国家: 美国
语言: 英文
来源: NLM (National Library of Medicine)
TAPENTADOL (UNII: H8A007M585) (TAPENTADOL - UNII:H8A007M585)
Lake Erie Medical DBA Quality Care Products LLC
TAPENTADOL
TAPENTADOL 50 mg
ORAL
PRESCRIPTION DRUG
1 INDICATIONS AND USAGE NUCYNTA® (tapentadol) is indicated for the relief of moderate to severe acute pain in patients 18 years of age or older. 4 CONTRAINDICATIONS 4.1 Impaired Pulmonary Function Like other drugs with mu-opioid agonist activity, NUCYNTA® is contraindicated in patients with significant respiratory depression in unmonitored settings or the absence of resuscitative equipment. NUCYNTA® is also contraindicated in patients with acute or severe bronchial asthma or hypercapnia in unmonitored settings or the absence of resuscitative equipment [see Warnings and Precautions (5.1)] . 4.2 Paralytic Ileus Like drugs with mu-opioid agonist activity, NUCYNTA® is contraindicated in any patient who has or is suspected of having paralytic ileus. 4.3 Monoamine Oxidase Inhibitors NUCYNTA® is contraindicated in patients who are receiving monoamine oxidase (MAO) inhibitors or who have taken them within the last 14 days due to potential additive effects on norepinephrine levels which ma
16 HOW SUPPLIED/STORAGE AND HANDLING NUCYNTA® Tablets are available in the following strengths and packages. All tablets are round and biconvex-shaped. 50 mg tablets are yellow and debossed with "O-M" on one side and "50" on the other side, and are available in bottles of 100 (NDC 50458-820-04) and hospital unit dose blister packs of 10 (NDC 50458-820-02). 75 mg tablets are yellow-orange and debossed with "O-M" on one side and "75" on the other side, and are available in bottles of 100 (NDC 50458-830-04) and hospital unit dose blister packs of 10 (NDC 50458-830-02). 100 mg tablets are orange and debossed with "O-M" on one side and "100" on the other side, and are available in bottles of 100 (NDC 50458-840-04) and hospital unit dose blister packs of 10 (NDC 50458-840-02). Store up to 25ºC (77ºF); excursions permitted to 15º – 30ºC (59º – 86ºF) [see USP Controlled Room Temperature]. Protect from moisture. Keep out of reach of children.
New Drug Application
NUCYNTA- TAPENTADOL HYDROCHLORIDE TABLET, FILM COATED Lake Erie Medical DBA Quality Care Products LLC ---------- NUCYNTA - tapentadol hydrochloride tablet, film coated Ortho-McNeil-Janssen Pharmaceuticals, Inc. ---------- MEDICATION GUIDE NUCYNTA® (new-SINN-tah) (tapentadol) immediate-release oral tablets C-II • NUCYNTA® is a federally controlled substance (C-II) because it can be abused. Keep NUCYNTA® in a safe place to prevent theft. Selling or giving away NUCYNTA® may harm others, and is against the law. • Tell your doctor if you (or a family member) have ever abused or been dependent on alcohol, prescription medicines, or street drugs. Read the Medication Guide that comes with NUCYNTA® before you start taking it and each time you get a new prescription. There may be new information. This Medication Guide does not take the place of talking to your doctor about your medical condition or your treatment. Talk to your doctor if you have any questions. What is the most important information I should know about NUCYNTA®? NUCYNTA® is a tablet that contains tapentadol, a strong medicine that is a pain medicine. Use NUCYNTA® exactly how your doctor tells you to. Do not use NUCYNTA® if it has not been prescribed for you. You should not take NUCYNTA® if your pain is mild and can be controlled with other pain medicines such as non-steroidal anti-inflammatory medicines (NSAIDS) or acetaminophen. What is NUCYNTA®? • NUCYNTA® is a prescription medicine that is used in adults 18 years of age or older to treat moderate to severe pain that is expected to last a short time. NUCYNTA® is for short-term use only because the risks for withdrawal symptoms, abuse and addiction are higher when NUCYNTA® is used longer. Who should not take NUCYNTA®? Do not take NUCYNTA® if you: • have severe lung problems • have a gastrointestinal problem called paralytic ileus in which the intestines are not working normally. • take a monoamine oxidase inhibitor (MAOI) medicine or have taken an MAOI within the last 14 days. A 阅读完整的文件
NUCYNTA- TAPENTADOL HYDROCHLORIDE TABLET, FILM COATED LAKE ERIE MEDICAL DBA QUALITY CARE PRODUCTS LLC ---------- NUCYNTA 50 MG 11 DESCRIPTION NUCYNTA (tapentadol) Tablets are immediate-release film-coated tablets for oral administration. The chemical name is 3-[(1_R_,2_R_)-3-(dimethylamino)-1-ethyl-2-methylpropyl]phenol monohydrochloride. The structural formula is: The molecular weight of tapentadol HCl is 257.80, and the molecular formula is C H NO•HCl. The n-octanol:water partition coefficient log P value is 2.87. The pKa values are 9.34 and 10.45. In addition to the active ingredient tapentadol HCl, tablets also contain the following inactive ingredients: microcrystalline cellulose, lactose monohydrate, croscarmellose sodium, povidone, magnesium stearate, and Opadry II, a proprietary film-coating mixture containing polyvinyl alcohol, titanium dioxide, polyethylene glycol, talc, and aluminum lake coloring. 12 CLINICAL PHARMACOLOGY 12.1 Mechanism of Action Tapentadol is a centrally-acting synthetic analgesic. Although its exact mechanism is unknown, analgesic efficacy is thought to be due to mu-opioid agonist activity and the inhibition of norepinephrine reuptake. 12.2 Pharmacodynamics Tapentadol is a centrally-acting synthetic analgesic. It is 18 times less potent than morphine in binding to the human mu-opioid receptor and is 2–3 times less potent in producing analgesia in animal models. Tapentadol has been shown to inhibit norepinephrine reuptake in the brains of rats resulting in increased norepinephrine concentrations. In preclinical models, the analgesic activity due to the mu-opioid receptor agonist activity of tapentadol can be antagonized by selective mu-opioid antagonists (e.g., naloxone), whereas the norepinephrine reuptake inhibition is sensitive to norepinephrine modulators. Tapentadol exerts its analgesic effects without a pharmacologically active metabolite. Effects on the cardiovascular system: There was no effect of therapeutic and supratherapeutic doses of tapentadol on the QT interval. In 阅读完整的文件