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当前位置:药品说明书与价格首页 >> 综合药讯 >> Kaletra tabs(洛匹那韦/利托那韦片,lopinavir/ritonavir口服液)

Kaletra tabs(洛匹那韦/利托那韦片,lopinavir/ritonavir口服液)

——FDA批准雅培HIV药物(Kaletra)的新配方

2005-11-04 12:06:12  作者:新特药房  来源:中国新特药网天津分站  浏览次数:323  文字大小:【】【】【

雅培公司于上月31日说,美国FDA批准了它的HIV药物Kaletra的新配方,这将使患者可服用较少的药片,并且不需要冷藏。

Kaletra是蛋白酶抑制剂类的HIV药物中销售最好的。这种药物于2000年推向市场。服用Kaletra的成人目前可与或不与食物一同服用药片,服用药片的数目从每日6片减少到4片。

Kaletra tabs(洛匹那韦/利托那韦片,lopinavir/ritonavir口服液)

Generic Name for KALETRA 200mg/50mg
Lopinavir 200mg, ritonavir 50mg; tabs.

Legal Classification:
Rx

Pharmacological Class for KALETRA 200mg/50mg
Protease inhibitor.

Manufacturer of KALETRA 200mg/50mg
Abbott Laboratories

Indications for KALETRA 200mg/50mg
HIV infection.

Adult dose for KALETRA 200mg/50mg
Swallow tabs whole; take oral soln with food. Converting from caps to tabs or oral soln: Treatment-naive: Lopinavir/ritonavir 400mg/100mg (2 tabs or 5mL) twice daily or lopinavir/ritonavir 800mg/200mg (4 tabs or 10mL) once daily. Treatment-experienced: Lopinavir/ritonavir 400mg/100mg (2 tabs or 5mL) twice daily. Concomitant efavirenz, nevirapine, fosamprenavir (without ritonavir) or nelfinavir in treatment-experienced patients when reduced susceptibility to lopinavir is suspected: 600mg/150mg (3 tabs) twice daily. Concomitant efavirenz, nevirapine, amprenavir or nelfinavir: 533mg/133mg (6.5mL) twice daily.

Children's dosing for KALETRA 200mg/50mg
May use tabs if able to swallow whole and ≥15kg. Take twice daily with food. <6months: not recommended. ≥6months: 7 to <15kg: lopinavir/ritonavir 12mg/3mg per kg; 15–40kg: 10mg/2.5mg per kg; >40kg: max 400mg/100mg twice daily. Concomitant efavirenz, nevirapine or (fos)amprenavir: ≥6months: 7 to <15kg: 13mg/3.25mg per kg; 15–45kg: 11mg/2.75mg per kg; >45kg: max oral soln: 533mg/133mg twice daily; or max tabs: 400mg/100mg or 600mg/150mg twice daily. See literature.

Also:
KALETRA 100mg/25mg
KALETRA ORAL SOLUTION

Contraindications for KALETRA 200mg/50mg
Loss of virologic response or resistance with rifampin, St. John's wort. Drugs metabolized by CYP3A that may cause serious events if blood levels are elevated (eg, cisapride, ergots, pimozide, midazolam, triazolam).

Warnings/Precautions for KALETRA 200mg/50mg
Suspend if pancreatitis occurs. History of, or risk factors for, pancreatitis (eg, elevated triglycerides). Hepatic impairment. Hepatitis. Diabetes. Monitor: lipids at baseline then periodically, ALT/AST in liver disease, for hyperglycemia or fat redistribution, hemophiliacs (for spontaneous bleed). Elderly. Pregnancy (Cat.C). Nursing mothers: not recommended.

