Nchi: Australia
Lugha: Kiingereza
Chanzo: Department of Health (Therapeutic Goods Administration)
Telbivudine
Novartis Pharmaceuticals Australia Pty Ltd
Telbivudine
SEBIVO ® _Telbivudine_ CONSUMER MEDICINE INFORMATION WHAT IS IN THIS LEAFLET This leaflet answers some common questions about Sebivo. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. The information in this leaflet was last updated on the date listed on the final page. Some more recent information on the medicine may be available. YOU SHOULD ENSURE THAT YOU SPEAK TO YOUR PHARMACIST OR DOCTOR TO OBTAIN THE MOST UP TO DATE INFORMATION ON THE MEDICINE. YOU CAN ALSO DOWNLOAD THE MOST UP TO DATE LEAFLET FROM WWW.NOVARTIS.COM.AU. Those updates may contain important information about the medicine and its use of which you should be aware. All medicines have risks and benefits. Your doctor has weighed the risks of you taking this medicine against the benefits they expect it will provide. IF YOU HAVE ANY CONCERNS ABOUT THIS MEDICINE, ASK YOUR DOCTOR OR PHARMACIST. KEEP THIS LEAFLET WITH THE MEDICINE. You may need to read it again. WHAT SEBIVO IS USED FOR Sebivo belongs to a group of medicines called antivirals. Sebivo is used to treat chronic hepatitis B in patients. Hepatitis B is caused by infection with the hepatitis B virus, which multiplies in the liver and causes liver damage. Treatment with Sebivo reduces the amount of hepatitis B virus in the body by blocking its multiplication, resulting in less liver damage and improvement in liver function. ASK YOUR DOCTOR IF YOU HAVE ANY QUESTIONS ABOUT WHY THIS MEDICINE HAS BEEN PRESCRIBED FOR YOU. Your doctor may have prescribed it for another purpose. This medicine is only available with a doctor's prescription. It is not addictive. Sebivo does not reduce the risk of infecting others with hepatitis B virus (HBV) through sexual contact or exposure to contaminated blood or other body fluids. You should use appropriate precautions. BEFORE YOU TAKE SEBIVO _WHEN YOU MUST NOT TAKE IT_ DO NOT TAKE SEBIVO IF: • YOU ARE ALLERGIC (HYPERSENSITIVE) TO TELBIVUDINE (ACTIVE INGREDIENT) OR TO ANY OF THE OTHER INGREDIEN Soma hati kamili
1 SEBIVO TELBIVUDINE NAME OF THE MEDICINE The active ingredient of SEBIVO is telbivudine. The chemical name is: 1-((2S,4R,5S)-4- hydroxy-5-hydroxymethyltetrahydrofuran-2-y1)-5-methyl-1H-pyrimidine-2,4-dione or 1-(2- Deoxy-β-L-ribofuranosyl)-5-methyluracil; β-L-2′-Deoxythymidine (INN/USAN= telbivudine). Telbivudine is the unmodified -L enantiomer of naturally-occurring thymidine. Alternative name: L-thymidine The chemical structure of telbivudine (CAS number 3424-98-4) is: HN N O O H OH O O CH 3 DESCRIPTION SEBIVO is available as coated tablets containing 600 mg telbivudine and as oral solution* containing 20mg telbivudine per millilitre. SEBIVO (telbivudine) 600 mg film-coated tablets contain the following inactive ingredients: colloidal silicon dioxide, magnesium stearate, microcrystalline cellulose, povidone, and sodium starch glycolate. The tablet coating contains titanium dioxide, polyethylene glycol, talc and hypromellose. SEBIVO (telbivudine) 20mg/mL oral solution* contain the following inactive ingredients: citric acid anhydrous, benzoic acid, passion fruit flavouring, sodium saccharin, sodium hydroxide and purified water. A 600 mg dose (30 mL) of Sebivo oral solution contains approximately 47 mg of sodium. PHARMACOLOGY PHARMACOTHERAPEUTIC GROUP: Antiviral for systemic use. 2 PHARMACODYNAMICS Telbivudine is a synthetic thymidine nucleoside analogue with activity against HBV DNA polymerase. It is efficiently phosphorylated by cellular kinases to the active triphosphate form, which has an intracellular half-life of 14 hours in human hepatocarcinoma cell line HepG2. Telbivudine-5'-triphosphate inhibits HBV DNA polymerase (reverse transcriptase) and thus HBV replication. This inhibition is thought to involve competition with the natural substrate thymidine 5'-triphosphate and incorporation of telbivudine into viral DNA, causing DNA chain termination. Telbivudine is an inhibitor of both HBV first-strand (EC 50 = 0.4-3.1 M) and second-strand (EC 50 = 0.12-0.47 M) synthesis, an Soma hati kamili