Страна: Соединенные Штаты
Язык: английский
Источник: NLM (National Library of Medicine)
tacrolimus (UNII: WM0HAQ4WNM) (TACROLIMUS ANHYDROUS - UNII:Y5L2157C4J)
Ingenus Pharmaceuticals, LLC
tacrolimus
tacrolimus 0.5 mg
PRESCRIPTION DRUG
Abbreviated New Drug Application
TACROLIMUS- TACROLIMUS CAPSULE INGENUS PHARMACEUTICALS, LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE TACROLIMUS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR TACROLIMUS. TACROLIMUS CAPSULES INITIAL U.S. APPROVAL: 1994 WARNING: MALIGNANCIES AND SERIOUS INFECTIONS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOX WARNING_ INCREASED RISK OF DEVELOPMENT OF LYMPHOMA AND OTHER MALIGNANCIES, PARTICULARLY OF THE SKIN, DUE TO IMMUNOSUPPRESSION (5.2) INCREASED SUSCEPTIBILITY TO BACTERIAL, VIRAL, FUNGAL, AND PROTOZOAL INFECTIONS, INCLUDING OPPORTUNISTIC INFECTIONS (5.3, 5.4, 5.5) ONLY PHYSICIANS EXPERIENCED IN IMMUNOSUPPRESSIVE THERAPY AND MANAGEMENT OF ORGAN TRANSPLANT PATIENTS SHOULD PRESCRIBE TACROLIMUS (5.1) RECENT MAJOR CHANGES Warnings and Precautions, Use with CYP3A4 Inhibitors and Inducers Including Those That Prolong QT (5.13) 07/2012 INDICATIONS AND USAGE Tacrolimus is a calcineurin-inhibitor immunosuppressant indicated for Prophylaxis of organ rejection in patients receiving allogeneic liver, or kidney transplants (1.1, 1.2) Use concomitantly with adrenal corticosteroids; in kidney transplant, use in conjunction with azathioprine or mycophenolate mofetil (MMF) (1.1, 1.2) Limitations of Use (1.4): Do not use simultaneously with cyclosporine Intravenous use reserved for patients who can not tolerate capsules orally Use with sirolimus is not recommended in liver transplant; use with sirolimus in kidney transplant has not been e stablishe d DOSAGE AND ADMINISTRATION Summary of Initial Oral Dosage Recommendation and Observed Whole Blood Trough Concentrations (2.1, 2.2). PATIENT POPULATION RECOMMENDED INITIAL ORAL DOSAGE (TWO DIVIDED DOSES EVERY 12 HOURS) OBSERVED WHOLE BLOOD TROUGH CONCENTRATIONS Adult Kidney transplant In combination with azathioprine In combination with MMF/IL-2 receptor antagonist 0.2 mg/kg/day 0.1 mg/kg/day month 1 to 3: 7 to 20 ng/mL month 4 to 12: 5 to 15 ng/mL month 1 to 12: 4 to 11 ng/mL Adult Liver trans Прочитать полный документ