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FELODIPINE

WOCKHARDT USA LLC

Felodipine Extended-Release Tablets, USP Rx only


FULL PRESCRIBING INFORMATION: CONTENTS*




FULL PRESCRIBING INFORMATION

FELODIPINE DESCRIPTION


181924
FELODIPINE





CLINICAL PHARMACOLOGY


Mechanism of Action

++

In vitroin vitro

Pharmacokinetics and Metabolism



1/2

1/250

50



14



max

Geriatric Use

Hepatic Dysfunction





Cardiovascular Effects








Renal/Endocrine Effects




Clinical Studies



MEAN REDUCTIONS IN BLOOD PRESSURE (mmHg)*
Dose N Systolic/Diastolic Mean Peak Response Mean Trough Response Trough/Peak Ratios (%s)
Study 1 (8 weeks)
2.5 mg 68 9.4/4.7 2.7/2.5 29/53
5 mg 69 9.5/6.3 2.4/3.7 25/59
10 mg 67 18.0/10.8 10.0/6.0 56/56
Study 2 (4 weeks)
10 mg 50 5.3/7.2 1.5/3.2 33/40**
20 mg 50 11.3/10.2 4.5/3.2 43/34**


FELODIPINE INDICATIONS AND USAGE



FELODIPINE CONTRAINDICATIONS

PRECAUTIONS


General

Hypotension-

Heart Failure

Patients with Impaired Liver Function

Peripheral Edema-

Information for Patients



Drug Interactions

CYP3A4 Inhibitors

Itraconazolemax

Erythromycinmax

Grapefruit juicemax

Cimetidinemax

Beta-Blocking Agents
max

Digoxin

Anticonvulsants


Tacrolimus


Other Concomitant Therapy

Interaction with Food

Carcinogenesis, Mutagenesis, Impairment of Fertility

**2**2



**2

in vitroin vivo**2in vitro

**2

Pregnancy


Teratogenic Effects**2



Nonteratogenic Effects**2

2



Nursing Mothers

Pediatric Use

Geriatric Use:

FELODIPINE ADVERSE REACTIONS







Percent of Patients with Adverse Events in Controlled Trials* of Felodipine Extended-Release Tablets (N=861) as Monotherapy without Regard to Causality (Incidence of discontinuations shown in parentheses)
Body System
Adverse Events
  Placebo
N=334
2.5 mg
N=255
5 mg
N=581
10 mg
N=408
Body as a Whole
Peripheral Edema 3.3 (0.0) 2.0 (0.0) 8.8 (2.2) 17.4 (2.5)  
Asthenia 3.3 (0.0) 3.9 (0.0) 3.3 (0.0) 2.2 (0.0)
Warm Sensation 0.0 (0.0) 0.0 (0.0) 0.9 (0.2) 1.5 (0.0)
         
Cardiovascular
Palpitation 2.4 (0.0) 0.4 (0.0) 1.4 (0.3) 2.5 (0.5)
           
Digestive
Nausea 1.5 (0.9) 1.2 (0.0) 1.7 (0.3) 1.0 (0.7)
Dyspepsia 1.2 (0.0) 3.9 (0.0) 0.7 (0.0) 0.5 (0.0)
Constipation 0.9 (0.0) 1.2 (0.0) 0.3 (0.0) 1.5 (0.2)
         
Nervous
Headache 10.2 (0.9)   10.6 (0.4)   11.0 (1.7)   14.7 (2.0)  
Dizziness 2.7 (0.3) 2.7 (0.0) 3.6 (0.5) 3.7 (0.5)
Paresthesia 1.5 (0.3) 1.6 (0.0) 1.2 (0.0) 1.2 (0.2)
         
Respiratory
Upper Respiratory Infection 1.8 (0.0) 3.9 (0.0) 1.9 (0.0) 0.7 (0.0)
Cough 0.3 (0.0) 0.8 (0.0) 1.2 (0.0) 1.7 (0.0)
Rhinorrhea 0.0 (0.0) 1.6 (0.0) 0.2 (0.0) 0.2 (0.0)
Sneezing 0.0 (0.0) 1.6 (0.0) 0.0 (0.0) 0.0 (0.0)
         
Skin
Rash 0.9 (0.0) 2.0 (0.0) 0.2 (0.0) 0.2 (0.0)
Flushing 0.9 (0.3) 3.9 (0.0) 5.3 (0.7) 6.9 (1.2)