Interactions for KALETRA 200mg/50mg
See Contraindications. Lovastatin, simvastatin, St. John's wort, rifampin, voriconazole: not recommended. Potentiates sildenafil, vardenafil, tadalafil (reduce dose of these), statins metabolized by CYP3A (eg, atorvastatin), fluticasone (avoid). Avoid oral soln with metronidazole, disulfiram. Monitor other antiretrovirals, warfarin. Increases levels of antiarrhythmics, dihydropyridine, calcium channel blockers, immunosuppressants (monitor); ketoconazole, itraconazole (avoid high doses); rifabutin (reduce rifabutin dose and monitor); clarithromycin (reduce clarithromycin dose in renal dysfunction), trazodone (reduce trazodone dose). Give didanosine 1 hour before or 2 hours after. Decreases levels of atovaquone, methadone, estrogen-containing oral contraceptives (use other or back-up contraception). Lopinavir levels decreased by anticonvulsants (eg, carbamazepine, phenobarbital, phenytoin), dexamethasone, efavirenz, nevirapine. Lopinavir levels may be increased by delavirdine, CYP3A inhibitors. May decrease zidovudine or abacavir levels. See literature.

Adverse Reactions for KALETRA 200mg/50mg
Diarrhea, GI upset, asthenia, headache, abdominal pain, rash, insomnia, pancreatitis, fat redistribution, hyperlipidemia, increased triglycerides.

How is KALETRA 200mg/50mg supplied?
200mg/50mg—120
100mg/25mg—60
Soln—160mL (w. dose cup)
(Note: Capsules have been discontinued)


牌照持有者 
 Abbott Laboratories Limited 
 
 
香港註冊編號 
 HK-48165 
 
 
首次註冊年份 
 2001 
 
 
藥物法例分類 
 P1S3 
 
 
劑形 
 Oral Solution 
 
劑量 
 80mg lopinavir/20mg ritonavir 
 
 
每一包裝數量 
160ml 
 
 
防偽特徵 
 
 
 

Kaletra  快利佳 
 
 
學名 
lopinavir/ritonavir  洛匹那韋/利托那韋
 
Kaletra  快利佳 
 
 
學名 
 lopinavir/ritonavir  洛匹那韋/利托那韋 
 
 
牌照持有者 
 Abbott Laboratories Limited 
 
 
香港註冊編號 
 HK-48164 
 
 
首次註冊年份 
 2001 
 
 
藥物法例分類 
 P1S3 
 
 
劑形 
 Capsule  
 
 
劑量 
133.3mg lopinavir/33.3mg ritonavir 
 
 
每一包裝數量  
 
180's
 


 

Kaletra  快利佳 
 
 
 Generic Name 
 lopinavir/ritonavir  洛匹那韋/利托那韋
 
 
 License Holder 
 Abbott Laboratories Limited
 
 
 HK Reg No. 
 HK-55200
 
 
 First registration year 
 2007
 
 
 Forensic Class 
 P1S3
 
 
 Dosage Form 
 Tablet  
 
 
Strength 
 200mg lopinavir/50mg ritonavir 
 
 
Pack Size 
120's

Abbott Receives FDA Approval for Once-Daily Dosing of Kaletra ® ( lopinavir / ritonavir ) for Treatment-Experienced Patients

Approval of New Dosing Option Comes As 10th Anniversary of Kaletra's First Approval Approaches

ABBOTT PARK, Ill., April 29, 2010 /PRNewswire/ — Abbott announced today that the U.S. Food and Drug Administration ( FDA ) approved once-daily dosing of Kaletra® ( lopinavir/ritonavir ) for adult patients with HIV who have previously taken antiretroviral therapy. Kaletra once-daily dosing is already indicated for adult patients new to antiretroviral treatment. This gives treatment-experienced patients who have HIV that responds to Kaletra another dosing option as determined by their physician.

"Adherence to treatment is critical to the effective management of HIV," said Joseph Gathe, M.D., clinical instructor, Department of Internal Medicine, Baylor College of Medicine. "A Kaletra once-daily regimen can simplify HIV treatment and offers greater flexibility for patients."

Kaletra tablets can be taken with or without food and can be stored at room temperature, making it convenient for patients.

Approval of once-daily Kaletra for treatment-experienced patients comes as Abbott marks the 10th anniversary of the medication's original FDA approval for the treatment of HIV. The FDA granted early access approval on Sept.15, 2000. Kaletra and other protease inhibitors have become critical components of HIV combination therapy used to help patients manage HIV today. Many innovations in HIV treatment have occurred during the past decade, giving physicians and patients more treatment options.

