Država: Združene države Amerike
Jezik: angleščina
Source: NLM (National Library of Medicine)
TRAMADOL HYDROCHLORIDE (UNII: 9N7R477WCK) (TRAMADOL - UNII:39J1LGJ30J)
Par Pharmaceutical, Inc.
TRAMADOL HYDROCHLORIDE
TRAMADOL HYDROCHLORIDE 100 mg
ORAL
PRESCRIPTION DRUG
Tramadol Hydrochloride Extended-Release Tablets are indicated for the management of pain severe enough to require daily, around-the-clock, long term opioid treatment and for which alternative treatment options are inadequate. Limitations of Use - Because of the risks of addiction, abuse, and misuse, with opioids, even at recommended doses, and because of the greater risks of overdose and death with extended-release opioid formulations [see WARNINGS ], reserve Tramadol Hydrochloride Extended-Release Tablets for use in patients for whom alternative treatment options [e.g., non-opioid analgesics or immediate-release opioids], are ineffective, not tolerated, or would be otherwise inadequate to provide sufficient management of pain. - Tramadol Hydrochloride Extended-Release Tablets are not indicated as an as-needed (prn) analgesic. Tramadol Hydrochloride Extended-Release Tablets are contraindicated for: - all children younger than 12 years of age [see WARNINGS ] - post-operative management in children younger than
Tramadol Hydrochloride Extended-Release Tablets, USP are available as follows: 100 mg, white to off-white, round film-coated tablets, engraved with “A221” on one side and plain on the other side. NDC # 10370-221-11, bottle of 30 tablets 200 mg, white to off-white, oval film-coated tablets, engraved with “A222” on one side and plain on the other side. NDC # 10370-222-11, bottle of 30 tablets 300 mg, white to off-white, oval film-coated tablets, engraved with “A223” on one side and plain on the other side. NDC # 10370-223-11, bottle of 30 tablets Store at 20º to 25ºC (68º to 77ºF) [see USP Controlled Room Temperature] Dispense in a tight, light-resistant container as defined in the USP. Warning: Keep out of reach of children. Store Tramadol Hydrochloride Extended-Release Tablets securely and dispose of properly [ see PRECAUTIONS/Information for Patients] .
Abbreviated New Drug Application
TRAMADOL HYDROCHLORIDE- TRAMADOL HYDROCHLORIDE TABLET, FILM COATED, EXTENDED RELEASE PAR PHARMACEUTICAL, INC. ---------- TRAMADOL HYDROCHLORIDE EXTENDED-RELEASE TABLETS, USP CIV RX ONLY WARNING: ADDICTION, ABUSE, AND MISUSE; RISK EVALUATION AND MITIGATION STRATEGY (REMS); LIFE-THREATENING RESPIRATORY DEPRESSION; ACCIDENTAL INGESTION; ULTRA-RAPID METABOLISM OF TRAMADOL AND OTHER RISK FACTORS FOR LIFE-THREATENING RESPIRATORY DEPRESSION IN CHILDREN; NEONATAL OPIOID WITHDRAWAL SYNDROME, INTERACTIONS WITH DRUGS AFFECTING CYTOCHROME P450 ISOENZYMES; AND RISKS FROM CONCOMITANT USE WITH BENZODIAZEPINES OR OTHER CNS DEPRESSANTS ADDICTION, ABUSE, AND MISUSE TRAMADOL HYDROCHLORIDE EXTENDED-RELEASE TABLETS EXPOSE PATIENTS AND OTHER USERS TO THE RISKS OF OPIOID ADDICTION, ABUSE, AND MISUSE, WHICH CAN LEAD TO OVERDOSE AND DEATH. ASSESS EACH PATIENT’S RISK PRIOR TO PRESCRIBING TRAMADOL HYDROCHLORIDE EXTENDED-RELEASE TABLETS, AND MONITOR ALL PATIENTS REGULARLY FOR THE DEVELOPMENT OF THESE BEHAVIORS AND CONDITIONS [SEE WARNINGS]. OPIOID ANALGESIC RISK EVALUATION AND MITIGATION STRATEGY (REMS): TO ENSURE THAT THE BENEFITS OF OPIOID ANALGESICS OUTWEIGH THE RISKS OF ADDICTION, ABUSE, AND MISUSE, THE FOOD AND DRUG ADMINISTRATION (FDA) HAS REQUIRED A REMS FOR THESE PRODUCTS [SEE WARNINGS]. UNDER THE REQUIREMENTS OF THE REMS, DRUG COMPANIES WITH APPROVED OPIOID ANALGESIC PRODUCTS MUST MAKE REMS-COMPLIANT EDUCATION PROGRAMS AVAILABLE TO HEALTHCARE PROVIDERS. HEALTHCARE PROVIDERS ARE STRONGLY ENCOURAGED TO COMPLETE A REMS-COMPLIANT EDUCATION PROGRAM, COUNSEL PATIENTS AND/OR THEIR CAREGIVERS, WITH EVERY PRESCRIPTION, ON SAFE USE, SERIOUS RISKS, STORAGE, AND DISPOSAL OF THESE PRODUCTS, EMPHASIZE TO PATIENTS AND THEIR CAREGIVERS THE IMPORTANCE OF READING THE MEDICATION GUIDE EVERY TIME IT IS PROVIDED BY THEIR PHARMACIST, AND CONSIDER OTHER TOOLS TO IMPROVE PATIENT, HOUSEHOLD, AND COMMUNITY SAFETY. LIFE-THREATENING RESPIRATORY DEPRESSION SERIOUS, LIFE-THREATENING, OR FATAL RESPIRATORY DEPRESSION MAY OCCUR WITH USE OF TRAMADOL HYDROCHLORIDE Preberite celoten dokument