Body as a Whole: Cardiovascular: Myocardial infarction, hypotensionsyncope, angina pectoris, arrhythmia Digestive: Endocrine: Hematologic: Anemia; Metabolic: Musculoskeletal: Nervous/Psychiatric: Respiratory: Skin: Angioedemaleukocytoclastic vasculitis Special Senses: Urogenital:

Gingival Hyperplasia

Clinical Laboratory Test Findings

Serum Electrolytes

Serum Glucose

Liver Enzymes

OVERDOSAGE











Physicians' Desk Reference (PDR)

FELODIPINE DOSAGE AND ADMINISTRATION





Geriatric Use

Patients with Impaired Liver Function

HOW SUPPLIED



















Storage:


Manufactured by:



Distributed by:






FELODIPINE


FELODIPINE

FELODIPINE

FELODIPINE

FELODIPINE TABLET, FILM COATED, EXTENDED RELEASE

Product Information

Product Type Human prescription drug label Item Code (Source) NDC:64679-411
Route of Administration ORAL DEA Schedule

Active Ingredient/Active Moiety

Ingredient Name Basis of Strength Strength
FELODIPINE FELODIPINE 2.5 mg

Inactive Ingredients

Ingredient Name Strength
POLYOXYL 40 HYDROGENATED CASTOR OIL
hydroxypropyl cellulose
HYPROMELLOSES
cellulose, microcrystalline
lactose monohydrate
SILICON DIOXIDE
SODIUM STEARYL FUMARATE
titanium dioxide
polyethylene glycol

Product Characteristics

Color Size Imprint Code Shape
white (white) 10 mm W411 ROUND

Packaging

# Item Code Package Description Marketing Start Date Marketing End Date
1 NDC:64679-411-01 30 in 1 BOTTLE
2 NDC:64679-411-02 100 in 1 BOTTLE
3 NDC:64679-411-04 500 in 1 BOTTLE
4 10 in 1 BLISTER PACK
5 NDC:64679-411-03 10 in 1 CARTON

Marketing Information

Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA091484 2010-12-05


FELODIPINE

FELODIPINE TABLET, FILM COATED, EXTENDED RELEASE

Product Information

Product Type Human prescription drug label Item Code (Source) NDC:64679-412
Route of Administration ORAL DEA Schedule

Active Ingredient/Active Moiety

Ingredient Name Basis of Strength Strength
FELODIPINE FELODIPINE 5 mg

Inactive Ingredients

Ingredient Name Strength
POLYOXYL 40 HYDROGENATED CASTOR OIL
hydroxypropyl cellulose
HYPROMELLOSES
cellulose, microcrystalline
lactose monohydrate
SILICON DIOXIDE
SODIUM STEARYL FUMARATE
titanium dioxide
polyethylene glycol
D&C YELLOW NO. 10
FD&C YELLOW NO. 6

Product Characteristics

Color Size Imprint Code Shape
yellow (yellow) 11 mm W412 ROUND

Packaging

# Item Code Package Description Marketing Start Date Marketing End Date
1 NDC:64679-412-01 30 in 1 BOTTLE
2 NDC:64679-412-02 100 in 1 BOTTLE
3 NDC:64679-412-04 500 in 1 BOTTLE
4 10 in 1 BLISTER PACK
5 NDC:64679-412-03 10 in 1 CARTON

Marketing Information

Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA091484 2010-12-05


FELODIPINE

FELODIPINE TABLET, FILM COATED, EXTENDED RELEASE

Product Information

Product Type Human prescription drug label Item Code (Source) NDC:64679-414
Route of Administration ORAL DEA Schedule

Active Ingredient/Active Moiety

Ingredient Name Basis of Strength Strength
FELODIPINE FELODIPINE 10 mg

Inactive Ingredients

Ingredient Name Strength
POLYOXYL 40 HYDROGENATED CASTOR OIL
hydroxypropyl cellulose
HYPROMELLOSES
cellulose, microcrystalline
lactose monohydrate
SILICON DIOXIDE
SODIUM STEARYL FUMARATE
titanium dioxide
polyethylene glycol
D&C YELLOW NO. 10
FD&C YELLOW NO. 6

Product Characteristics

Color Size Imprint Code Shape
orange (orange) 11 mm W414 ROUND

Packaging

# Item Code Package Description Marketing Start Date Marketing End Date
1 NDC:64679-414-01 30 in 1 BOTTLE
2 NDC:64679-414-02 100 in 1 BOTTLE
3 NDC:64679-414-04 500 in 1 BOTTLE
4 10 in 1 BLISTER PACK
5 NDC:64679-414-03 10 in 1 CARTON

Marketing Information

Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA091484 2010-12-05


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