Land: USA
Språk: engelsk
Kilde: NLM (National Library of Medicine)
NITRIC OXIDE (UNII: 31C4KY9ESH) (NITRIC OXIDE - UNII:31C4KY9ESH)
Airgas Therapeutics, LLC
RESPIRATORY (INHALATION)
PRESCRIPTION DRUG
ULSPIRA™ is indicated to improve oxygenation and reduce the need for extracorporeal membrane oxygenation in term and near-term (>34 weeks gestation) neonates with hypoxic respiratory failure associated with clinical or echocardiographic evidence of pulmonary hypertension in conjunction with ventilatory support and other appropriate agents. ULSPIRA is contraindicated in neonates dependent on right-to-left shunting of blood. 8.4 Pediatric Use The safety and efficacy of nitric oxide for inhalation has been demonstrated in term and near- term neonates with hypoxic respiratory failure associated with evidence of pulmonary hypertension [see Clinical Studies (14.1)]. Additional studies conducted in premature neonates for the prevention of bronchopulmonary dysplasia have not demonstrated substantial evidence of efficacy [see Clinical Studies (14.3)]. No information about its effectiveness in other age populations is available. 8.5 Geriatric Use Nitric oxide is not indicated for use in the adult population.
Size D Portable aluminum cylinders containing 362 liters at STP of nitric oxide gas in 800 ppm concentration in nitrogen (delivered volume 350 liters) (NDC 82605-006-02) Size 88 Aluminum cylinders containing 2138 liters at STP of nitric oxide gas in 800 ppm concentration in nitrogen (delivered volume 2083 liters) (NDC 82605-006-01) Distributed by Airgas Therapeutics LLC Radnor, PA 19087 USA AirGas Therapeutics an Air Liquide company © 2023 Airgas ULSPI 01
Abbreviated New Drug Application
ULSPIRA- ULSPIRA GAS AIRGAS THERAPEUTICS, LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ULSPIRA™ SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ULSPIRA. ULSPIRA™ (NITRIC OXIDE) GAS, FOR INHALATION INITIAL U.S. APPROVAL: 1999 INDICATIONS AND USAGE ULSPIRA is a vasodilator indicated to improve oxygenation and reduce the need for extracorporeal membrane oxygenation in term and near- term (>34 weeks gestation) neonates with hypoxic respiratory failure associated with clinical or echocardiographic evidence of pulmonary hypertension in conjunction with ventilatory support and other appropriate agents. (1) DOSAGE AND ADMINISTRATION The recommended dose is 20 ppm, maintained for up to 14 days or until the underlying oxygen desaturation has resolved (2.1). (2) Doses greater than 20 ppm are not recommended (2.1, 5.2) (2) Administration: (2) Avoid abrupt discontinuation (2.2, 5.1). DOSAGE FORMS AND STRENGTHS ULSPIRA (nitric oxide) is a gas available in a 800 ppm concentration (3). (3) CONTRAINDICATIONS Neonates dependent on right-to-left shunting of blood (4). (4) WARNINGS AND PRECAUTIONS Rebound: Abrupt discontinuation of ULSPIRA may lead to worsening oxygenation and increasing pulmonary artery pressure (5.1). (5) Methemoglobinemia: Methemoglobin increases with the dose of nitric oxide; following discontinuation or reduction of nitric oxide, methemoglobin levels return to baseline over a period of hours (5.2). (5) Elevated NO Levels: Monitor NO levels (5.3). (5) Heart Failure: In patients with pre-existing left ventricular dysfunction, ULSPIRA may increase pulmonary capillary wedge pressure leading to pulmonary edema (5.4). (5) ADVERSE REACTIONS The most common adverse reaction is hypotension. (6). (6) TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT AIRGAS THERAPEUTICS AT 1-833-ULSPIRA (857-7472) AND HTTP://WWW.ULSPIRA.COM/ OR FDA AT 1-800-FDA-1088 OR WWW.FDA.GOV/MEDWATCH. (6) DRUG INTERACTIONS Ni Les hele dokumentet