Quốc gia: Hoa Kỳ
Ngôn ngữ: Tiếng Anh
Nguồn: NLM (National Library of Medicine)
RIZATRIPTAN BENZOATE (UNII: WR978S7QHH) (RIZATRIPTAN - UNII:51086HBW8G)
STAT RX USA LLC
RIZATRIPTAN BENZOATE
RIZATRIPTAN BENZOATE 5 mg
ORAL
PRESCRIPTION DRUG
MAXALT is indicated for the acute treatment of migraine attacks with or without aura in adults. MAXALT is not intended for the prophylactic therapy of migraine or for use in the management of hemiplegic or basilar migraine (see CONTRAINDICATIONS). Safety and effectiveness of MAXALT have not been established for cluster headache, which is present in an older, predominantly male population. MAXALT should not be given to patients with ischemic heart disease (e.g., angina pectoris, history of myocardial infarction, or documented silent ischemia) or to patients who have symptoms or findings consistent with ischemic heart disease, coronary artery vasospasm, including Prinzmetal’s variant angina, or other significant underlying cardiovascular disease (see WARNINGS). Because MAXALT may increase blood pressure, it should not be given to patients with uncontrolled hypertension (see WARNINGS). MAXALT should not be used within 24 hours of treatment with another 5-HT1 agonist, or an ergotamine-containing or ergot-type
No. 3732 — MAXALT Tablets, 5 mg, are pale pink, capsule-shaped, compressed tablets coded MRK on one side and 266 on the other. They are supplied as follows: NDC 0006-0266-18, carton of 18 tablets. No. 3733 — MAXALT Tablets, 10 mg, are pale pink, capsule-shaped, compressed tablets coded MAXALT on one side and MRK 267 on the other. They are supplied as follows: NDC 0006-0267-18, carton of 18 tablets. No. 3800 — MAXALT-MLT Orally Disintegrating Tablets, 5 mg, are white to off-white, round lyophilized orally disintegrating tablets debossed with a modified triangle on one side, and measuring 10.0-11.5 mm (side-to-side) with a peppermint flavor. Each orally disintegrating tablet is individually packaged in a blister inside an aluminum pouch (sachet). They are supplied as follows: NDC 0006-3800-18, 6 x unit of use carrying case of 3 orally disintegrating tablets (18 tablets total). No. 3801 — MAXALT-MLT Orally Disintegrating Tablets, 10 mg, are white to off-white, round lyophilized orally disintegrating tablets debossed with a modified square on one side, and measuring 12.0-13.8 mm (side-to-side) with a peppermint flavor. Each orally disintegrating tablet is individually packaged in a blister inside an aluminum pouch (sachet). They are supplied as follows: NDC 0006-3801-18, 6 x unit of use carrying case of 3 orally disintegrating tablets (18 tablets total). Store MAXALT Tablets at room temperature, 15-30°C (59-86°F). Dispense in a tight container, if product is subdivided. Store MAXALT-MLT Orally Disintegrating Tablets at room temperature, 15-30°C (59-86°F). The patient should be instructed not to remove the blister from the outer aluminum pouch until the patient is ready to consume the orally disintegrating tablet inside. MAXALT Tablets are manufactured for: Merck Sharp & Dohme Corp., a subsidiary of MERCK & CO., INC., Whitehouse Station, NJ 08889, USA By: MSD, Ltd. Cramlington, Northumberland, NE23 3JU, UK MAXALT-MLT Orally Disintegrating Tablets are manufactured for: Merck Sharp & Dohme Corp., a subsidiary of MERCK & CO., INC., Whitehouse Station, NJ 08889, USA By: Catalent UK Swindon, Zydis Ltd. Swindon, Wiltshire, SN5 8RU, UK US Patent No.: 5,298,520 Issued August 2010 9652508
New Drug Application
MAXALT-MLT - RIZATRIPTAN BENZOATE TABLET, ORALLY DISINTEGRATING MAXALT - RIZATRIPTAN BENZOATE TABLET STAT RX USA LLC ---------- DESCRIPTION MAXALT contains rizatriptan benzoate, a selective 5-hydroxytryptamine (5-HT ) receptor agonist. Rizatriptan benzoate is described chemically as: _N,N_-dimethyl-5-(1_H_-1,2,4-triazol-1-ylmethyl)-1_H_- indole-3-ethanamine monobenzoate and its structural formula is: Its empirical formula is C H N •C H O , representing a molecular weight of the free base of 269.4. Rizatriptan benzoate is a white to off-white, crystalline solid that is soluble in water at about 42 mg per mL (expressed as free base) at 25°C. MAXALT Tablets and MAXALT-MLT Orally Disintegrating Tablets are available for oral administration in strengths of 5 and 10 mg (corresponding to 7.265 mg or 14.53 mg of the benzoate salt, respectively). Each compressed tablet contains the following inactive ingredients: lactose monohydrate, microcrystalline cellulose, pregelatinized starch, ferric oxide (red), and magnesium stearate. Each lyophilized orally disintegrating tablet contains the following inactive ingredients: gelatin, mannitol, glycine, aspartame, and peppermint flavor. 1 CLINICAL PHARMACOLOGY MECHANISM OF ACTION Rizatriptan binds with high affinity to human cloned 5-HT and 5-HT receptors. Rizatriptan has weak affinity for other 5-HT receptor subtypes (5-HT , 5-HT , 5-HT ) and the 5-HT receptor, but has no significant activity at 5-HT , 5-HT , alpha- and beta-adrenergic, dopaminergic, histaminergic, muscarinic or benzodiazepine receptors. Current theories on the etiology of migraine headache suggest that symptoms are due to local cranial vasodilatation and/or to the release of vasoactive and pro-inflammatory peptides from sensory nerve endings in an activated trigeminal system. The therapeutic activity of rizatriptan in migraine can most likely be attributed to agonist effects at 5-HT receptors on the extracerebral, intracranial blood vessels that become dilated during a migraine attack and on nerve terminals in Đọc toàn bộ tài liệu