Brand (Generic) Name |
Sections Modified |
Summary of Changes to Contraindications and
Warnings |
Zestril (lisinopril) Tablets
(click product name to read prescribing information)
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CONTRAINDICATIONS
WARNINGS
PRECAUTIONS
ADVERSE REACTIONS
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Zestril is contraindicated in patients who are
hypersensitive to this product and in patients with a history of
angioedema related to previous treatment with an angiotensin
converting
enzyme inhibitor and in patients with hereditary or idiopathic
angioedema.
Angioedema of the face, extremities, lips, tongue,
glottis and/or larynx has been reported in patients treated with
angiotensin converting enzyme inhibitors, including Zestril.
Intestinal angioedema has been reported in patients
treated with ACE inhibitors.
No teratogenic effects of lisinopril were seen in
studies of pregnant rats, mice, and rabbits.
|
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Brand (Generic) Name |
Sections Modified |
Summary of Changes to Contraindications and
Warnings |
Retrovir (zidovudine) IV Infusion
(click product name to read prescribing information)
|
BOXED WARNING
WARNINGS
- Lactic Acidosis/Severe Hepatomegaly with Steatosis
PRECAUTIONS
- General
- Drug Interactions
- Antiretroviral Agents
- Doxorubicin
- Overlapping Toxicities
- Pregnancy
- Pediatric Use
ADVERSE REACTIONS
- Adults
- Pediatrics: Study ACTG 300
- Use for the Prevention of Maternal-Fetal Transmission of
HIV
- Observed During Clinical Practice
- Body as a Whole
- Cardiovascular
- Endocrine
- Eye
- Gastrointestinal
- General
- Hemic and Lymphatic
- Hepatobiliary Tract and Pancreas
- Musculoskeletal
- Nervous
- Respiratory
- Skin
- Urogenital
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BOXED WARNING: Retrovir has been associated with hematologic toxicity,
including neutropenia and severe anemia, particularly in patients with
advanced HIV disease (See WARNINGS).
Lactic acidosis and severe hepatomegaly with steatosis, including
fatal cases, have been reported with the use of nucleoside analogues
alone or in combination, including Retrovir and other antiretrovirals
(see WARNINGS).
WARNINGS: Combivir and Trizivir are combination product tablets that contain
zidovudine as one of their components. Retrovir should not be
administered concomitantly with Combivir or Trizivir.
Lactic acidosis and severe hepatomegaly with steatosis, including
fatal cases, have been reported with the use of nucleoside analogues
alone or in combination, including zidovudine and other
antiretrovirals. A majority of these cases have been in women. Obesity
and prolonged exposure to antiretroviral nucleoside analogues may be
risk factors. Particular caution should be exercised when
administering Retrovir to any patient with known risk factors for
liver disease; however, cases have also been reported in patients with
no known risk factors. Treatment with Retrovir should be suspended in
any patient who develops clinical or laboratory findings suggestive of
lactic acidosis or pronounced hepatotoxicity (which may include
hepatomegaly and steatosis even in the absence of marked transaminase
elevations).
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Viramune (nevirapine) Tablets and Suspension (click product name to read prescribing information)
|
BOXED WARNING
WARNINGS
- General
- Hepatic events
- Skin reactions
PRECAUTIONS
ADVERSE REACTIONS
- Adults
- Post Marketing Surveillance
PATIENT PACKAGE INSERT
|
It is essential that patients be monitored intensively
during the first 18 weeks of therapy with Viramune to detect
potentially life-threatening hepatotoxicity or skin reactions. The greatest risk of severe rash or hepatic events associated with
rash occurs in the first six weeks of therapy. However, the risk of any hepatic event, with or without rash,
continues past this period and monitoring should continue at frequent
intervals.