"For more than a decade, HIV treatment was about helping people live another day, another week, another month. Now it is also about making treatment more convenient for patients," said Scott C. Brun, M.D., divisional vice president, infectious diseases, Global Pharmaceutical Research and Development, Abbott. "This approval means Kaletra tablets can now be used once or twice daily as part of combination therapy, giving treatment-experienced patients an additional dosing option to better fit their daily schedule."

Abbott's submission for once-daily dosing in treatment-experienced patients was supported by data from the M06-802 study, a 48-week, Phase 3, open-label, randomized study comparing once-daily to twice-daily dosing of Kaletra combined with other antiretrovirals in 599 treatment-experienced HIV-infected adults. The data showed comparable efficacy, safety and tolerability between once-daily and twice-daily dosing, as well as a similar rate of resistance development between the regimens.

The HIV virus can change over time and HIV resistance is the consequence of mutations that emerge in the viral proteins targeted by antiretroviral agents. The use of Kaletra once-daily should be limited to those adult patients having only very few protease inhibitor associated mutations (i.e., less than three lopinavir mutations).

Please click here for full Prescribing Information, including Medication Guide.

Use

Kaletra® ( lopinavir/ritonavir ) is a prescription anti-HIV-1 medicine called a protease inhibitor that contains lopinavir and ritonavir. Kaletra is used with other anti-HIV-1 medicines to increase the chance of treatment response in people with human immunodeficiency virus (HIV-1) infection. It is not known if Kaletra is safe and effective in children under 14 days old.

Kaletra does not cure HIV-1 infection or AIDS and does not reduce the risk of passing HIV-1 to others. People taking Kaletra may still get opportunistic infections or other conditions that happen with HIV-1.

Important Safety Information

Kaletra should not be taken by people who are allergic to Kaletra or any of its ingredients, including lopinavir or ritonavir.

Drug Interactions:

The list of drug interactions below is not complete. People must tell their doctor about all medicines they are taking or planning to take, including those without a prescription, vitamins, and herbal products.

Serious problems or death can happen taking these medicines with Kaletra: ergot-containing medicines, including ergotamine (Cafergot® and others), dihydroergotamine (D.H.E. 45® and others), ergonovine (Ergotrate®), and methylergonovine (Methergine®); triazolam (Halcion®); midazolam oral syrup; pimozide (Orap®); lovastatin (Mevacor®); simvastatin (Zocor®); rifampin (Rimactane®, Rifadin®, Rifater®, or Rifamate®); sildenafil (Revatio®) only when used to treat pulmonary arterial hypertension; alfuzosin (Uroxatral®); or products containing St. John's wort (Hypericum perforatum).

The following medicines may need changes when taken with Kaletra: birth control pills that contain estrogen ("the pill"), birth control (contraceptive) patches, atorvastatin (Lipitor®), rosuvastatin (Crestor®), efavirenz (Atripla® and Sustiva®), nevirapine (Viramune®;), amprenavir (Agenerase®), fosamprenavir (Lexiva®), nelfinavir (Viracept®), phenytoin (Dilantin®), carbamazepine (Tegretol®), phenobarbital, sildenafil (Viagra®), tadalafil (Cialis®, Adcirca®), vardenafil (Levitra®), rifabutin (Mycobutin®), inhaled fluticasone (Flonase®), salmeterol (Serevent®) and salmeterol in combination with fluticasone propionate (Advair®), colchicine (Colcrys®) and bosentan (Tracleer®).

Kaletra should not be administered once daily in combination with carbamazepine (Tegretol® and Epitol®), phenobarbital (Luminol®), or phenytoin (Dilantin®).

There is an increased risk of certain problems when taking medicines used for the treatment of erectile problems such as sildenafil (Viagra®), tadalafil (Cialis®), or vardenafil (Levitra®) with Kaletra, because the interaction with these medicines may result in an increase in their side effects, such as low blood pressure (dizziness or fainting), vision changes, and/or erections lasting more than 4 hours. People should tell their doctor right away if they experience any of these side effects.

Kaletra oral solution contains a large amount of alcohol. People should talk with their doctor if they take or plan to take metronidazole (Flagyl®) or disulfiram (Antabuse®). They can have severe nausea and vomiting if they take these medicines with Kaletra.

