Quốc gia: Hoa Kỳ
Ngôn ngữ: Tiếng Anh
Nguồn: NLM (National Library of Medicine)
TIOTROPIUM BROMIDE MONOHYDRATE (UNII: L64SXO195N) (TIOTROPIUM - UNII:0EB439235F)
A-S Medication Solutions
ORAL
PRESCRIPTION DRUG
SPIRIVA HANDIHALER (tiotropium bromide inhalation powder) is indicated for the long-term, once-daily, maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. SPIRIVA HANDIHALER is indicated to reduce exacerbations in COPD patients. SPIRIVA HANDIHALER is contraindicated in patients with a hypersensitivity to tiotropium, ipratropium, or any components of this product [see Warnings and Precautions (5.2)] . In clinical trials and postmarketing experience with SPIRIVA HANDIHALER, immediate hypersensitivity reactions, including angioedema (including swelling of the lips, tongue, or throat), itching, or rash have been reported [see Warnings and Precautions (5.2)]. Risk Summary The limited human data with SPIRIVA HANDIHALER use during pregnancy are insufficient to inform a drug-associated risk of adverse pregnancy-related outcomes. Based on animal reproduction studies, no structural abnormalities were observed when tiotropium was
Product: 50090-4414 NDC: 50090-4414-0 10 CAPSULE in a BLISTER PACK / 9 in a CARTON
New Drug Application
SPIRIVA- TIOTROPIUM BROMIDE CAPSULE A-S MEDICATION SOLUTIONS ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE SPIRIVA HANDIHALER SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR SPIRIVA HANDIHALER. SPIRIVA® HANDIHALER® (TIOTROPIUM BROMIDE INHALATION POWDER), FOR ORAL INHALATION USE INITIAL U.S. APPROVAL: 2004 INDICATIONS AND USAGE SPIRIVA HANDIHALER is an anticholinergic indicated for the long-term, once-daily, maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), and for reducing COPD exacerbations (1) DOSAGE AND ADMINISTRATION FOR ORAL INHALATION ONLY. DO NOT SWALLOW SPIRIVA CAPSULES. ONLY USE SPIRIVA CAPSULES WITH THE HANDIHALER DEVICE (2) Two inhalations of the powder contents of a single SPIRIVA capsule (18 mcg) once daily (2) DOSAGE FORMS AND STRENGTHS Inhalation powder: SPIRIVA capsules contain 18 mcg tiotropium powder for use with HANDIHALER device (3) CONTRAINDICATIONS Hypersensitivity to tiotropium, ipratropium or any components of SPIRIVA capsules (4) WARNINGS AND PRECAUTIONS Not for acute use: Not a rescue medication (5.1) Immediate hypersensitivity reactions: Discontinue SPIRIVA HANDIHALER at once and consider alternatives if immediate hypersensitivity reactions, including angioedema, urticaria, rash, bronchospasm, or anaphylaxis, occur. Use with caution in patients with severe hypersensitivity to milk proteins. (5.2) Paradoxical bronchospasm: Discontinue SPIRIVA HANDIHALER and consider other treatments if paradoxical bronchospasm occurs (5.3) Worsening of narrow-angle glaucoma may occur. Use with caution in patients with narrow-angle glaucoma and instruct patients to consult a physician immediately if this occurs. (5.4) Worsening of urinary retention may occur. Use with caution in patients with prostatic hyperplasia or bladder-neck obstruction and instruct patients to consult a physician immediately if this occurs. (5.5) ADVERSE REACTIONS The most common adverse reactions (>5 Đọc toàn bộ tài liệu