Land: USA
Språk: engelska
Källa: NLM (National Library of Medicine)
ABACAVIR SULFATE (UNII: J220T4J9Q2) (ABACAVIR - UNII:WR2TIP26VS), DOLUTEGRAVIR SODIUM (UNII: 1Q1V9V5WYQ) (DOLUTEGRAVIR - UNII:DKO1W9H7M1), LAMIVUDINE (UNII: 2T8Q726O95) (LAMIVUDINE - UNII:2T8Q726O95)
A-S Medication Solutions
ABACAVIR SULFATE
ABACAVIR 600 mg
ORAL
PRESCRIPTION DRUG
TRIUMEQ is indicated for the treatment of human immunodeficiency virus type 1 (HIV-1) infection in adults and in pediatric patients weighing at least 40 kg. Limitations of Use: TRIUMEQ is contraindicated in patients: Pregnancy Exposure Registry There is a pregnancy exposure registry that monitors pregnancy outcomes in individuals exposed to TRIUMEQ during pregnancy. Healthcare providers are encouraged to register patients by calling the Antiretroviral Pregnancy Registry (APR) at 1‑800‑258‑4263. Risk Summary Preliminary data from an observational study has identified a possible increased risk of neural tube defects when dolutegravir, a component of TRIUMEQ, is administered at the time of conception compared with non-dolutegravir-containing antiretroviral regimens. As defects related to closure of the neural tube occur from conception through the first 6 weeks of gestation, embryos exposed to dolutegravir from the time of conception through the first 6 weeks of gestation are at potential risk. In addition, 2
Product: 50090-1606 NDC: 50090-1606-0 30 TABLET, FILM COATED in a BOTTLE
New Drug Application
A-S Medication Solutions ---------- MEDICATION GUIDE TRIUMEQ (TRI-u-meck) (abacavir, dolutegravir, and lamivudine tablets) What is the most important information I should know about TRIUMEQ? TRIUMEQ can cause serious side effects, including: • Serious allergic reactions (hypersensitivity reaction) that can cause death have happened with TRIUMEQ and other abacavir-containing products. Your risk of this allergic reaction to abacavir is much higher if you have a gene variation called HLA-B*5701. Your healthcare provider can determine with a blood test if you have this gene variation. If you get a symptom from 2 or more of the following groups while taking TRIUMEQ, call your healthcare provider right away to find out if you should stop taking TRIUMEQ. Symptom(s) Group 1 Fever Group 2 Rash Group 3 Nausea, vomiting, diarrhea, abdominal (stomach area) pain Group 4 Generally ill feeling, extreme tiredness, or achiness Group 5 Shortness of breath, cough, sore throat A list of these symptoms is on the Warning Card your pharmacist gives you. Carry this Warning Card with you at all times. If you stop TRIUMEQ because of an allergic reaction, never take TRIUMEQ (abacavir, dolutegravir and lamivudine) or any other medicine that contains abacavir or dolutegravir (EPZICOM, TIVICAY, TRIZIVIR, or ZIAGEN) again. • If you have an allergic reaction, dispose of any unused TRIUMEQ. Ask your pharmacist how to properly dispose of medicines. • If you take TRIUMEQ or any other abacavir-containing medicine again after you have had an allergic reaction, within hours you may get life- threatening symptoms that may include very low blood pressure or death. • If you stop TRIUMEQ for any other reason, even for a few days, and you are not allergic to TRIUMEQ, talk with your healthcare provider before taking it again. Taking TRIUMEQ again can cause a serious allergic or life-threatening reaction, even if you never had an allergic reaction to it before. If your healthcare provider tells you that you can take TRIUMEQ again, start taking it wh Läs hela dokumentet
TRIUMEQ- ABACAVIR SULFATE, DOLUTEGRAVIR SODIUM, LAMIVUDINE TABLET, FILM COATED A-S MEDICATION SOLUTIONS ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE TRIUMEQ SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR TRIUMEQ. TRIUMEQ (ABACAVIR, DOLUTEGRAVIR, AND LAMIVUDINE TABLETS), FOR ORAL USE INITIAL U.S. APPROVAL: 2014 WARNING: HYPERSENSITIVITY REACTIONS, AND EXACERBATIONS OF HEPATITIS B _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ HYPERSENSITIVITY REACTIONS • • • • • • EXACERBATIONS OF HEPATITIS B • RECENT MAJOR CHANGES Boxed Warning 05/2018 Indications and Usage (1) 11/2017 Dosage and Administration, Pregnancy Testing before Initiation of TRIUMEQ (2.2) 09/2018 Dosage and Administration, Recommended Dosage (2.3) 11/2017 Warnings and Precautions, Hepatotoxicity (5.4) 11/2017 Warnings and Precautions, Lactic Acidosis and Severe Hepatomegaly with Steatosis (5.5) 05/2018 Warnings and Precautions, Embryo-Fetal Toxicity (5.6) 09/2018 Warnings and Precautions, Risk of Adverse Reactions or Loss of Virologic Response Due to Drug Interactions (5.7) 11/2017 Warnings and Precautions, Related Products that are Not Recommended (previous 5.8) Removed - 11/2017 Warnings and Precautions, Fat Redistribution (previous 5.9) Removed 05/2018 Warnings and Precautions, Myocardial Infarction (5.10) 05/2018 INDICATIONS AND USAGE TRIUMEQ, a combination of dolutegravir (integrase strand transfer inhibitor [INSTI]), abacavir, and lamivudine (both nucleoside analogue reverse transcriptase inhibitors) is indicated for the treatment of HIV-1 infection in adults and in pediatric patients weighing at least 40 kg. (1) Limitations of Use: • SERIOUS AND SOMETIMES FATAL HYPERSENSITIVITY REACTIONS HAVE OCCURRED WITH ABACAVIR-CONTAINING PRODUCTS. (5.1) HYPERSENSITIVITY TO ABACAVIR IS A MULTI-ORGAN CLINICAL SYNDROME. (5.1) PATIENTS WHO CARRY THE HLA-B*5701 ALLELE ARE AT A HIGHER RISK OF EXPERIENCING A HYPERSENSITIVITY REACTION TO ABACAVIR. (5.1) Läs hela dokumentet