Krajina: Spojené štáty
Jazyk: angličtina
Zdroj: NLM (National Library of Medicine)
BUPRENORPHINE HYDROCHLORIDE (UNII: 56W8MW3EN1) (BUPRENORPHINE - UNII:40D3SCR4GZ), NALOXONE HYDROCHLORIDE (UNII: F850569PQR) (NALOXONE - UNII:36B82AMQ7N)
Apotex Corp.
SUBLINGUAL
PRESCRIPTION DRUG
Buprenorphine and naloxone sublingual film is indicated for treatment of opioid dependence. Buprenorphine and naloxone sublingual film should be used as part of a complete treatment plan that includes counseling and psychosocial support. Buprenorphine and naloxone sublingual film is contraindicated in patients with a history of hypersensitivity to buprenorphine or naloxone as serious adverse reactions, including anaphylactic shock, have been reported [see Warnings and Precautions (5.9) ] . Risk Summary The data on use of buprenorphine, one of the active ingredients in buprenorphine and naloxone sublingual film, in pregnancy, are limited; however, these data do not indicate an increased risk of major malformations specifically due to buprenorphine exposure. There are limited data from randomized clinical trials in women maintained on buprenorphine that were not designed appropriately to assess the risk of major malformations [see Data] . Observational studies have reported on congenital malformations a
Buprenorphine 8 mg and naloxone 2 mg sublingual film is supplied as an orange-white to dark orange rectangular film which contains lighter colored areas of whitish particulates dispersed throughout the film. The film is imprinted with “8” in blue ink (“8” may appear to be green in color), in child-resistant polyester/foil laminated pouches: Buprenorphine 12 mg and naloxone 3 mg sublingual film is supplied as an orange-white to dark orange rectangular film which contains lighter colored areas of whitish particulates dispersed throughout the film. The film is imprinted with “12” in blue ink (“12” may appear to be green in color), in child-resistant polyester/foil laminated pouches: Store at 20°C to 25°C (68°F to 77°F), excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Store buprenorphine and naloxone sublingual film securely and dispose of properly [see Patient Counseling Information ( 17)] .
Abbreviated New Drug Application
BUPRENORPHINE AND NALOXONE- BUPRENORPHINE AND NALOXONE FILM Apotex Corp. ---------- MEDICATION GUIDE Buprenorphine ( bue” pre nor’ feen) and Naloxone ( nal ox’ one) Sublingual Film for sublingual or buccal administration (CIII) IMPORTANT: Keep buprenorphine and naloxone sublingual film in a secure place away from children. Accidental use by a child is a medical emergency and can result in death. If a child accidentally takes buprenorphine and naloxone sublingual film, get emergency help or call 911 right away. Tell your healthcare provider if you are living in a household where there are small children. What is the most important information I should know aboutbuprenorphine and naloxone sublingual film? • Buprenorphine and naloxone sublingual film contains a medicine called buprenorphine. Buprenorphine is an opioid that can cause serious and life‐threatening breathing problems, especially if you take or use certain other medicines or drugs. • Talk to your healthcare provider about naloxone. Naloxone is a medicine that is available to patients for the emergency treatment of an opioid overdose, including accidental use of buprenorphine and naloxone sublingual film by a child. If naloxone is given, you must call 911 or get emergency medical help right away to treat an overdose or accidental use of an opioid. • Buprenorphine and naloxone sublingual film may cause serious and life‐threatening breathing problems. Get emergency help right away if you: • feel faint • feel dizzy • are confused • feel sleepy or uncoordinated • have blurred vision • have slurred speech • are breathing slower than normal • cannot think well or clearly • Do not takebuprenorphine and naloxone sublingual film with certain medicines. Takingbuprenorphine and naloxone sublingual film with other opioid medicines, benzodiazepines, alcohol, or other central nervous system depressants (including street drugs) can cause severe drowsiness, decreased awareness, breathing problems, coma, and death. • Do not inject (“s Prečítajte si celý dokument
BUPRENORPHINE AND NALOXONE- BUPRENORPHINE AND NALOXONE FILM APOTEX CORP. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE BUPRENORPHINE AND NALOXONE SUBLINGUAL FILM SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR BUPRENORPHINE AND NALOXONE SUBLINGUAL FILM. BUPRENORPHINE AND NALOXONE SUBLINGUAL FILM, FOR SUBLINGUAL OR BUCCAL USE CIII INITIAL U.S. APPROVAL: 2002 RECENT MAJOR CHANGES Dosage and Administration ( 2.5) 06/2022 Warnings and Precautions ( 5.13, 5.14) 06/2022 INDICATIONS AND USAGE Buprenorphine and naloxone sublingual film contains buprenorphine, a partial-opioid agonist, and naloxone, an opioid antagonist, and is indicated for treatment of opioid dependence. ( 1) Buprenorphine and naloxone sublingual film should be used as part of a complete treatment plan that includes counseling and psychosocial support. ( 1) DOSAGE AND ADMINISTRATION Administer buprenorphine and naloxone sublingual film as a single daily dose. ( 2.1) Strongly consider prescribing naloxone at the time buprenorphine and naloxone sublingual film is initiated or renewed because patients being treated for opioid use disorder have the potential for relapse, putting them at risk for opioid overdose. ( 2.2) To avoid precipitating withdrawal, induction with buprenorphine and naloxone sublingual film should be undertaken when objective and clear signs of withdrawal are evident and buprenorphine and naloxone sublingual film should be administered in divided doses when used as initial treatment. ( 2.3) For patients dependent on short-acting opioid products who are in opioid withdrawal; on Day 1, administer up to 8 mg/2 mg buprenorphine and naloxone sublingual film (in divided doses). On Day 2, administer up to 16 mg/4 mg of buprenorphine and naloxone sublingual film as a single dose. ( 2.3) For patients dependent on methadone or long-acting opioid products, induction onto sublingual buprenorphine monotherapy is recommended on Days 1 and 2 of treatment. ( 2.3) For maint Prečítajte si celý dokument