carbonate) for oral suspension. However, due to Genzyme Corporation’s marketing exclusivity rights, these drug products are not labeled with that pediatric information . Sevelamer carbonate tablets are contraindicated in patients with bowel obstruction. Sevelamer carbonate tablets are contraindicated in patients with known hypersensitivity to sevelamer carbonate, sevelamer hydrochloride, or to any of the excipients . Risk Summary Sevelamer carbonate is not absorbed systemically following oral administration and maternal use is not expected to result in fetal exposure to the drug. Clinical Considerations Sevelamer carbonate may decrease serum levels of fat soluble vitamins and folic acid in pregnant women [see Clinical Pharmacology (12.2)] . Consider
Sevelamer carbonate tablets, for oral administration, are available as: 800 mg: off white, modified oval tablet core, imprinted "T186" on one side and plain on the reverse side, film coated white,and supplied as: Bottles of 270 tablets (NDC 71205-966-67) Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Protect from moisture. Dispense in a tight container.
Abbreviated New Drug Application
SEVELAMER CARBONATE- SEVELAMER CARBONATE TABLET, FILM COATED PROFICIENT RX LP ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE SEVELAMER CARBONATE TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR SEVELAMER CARBONATE TABLETS. SEVELAMER CARBONATE TABLETS, FILM COATED FOR ORAL USE INITIAL U.S. APPROVAL: 2000 RECENT MAJOR CHANGES Indications and Usage (1) Dosage and Administration (2) Contraindications (4) 11/2016 11/2016 03/2016 INDICATIONS AND USAGE • DOSAGE AND ADMINISTRATION • • DOSAGE FORMS AND STRENGTHS • CONTRAINDICATIONS • • WARNINGS AND PRECAUTIONS • ADVERSE REACTIONS Most of the safety experience is with sevelamer tablets and sevelamer hydrochloride. In long-term studies with sevelamer hydrochloride, which contains the same active moiety as sevelamer carbonate, the most common adverse events included: vomiting (22%), nausea (20%), diarrhea (19%), dyspepsia (16%), abdominal pain (9%), flatulence (8%) and constipation (8%). (6.1) TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT TWI PHARMACEUTICALS, INC. AT 1-844-518- 2989 OR FDA AT 1-800-FDA-1088 OR WWW.FDA.GOV/MEDWATCH. DRUG INTERACTIONS • • • Sevelamer carbonate tablets are a phosphate binder indicated for the control of serum phosphorus in adults with chronic kidney disease on dialysis. (1) Starting dose of sevelamer carbonate is 0.8 or 1.6 grams administered orally three times per day with meals based on serum phosphorus levels for adult patients. (2.1) Titrate by 0.8 g per meal in two week intervals for adult patients as needed to obtain serum phosphorus target. (2.1) Tablets: 0.8 g (3) Bowel obstruction. (4) Known hypersensitivity to sevelamer carbonate, sevelamer hydrochloride or to any of the excipients. (4) Serious cases of dysphagia, bowel obstruction, and perforation have been associated with sevelamer use, some requiring hospitalization and surgery. (5.1) For oral medication where a reduction in the bioavailability of that medication would have Les hele dokumentet