Țară: Statele Unite ale Americii
Limbă: engleză
Sursă: NLM (National Library of Medicine)
SEVELAMER HYDROCHLORIDE (UNII: GLS2PGI8QG) (SEVELAMER - UNII:941N5DUU5C)
Macleods Pharmaceuticals Limited
ORAL
PRESCRIPTION DRUG
Sevelamer hydrochloride tablets are indicated for the control of serum phosphorus in patients with chronic kidney disease (CKD) on dialysis. The safety and efficacy of sevelamer hydrochloride tablets in CKD patients who are not on dialysis have not been studied. Sevelamer hydrochloride tablets are contraindicated in patients with bowel obstruction. Sevelamer hydrochloride tablets are contraindicated in patients with known hypersensitivity to sevelamer hydrochloride or to any of the excipients. Risk Summary Sevelamer hydrochloride is not absorbed systemically following oral administration and maternal use is not expected to result in fetal exposure to the drug. Clinical Considerations Sevelamer hydrochloride may decrease serum levels of fat soluble vitamins and folic acid in pregnant women [see Clinical Pharmacology (12.2)]. Consider supplementing with these vitamins. Data Animal data In pregnant rats given dietary doses of 0.5, 1.5, or 4.5 g/kg/day of sevelamer hydrochloride during organogenesis, reduced or
Sevelamer hydrochloride tablets are available as follows: 800 mg: White to off white colored, oval shaped, film-coated tablets imprinted with "L 26" on one side and plain on other side. Bottle of 30: NDC 33342-242-07 Bottle of 180: NDC 33342-242-57 400 mg: White to off white colored, oval shaped, film-coated tablets imprinted with "L 25" on one side and plain on other side. Bottle of 360: NDC 33342-241-65 Storage: Store at 20° to 25°C (68° to 77°F); excursions permitted to 15° to 30°C (59° to 86°F) Do not use sevelamer hydrochloride tablets after the expiration date on the bottle. [See USP controlled room temperature]. Protect from moisture.
Abbreviated New Drug Application
SEVELAMER HYDROCHLORIDE - SEVELAMER HYDROCHLORIDE TABLET, FILM COATED MACLEODS PHARMACEUTICALS LIMITED ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE SEVELAMER HYDROCHLORIDE TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR SEVELAMER HYDROCHLORIDE TABLETS. SEVELAMER HYDROCHLORIDE TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 2000 RECENT MAJOR CHANGES Warnings and Precautions (5.1) 04/2020 INDICATIONS AND USAGE • Sevelamer hydrochloride tablets are a phosphate binder indicated for the control of serum phosphorus in patients with chronic kidney disease on dialysis. (1) DOSAGE AND ADMINISTRATION • Starting dose is one or two 800 mg or two to four 400 mg tablets three times per day with meals. (2) • Adjust by one tablet per meal in two-week intervals as needed to obtain serum phosphorus target (3.5 to 5.5 mg/dL). (2) DOSAGE FORMS AND STRENGTHS • Tablets: 800 mg and 400 mg (3) CONTRAINDICATIONS • Bowel obstruction. (4) • Known hypersensitivity to sevelamer hydrochloride or to any of the excipients. (4) WARNINGS AND PRECAUTIONS • Serious cases of dysphagia, bowel obstruction, bleeding gastrointestinal ulcers, colitis, ulceration, necrosis, and perforation have been associated with sevelamer use, some requiring hospitalization and surgery. (5.1) ADVERSE REACTIONS • The most common reasons for discontinuing treatment were gastrointestinal adverse reactions. (6.1) • In a parallel design study of 12 weeks duration, treatment-emergent adverse reactions to sevelamer hydrochloride tablets in peritoneal dialysis patients included dyspepsia (12%), peritonitis (8%), diarrhea (5%), nausea (5%), constipation (4%), pruritus (4%), abdominal distension (3%), vomiting (3%), fatigue (3%), anorexia (3%), and arthralgia (3%). (6.1) • Cases of fecal impaction and, less commonly, ileus, bowel obstruction, and bowel perforation have been reported. (6.2) TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT MACLEODS PHARMA USA, INC. AT 1-888- 9 Citiți documentul complet