Nchi: Marekani
Lugha: Kiingereza
Chanzo: NLM (National Library of Medicine)
IRINOTECAN HYDROCHLORIDE (UNII: 042LAQ1IIS) (IRINOTECAN - UNII:7673326042)
Armas Pharmaceuticals Inc.
INTRAVENOUS
PRESCRIPTION DRUG
• Irinotecan hydrochloride injection is indicated for patients with metastatic carcinoma of the colon or rectum whose disease has recurred or progressed following initial fluorouracil-based therapy. - Irinotecan hydrochloride injection is contraindicated in patients with a known hypersensitivity to the drug or its excipients. Pregnancy Category D [see Warnings and Precautions (5.9)] Irinotecan hydrochloride can cause fetal harm when administered to a pregnant woman. Radioactivity related to 14 C-irinotecan crosses the placenta of rats following intravenous administration of 10 mg/kg (which in separate studies produced an irinotecan Cmax and AUC about 3 and 0.5 times, respectively, the corresponding values in patients administered 125 mg/m2 ). Intravenous administration of irinotecan 6 mg/kg/day to rats and rabbits during the period of organogenesis resulted in increased post-implantation loss and decreased numbers of live fetuses. In separate studies in rats, this dose produced an Irinotecan Cmax and AUC of
Irinotecan hydrochloride injection, USP is available in single-dose amber colored vials in the following package sizes: Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature ]. Protect from light. Protect from freezing, Keep the vial in the carton until the time of use. Inspect the vial for damage and visible signs of leaks before removing from the carton. If damaged, incinerate the unopened package.
Abbreviated New Drug Application
IRINOTECAN HYDROCHLORIDE- IRINOTECAN HYDROCHLORIDE INJECTION ARMAS PHARMACEUTICALS INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE IRINOTECAN HYDROCHLORIDE INJECTION SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR IRINOTECAN HYDROCHLORIDE INJECTION. IRINOTECAN HYDROCHLORIDE INJECTION, FOR INTRAVENOUS INFUSION INITIAL U.S. APPROVAL: 1996 WARNING: DIARRHEA AND MYELOSUPPRESSION _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING_. • EARLY AND LATE FORMS OF DIARRHEA CAN OCCUR. EARLY DIARRHEA MAY BE ACCOMPANIED BY CHOLINERGIC SYMPTOMS WHICH MAY BE PREVENTED OR AMELIORATED BY ATROPINE. LATE DIARRHEA CAN BE LIFE THREATENING AND SHOULD BE TREATED PROMPTLY WITH LOPERAMIDE. MONITOR PATIENTS WITH DIARRHEA AND GIVE FLUID AND ELECTROLYTES AS NEEDED. INSTITUTE ANTIBIOTIC THERAPY IF PATIENTS DEVELOP ILEUS, FEVER, OR SEVERE NEUTROPENIA. INTERRUPT IRINOTECAN HYDROCHLORIDE INJECTION AND REDUCE SUBSEQUENT DOSES IF SEVERE DIARRHEA OCCURS. •SEVERE MYELOSUPPRESSION MAY OCCUR. RECENT MAJOR CHANGES Warnings and Precautions, Myelosuppression (5.2) 02/2019 INDICATIONS AND USAGE Irinotecan hydrochloride injection is a topoisomerase inhibitor indicated for: • Patients with metastatic carcinoma of the colon or rectum whose disease has recurred or progressed following initial fluorouracil-based therapy. (1) DOSAGE AND ADMINISTRATION Colorectal cancer single agent regimen 1: Irinotecan hydrochloride injection 125 mg/m intravenous infusion over 90 minutes on days 1, 8, 15, 22 then 2-week rest. (2.2) Colorectal cancer single agent regimen 2: Irinotecan hydrochloride injection 350 mg/m intravenous infusion over 90 minutes on day 1 every 3 weeks. (2.2) DOSAGE FORMS AND STRENGTHS Irinotecan hydrochloride injection, USP is available in three single-dose sizes: (3) 2 mL-fill vial containing 40 mg Irinotecan hydrochloride injection, USP 5 mL-fill vial containing 100 mg Irinotecan hydrochloride injection, USP 15 mL-fill vial containing 300 mg Irinotecan Soma hati kamili