Increased AST or ALT levels and/or co-infection with
hepatitis B or C at the start of antiretroviral therapy are associated
with a greater risk of hepatic adverse events. It appears that women
and patients with higher CD4 counts (>250 cells/mm3 in women and
>400 cells/mm3 in men) may be at higher risk for rash-associated
hepatic events with Viramune.
If patients present with a suspected Viramune-associated
rash, liver function tests should be performed. Patients with
rash-associated AST or ALT elevations should be permanently
discontinued from Viramune.
|
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Brand (Generic) Name |
Sections Modified |
Summary of Changes to Contraindications and
Warnings |
Lovenox (enoxaparin sodium injection)
(click product name to read prescribing information) |
WARNINGS
- Pregnant Women with Mechanical Prosthetic Heart Valves
- Miscellaneous
PRECAUTIONS
|
The use of Lovenox Injection for thromboprophylaxis in pregnant women
with mechanical prosthetic heart valves has not been adequately
studied. In a clinical study of pregnant women with mechanical
prosthetic heart valves given enoxaparin (1 mg/kg bid) to reduce the
risk of thromboembolism, 2 of 8 women developed clots resulting in
blockage of the valve and leading to maternal and fetal death.
Although a causal relationship has not been established these deaths may have been due to therapeutic failure or inadequate
anticoagulation. No patients in the heparin/warfarin group (0 of 4
women) died. There also have been isolated postmarketing reports of
valve thrombosis in pregnant women with mechanical prosthetic heart
valves while receiving enoxaparin for thromboprophylaxis. Women with
mechanical prosthetic heart valves may be at higher risk for
thromboembolism during pregnancy, and, when pregnant, have a higher
rate of fetal loss from stillbirth, spontaneous abortion and premature
delivery. Therefore, frequent monitoring of peak and trough
anti-Factor Xa levels, and adjusting of dosage may be needed.
Because benzyl alcohol may cross the placenta, Lovenox
multiple-dose vials, preserved with benzyl alcohol, should be used
with caution in pregnant women and only if clearly needed (see PRECAUTIONS,
Pregnancy).
|
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Brand
(Generic) Name |
Sections Modified |
Augmentin (amoxicillin/clavulanate potassium) Tablets
(click product name to read prescribing information)
|
PRECAUTIONS
ADVERSE REACTIONS
|
|
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Azopt (brinzolamide ophthalmic
suspension)
(click product name to read prescribing information) |
PRECAUTIONS
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Humatrope (somatropin [rDNA origin] for injection)
(click product name to read prescribing information) |
PRECAUTIONS
ADVERSE REACTIONS
- Patients with Idiopathic Short Stature
- Table 7
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Imitrex (sumatriptan) Tablets, Nasal Spray and
Injection
(click product name to read prescribing information) |
PRECAUTIONS
|
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Lysodren (mitotane tablets)
(click product name to read prescribing information)
|
PRECAUTIONS
|
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Nimbex (cisatracurium besylate) Injection
Please contact Abbott Laboratories at 1-800-633-9110 for
prescribing information.
|
PRECAUTIONS
Nimbex has not been studied in pediatric patients below the age
of one month (see CLINICAL PHARMACOLOGY and DOSAGE AND
ADMINISTRATION for clinical experience and recommendations for
use in children one month to 12 years of age). Intubation of the
trachea in patients 1-4 years of old was facilitated more reliably
when Nimbex was used in combination with Halothane than when opioids
and nitrous oxide were used for induction of anesthesia.
ADVERSE REACTIONS
- Observed During Clinical Practice
There are rare reports of wheezing, laryngospasm, bronchospasm,
rash and itching following administration of Nimbex in children.
These reported adverse events were not serious and their etiology
could not be established with certainty.
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Rebetol (ribavirin) Capsules
(click product name to read prescribing information)
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PRECAUTIONS
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Talacen (pentazocine HCl and acetaminophen) Caplets
Please contact Sanofi Synthelabo at 1-800-446-6267
for prescribing information. |
PRECAUTIONS
|
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|
|