Kraj: Stany Zjednoczone
Język: angielski
Źródło: NLM (National Library of Medicine)
Cholestyramine (UNII: 4B33BGI082) (Cholestyramine - UNII:4B33BGI082)
TAGI Pharma, Inc.
ORAL
PRESCRIPTION DRUG
1) Cholestyramine for Oral Suspension, USP is indicated as adjunctive therapy to diet for the reduction of elevated serum cholesterol in patients with primary hypercholesterolemia (elevated low density lipoprotein [LDL] cholesterol) who do not respond adequately to diet. Cholestyramine for Oral Suspension, USP may be useful to lower LDL cholesterol in patients who also have hypertriglyceridemia, but it is not indicated where hypertriglyceridemia is the abnormality of most concern. Therapy with lipid-altering agents should be a component of multiple risk factor intervention in those individuals at significantly increased risk for atherosclerotic vascular disease due to hypercholesterolemia. Treatment should begin and continue with dietary therapy specific for the type of hyperlipoproteinemia determined prior to initiation of drug therapy. Excess body weight may be an important factor and caloric restriction for weight normalization should be addressed prior to drug therapy in the overweight. Prior to initiatin
Cholestyramine for Oral Suspension, USP orange flavor is available in cartons of sixty 8.3 gram pouches and in a can containing 348.6 grams. 8.3 grams of Cholestyramine for Oral Suspension, USP contain 4 grams of anhydrous cholestyramine resin. NDC 51224-011-20 Carton of 60 single-dose pouches NDC 51224-011-10 Can, 348.6 g (containing a scoop that is not interchangeable with scoops from other products) Store at 20°C to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Always replace plastic lid after using. KEEP OUT OF THE REACH OF CHILDREN.
Abbreviated New Drug Application
CHOLESTYRAMINE- CHOLESTYRAMINE POWDER, FOR SUSPENSION TAGI PHARMA, INC. ---------- CHOLESTYRAMINE FOR ORAL SUSPENSION, USP RX ONLY DESCRIPTION Cholestyramine for Oral Suspension, USP, the chloride salt of a basic anion exchange resin, a cholesterol lowering agent, is intended for oral administration. Cholestyramine resin is quite hydrophilic, but insoluble in water. Cholestyramine resin is not absorbed from the digestive tract. 8.3 grams of Cholestyramine for Oral Suspension, USP contain 4 grams of cholestyramine resin. It is represented by the following structural formula: REPRESENTATION OF STRUCTURE OF MAIN POLYMERIC GROUPS INACTIVE INGREDIENTS: sucrose (429.5 mg/g), propylene glycol alginate, natural orange flavor, anhydrous citric acid, D&C Yellow No. 10 aluminum lake and FD&C Yellow No. 6 aluminum lake. CLINICAL PHARMACOLOGY Cholesterol is probably the sole precursor of bile acids. During normal digestion, bile acids are secreted into the intestines. A major portion of the bile acids is absorbed from the intestinal tract and returned to the liver via the enterohepatic circulation. Only very small amounts of bile acids are found in normal serum. Cholestyramine resin adsorbs and combines with the bile acids in the intestine to form an insoluble complex which is excreted in the feces. This results in a partial removal of bile acids from the enterohepatic circulation by preventing their absorption. The increased fecal loss of bile acids due to cholestyramine resin administration leads to an increased oxidation of cholesterol to bile acids, a decrease in beta lipoprotein or low density lipoprotein plasma levels and a decrease in serum cholesterol levels. Although in man, cholestyramine resin produces an increase in hepatic synthesis of cholesterol, plasma cholesterol levels fall. In patients with partial biliary obstruction, the reduction of serum bile acid levels by cholestyramine resin reduces excess bile acids deposited in the dermal tissue with resultant decrease in pruritus. CLINICAL STUDIES In a large, plac Przeczytaj cały dokument