国家: 美国
语言: 英文
来源: NLM (National Library of Medicine)
FLUDARABINE PHOSPHATE (UNII: 1X9VK9O1SC) (FLUDARABINE - UNII:P2K93U8740)
Teva Parenteral Medicines, Inc.
FLUDARABINE PHOSPHATE
FLUDARABINE PHOSPHATE 25 mg in 1 mL
PRESCRIPTION DRUG
Abbreviated New Drug Application
FLUDARABINE PHOSPHATE- FLUDARABINE PHOSPHATE INJECTION, SOLUTION TEVA PARENTERAL MEDICINES, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE FLUDARABINE PHOSPHATE INJECTION USP SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR FLUDARABINE PHOSPHATE INJECTION USP. FLUDARABINE PHOSPHATE INJECTION FOR INTRAVENOUS USE ONLY INITIAL U.S. APPROVAL: 1991 WARNING: CNS TOXICITY, HEMOLYTIC ANEMIA, AND PULMONARY TOXICITY _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING_ • • • INDICATIONS AND USAGE Fludarabine Phosphate Injection USP is a nucleotide metabolic inhibitor indicated for: • DOSAGE AND ADMINISTRATION • • DOSAGE FORMS AND STRENGTHS Fludarabine phosphate injection is supplied as a 50 mg/2mL (25 mg/mL) sterile solution. (3) CONTRAINDICATIONS • WARNINGS AND PRECAUTIONS • • • • • • ADVERSE REACTIONS Most common adverse reactions (incidence > 30%) include myelosuppression (neutropenia, thrombocytopenia and anemia), fever, infection, nausea and vomiting, fatigue, anorexia, cough and weakness (6). TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT TEVA USA, PHARMACOVIGILANCE AT 1-866-832-8537 SEVERE CENTRAL NERVOUS SYSTEM TOXICITY OCCURRED IN 36% OF PATIENTS TREATED WITH DOSES APPROXIMATELY FOUR TIMES GREATER (96 MG/M /DAY FOR 5 TO 7 DAYS) THAN THE RECOMMENDED DOSE. THIS TOXICITY WAS SEEN IN ≤0.2% OF PATIENTS TREATED AT THE RECOMMENDED DOSE LEVELS (25 MG/M ). (5.1) 2 2 INSTANCES OF LIFE-THREATENING AND SOMETIMES FATAL AUTOIMMUNE HEMOLYTIC ANEMIA HAVE BEEN REPORTED AFTER ONE OR MORE CYCLES OF TREATMENT. (5.3) IN A CLINICAL INVESTIGATION OF THE COMBINATION OF FLUDARABINE PHOSPHATE WITH PENTOSTATIN (DEOXYCOFORMYCIN) FOR THE TREATMENT OF REFRACTORY CHRONIC LYMPHOCYTIC LEUKEMIA (CLL), THERE WAS AN UNACCEPTABLY HIGH INCIDENCE OF FATAL PULMONARY TOXICITY. (5.5) The treatment of adult patients with B-cell chronic lymphocytic leukemia (CLL) who have not responded to or whose disease has progressed during treatment w 阅读完整的文件