Kraj: Stany Zjednoczone
Język: angielski
Źródło: NLM (National Library of Medicine)
pentetate calcium trisodium (UNII: G79YN26H5B) (pentetic acid - UNII:7A314HQM0I)
hameln pharma gmbh
pentetate calcium trisodium
pentetate calcium trisodium 1000 mg in 5 mL
INTRAVENOUS
PRESCRIPTION DRUG
Ca-DTPA is indicated for treatment of individuals with known or suspected internal contamination with plutonium, americium, or curium to increase the rates of elimination. None. Pregnancy Category C Risk Summary There are no adequate and well-controlled studies of Ca-DTPA use in pregnant women. Ca-DTPA chelation therapy causes depletion of body stores of zinc, a trace metal essential for fetal development [see Warnings and Precautions (5.2)] . The consequences of zinc depletion and results of animal studies suggest a teratogenic risk in humans. Ca-DTPA was teratogenic and embryotoxic in mice at daily doses 2 to 8 times the recommended daily human dose, based on body surface area (BSA), with a dose-dependent increase in the frequency of gross malformations. Ca-DTPA was teratogenic in dogs at approximately half the recommended daily human dose based on BSA, as described below. There are no animal or human data evaluating the teratogenic effect of a single dose of Ca-DTPA. Ca-DTPA should be used during pregnancy
Ca-DTPA is supplied as a sterile solution in 5 mL single-use clear glass ampoules at a concentration of 200 mg/mL for intravenous use. Each ampoule contains the equivalent of 1000 mg of pentetate calcium trisodium. Store between 15-30°C (59-86°F). Inspect parenteral drug products visually for particulate matter and discoloration prior to administration, whenever solution and container permit. The product may be filtered using a sterile filter if particles are seen subsequent to opening of the ampoule. OPC ampoule: to open, turn so that the point faces upward and break off the neck with a downward movement.
New Drug Application
PENTETATE CALCIUM TRISODIUM- PENTETATE CALCIUM TRISODIUM INJECTION, SOLUTION, CONCENTRATE HAMELN PHARMA GMBH ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE PENTETATE CALCIUM TRISODIUM INJECTION SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR PENTETATE CALCIUM TRISODIUM INJECTION. PENTETATE CALCIUM TRISODIUM INJECTION (CA-DTPA) FOR INTRAVENOUS OR INHALATION ADMINISTRATION INITIAL U.S. APPROVAL: 2004 WARNING: ASTHMA EXACERBATION WITH NEBULIZATION AND DEPLETION OF TRACE METALS DURING THERAPY _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ Nebulized Ca-DTPA may be associated with asthma exacerbation. (5.1) Ca-DTPA is associated with depletion of trace metals such as zinc. The magnitude of depletion increases with split daily dosing, with increasing dose and with increased treatment duration. Only a single dose of Ca-DTPA is recommended. Use Zn-DTPA if additional chelation therapy is indicated. Monitor serum zinc levels, serum creatinine, BUN, electrolytes, urinalysis and blood cell counts during Ca-DTPA or Zn-DTPA therapy. (2.4, 5.2) INDICATIONS AND USAGE Pentetate calcium trisodium injection is a radiomitigation chelator indicated for treatment of individuals with known or suspected internal contamination with plutonium, americium, or curium to increase the rates of elimination. (1) DOSAGE AND ADMINISTRATION Chelation treatment is most effective if administered within the first 24 hours. (2.1, 2.2) In adults and adolescents, administer intravenously a single 1.0 gram Ca-DTPA dose. (2.1) In children less than 12 years of age, administer intravenously, a single 14 mg/kg Ca-DTPA dose, not to exceed 1.0 gram. (2.1) Zn-DTPA is recommended for maintenance chelation therapy after the first 24 hours. If Zn-DTPA is unavailable, chelation therapy may continue with Ca-DTPA. (2.1) See Full Prescribing Information for dose (2.1) and nebulized chelation therapy (2.3) DOSAGE FORMS AND STRENGTHS 1000 mg / 5 mL single-use ampoules (3) CON Przeczytaj cały dokument