Ülke: ABD
Dil: İngilizce
Kaynak: NLM (National Library of Medicine)
Hemin (UNII: 743LRP9S7N) (Hemin - UNII:743LRP9S7N)
RECORDATI RARE DISEASES, INC.
Hemin
Hemin 7 mg in 1 mL
INTRAVENOUS
PRESCRIPTION DRUG
PANHEMATIN (hemin for injection) is indicated for the amelioration of recurrent attacks of acute intermittent porphyria temporally related to the menstrual cycle in susceptible women. Manifestations such as pain, hypertension, tachycardia, abnormal mental status and mild to progressive neurologic signs may be controlled in selected patients with this disorder. Similar findings have been reported in other patients with acute intermittent porphyria, porphyria variegata and hereditary coproporphyria. PANHEMATIN is not indicated in porphyria cutanea tarda. PANHEMATIN is contraindicated in patients with known hypersensitivity to this drug.
PANHEMATIN is supplied as a sterile, lyophilized black powder in single dose dispensing vials (NDC 55292-701-54) in a carton (NDC 55292-701-55). When mixed as directed with Sterile Water for Injection, USP, each 43 mL provides the equivalent of approximately 301 mg hematin (7 mg/mL). Store lyophilized powder at 20-25°C (68-77°F). See USP controlled room temperature. Caution: The packaging (vial stopper) of this product contains natural rubber latex which may cause allergic reactions.
Biologic Licensing Application
PANHEMATIN - HEMIN INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION RECORDATI RARE DISEASES, INC. ---------- PANHEMATIN HEMIN FOR INJECTION RX ONLY FOR INTRAVENOUS INFUSION ONLY. PANHEMATIN (hemin for injection) should only be used by physicians experienced in the management of porphyrias in hospitals where the recommended clinical and laboratory diagnostic and monitoring techniques are available. PANHEMATIN therapy should be considered after an appropriate period of alternate therapy (i.e., 400 g glucose/day for 1 to 2 days). (See "WARNINGS", "PRECAUTIONS" and "DOSAGE AND ADMINISTRATION" sections.) DESCRIPTION PANHEMATIN (hemin for injection) is an enzyme inhibitor derived from processed red blood cells. Hemin for injection was known previously as hematin. The term hematin has been used to describe the chemical reaction product of hemin and sodium carbonate solution. Hemin is an iron containing metalloporphyrin. Chemically hemin is represented as chloro [7,12-diethenyl-3,8,13,17-tetramethyl- 21H,23H-porphine-2,18-dipropanoato(2-)-N ,N ,N ,N ] iron. The structural formula for hemin is: PANHEMATIN is a sterile, lyophilized powder suitable for intravenous administration after reconstitution. Each dispensing vial of PANHEMATIN contains the equivalent of 313 mg hemin, 215 mg sodium carbonate and 300 mg of sorbitol. The pH may have been adjusted with hydrochloric acid; the product contains no preservatives. When mixed as directed with Sterile Water for Injection, USP, each 43 mL provides the equivalent of approximately 301 mg hematin (7 mg/mL). CLINICAL PHARMACOLOGY Heme acts to limit the hepatic and/or marrow synthesis of porphyrin. This action is likely due to the inhibition of δ-aminolevulinic acid synthetase, the enzyme which limits the rate of the porphyrin/heme biosynthetic pathway. The exact mechanism by which hematin produces symptomatic improvement in patients with acute episodes of the hepatic porphyrias has not been elucidated.[1,9] Following intravenous administration of hematin in non-jaundiced human patient Belgenin tamamını okuyun