Quốc gia: Hoa Kỳ
Ngôn ngữ: Tiếng Anh
Nguồn: NLM (National Library of Medicine)
FLUTAMIDE (UNII: 76W6J0943E) (FLUTAMIDE - UNII:76W6J0943E)
Par Pharmaceutical, Inc.
ORAL
PRESCRIPTION DRUG
Flutamide capsules are indicated for use in combination with LHRH-agonists for the management of locally confined Stage B2 -C and Stage D2 metastatic carcinoma of the prostate. Stage B2 -C Prostatic Carcinoma Treatment with flutamide capsules and the goserelin acetate implant should start eight weeks prior to initiating radiation therapy and continue during radiation therapy. Stage D2 Metastatic Carcinoma To achieve benefit from treatment, flutamide capsules should be initiated with the LHRH-agonist and continued until progression. Flutamide capsules are contraindicated in patients who are hypersensitive to flutamide or any component of this preparation. Flutamide capsules are contraindicated in patients with severe hepatic impairment (baseline hepatic enzymes should be evaluated prior to treatment).
Flutamide capsules USP, 125 mg, are available as opaque, beige/beige capsules, imprinted “par/753”on the cap and body. They are available in bottle of 180 (NDC 49884-753-13). Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Dispense in a tight, light-resistant container as defined in the USP, with a child-resistant closure (as required).
Abbreviated New Drug Application
FLUTAMIDE- FLUTAMIDE CAPSULE PAR PHARMACEUTICAL, INC. ---------- FLUTAMIDE CAPSULES WARNINGS Hepatic Injury There have been postmarketing reports of hospitalization and rarely death due to liver failure in patients taking flutamide. Evidence of hepatic injury included elevated serum transaminase levels, jaundice, hepatic encephalopathy and death related to acute hepatic failure. The hepatic injury was reversible after discontinuation of therapy in some patients. Approximately half of the reported cases occurred within the initial 3 months of treatment with flutamide. Serum transaminase levels should be measured prior to starting treatment with flutamide. Flutamide is not recommended in patients whose ALT values exceed twice the upper limit of normal. Serum transaminase levels should then be measured monthly for the first 4 months of therapy, and periodically thereafter. Liver function tests also should be obtained at the first signs and symptoms suggestive of liver dysfunction, e.g., nausea, vomiting, abdominal pain, fatigue, anorexia, “flu-like” symptoms, hyperbilirubinuria, jaundice or right upper quadrant tenderness. If at any time, a patient has jaundice, or their ALT rises above 2 times the upper limit of normal, flutamide should be immediately discontinued with close follow-up of liver function tests until resolution. DESCRIPTION Flutamide capsules contain flutamide, an acetanilid, nonsteroidal, orally active antiandrogen having the chemical name, α,α,α-trifluoro-2-methyl-4'-nitrom- propionotoluidide. Each capsule contains 125 mg flutamide. The compound is a buff to yellow powder with a molecular weight of 276.22 and the following structural formula: C H F N O In addition, each capsule contains the following inactive ingredients: corn starch, lactose monohydrate, magnesium stearate, povidone, and sodium lauryl sulfate. Gelatin capsule shells may contain gelatin, silicon dioxide, sodium lauryl sulfate, titanium dioxide, FDA/E172 Red Iron Oxide, FDA/E172 Yellow Iron Oxide, and black ink containing 11 1 Đọc toàn bộ tài liệu