Kaletra can cause serious side effects:

Kaletra may not be right for everyone. People should tell their doctor about all their medical conditions.

Changes in heart rhythm and electrical activity of the heart can occur when taking Kaletra. These changes can lead to serious heart problems. The risk for these problems may be higher for people who already have a history of abnormal heart rhythm or other types of heart disease, or if they take other medicines that can affect their heart rhythm while taking Kaletra. People should tell their doctor right away if they experience dizziness, lightheadedness, fainting, and/or a sensation of abnormal heartbeats.

Liver problems, including death, can happen in people who take Kaletra. Blood tests in people who take Kaletra may show possible liver problems. People with liver disease such as hepatitis B or C who take Kaletra may have worsening liver disease. People should tell their doctor right away if they have any of the following signs and symptoms: loss of appetite, yellowing of skin or eyes (jaundice), dark-colored urine, pale-colored stools, itchy skin, and/or stomach area (abdominal) pain.

Inflammation of the pancreas (pancreatitis), which may be serious and cause death, has occurred in some people who take Kaletra. People have a higher chance of having pancreatitis if they have had it before. People should tell their doctor if they have nausea, vomiting, and/or abdominal pain, as these may be signs of pancreatitis.

Immune reconstitution syndrome may occur after starting anti-HIV medicines, including Kaletra. This happens when people develop signs and symptoms of serious infections they already have, which may require additional treatment.

Large increases in certain fat (triglycerides and cholesterol) levels in the blood have occurred in some people receiving Kaletra. The long-term chance of getting complications such as heart attacks or strokes due to these increases in triglycerides and cholesterol caused by protease inhibitors is not known at this time.

New or more serious diabetes and high blood sugar (hyperglycemia) have occurred in some people who take protease inhibitors, including Kaletra. People should tell their doctor if they notice an increase in thirst or urinate often while taking Kaletra.

Changes in body fat have been seen in some people who take anti-HIV therapy. The cause and long-term health effects of these conditions are not known at this time.

Increased bleeding has occurred in some people with hemophilia who take protease inhibitors, including Kaletra.

Women taking birth control pills or using patches to prevent pregnancy should use an extra form or a different type of birth control since birth control pills or patches may not work as well while taking Kaletra. Women should talk to their doctor about how to prevent pregnancy while taking Kaletra.

It is not known if Kaletra will harm unborn babies. Women who are pregnant or planning to become pregnant should tell their doctor.

Women taking Kaletra during pregnancy should talk with their doctor about how they can take part in an Antiretroviral Pregnancy Registry. The purpose of the pregnancy registry is to follow the health of the mother and their baby.

Women should not breast-feed while taking Kaletra. There is a chance that HIV can be passed to the baby through breast milk and their baby may have serious side effects from Kaletra.

Common side effects of Kaletra include diarrhea, nausea, stomach area (abdominal) pain, feeling weak, vomiting, headache, and upset stomach. These are not all of the possible side effects of Kaletra.

The long-term effects of Kaletra are not known at this time.

About Abbott

Abbott has been a leader in HIV/AIDS research since the early years of the epidemic. In 1985, the company developed the first licensed test to detect HIV antibodies in the blood and remains a leader in HIV diagnostics. Abbott retroviral and hepatitis tests are used to screen more than half of the world's donated blood supply. Abbott has developed two protease inhibitors for the treatment of HIV.

Expanding on its scientific contributions, Abbott and the Abbott Fund have invested more than $100 million in developing countries to improve the lives of people affected by HIV/AIDS through programs targeting critical areas of need, including strengthening health care systems, supporting children affected by HIV/AIDS, and advancing HIV testing and treatment. For more information on Abbott's HIV/AIDS programs, please visit www.abbott.com/HIVAIDS and www.abbottglobalcare.org.

Abbott is a global, broad-based health care company devoted to the discovery, development, manufacture and marketing of pharmaceuticals and medical products, including nutritionals, devices and diagnostics. The company employs approximately 83,000 people and markets its products in more than 130 countries.

Abbott's news releases and other information are available on the company's Web site at www.abbott.com.

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