ZEPATIER Film-coated tablet (2022)
Βιβλιογραφική αναφορά
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Περιεχόμενα
1. Name of the medicinal product
ZEPATIER 50 mg/100 mg film-coated tablets.
2. Qualitative and quantitative composition
Each film-coated tablet contains 50 mg elbasvir and 100 mg grazoprevir. <u>Excipients with known effect:</u> Each film-coated tablet contains 87.02 mg of lactose (as monohydrate) and 69.85 mg of sodium. ...
3. Pharmaceutical form
Film-coated tablet. Beige, oval tablet of dimensions 21 mm x 10 mm debossed with 770 on one side and plain on the other.
4.1. Therapeutic indications
ZEPATIER is indicated for the treatment of chronic hepatitis C (CHC) in adult and paediatric patients 12 years of age and older who weigh at least 30 kg (see sections 4.2, 4.4 and 5.1). For hepatitis C ...
4.2. Posology and method of administration
ZEPATIER treatment should be initiated and monitored by a physician experienced in the management of patients with CHC. Posology The recommended dose is one tablet once daily. Recommended regimens and ...
4.3. Contraindications
Hypersensitivity to the active substances or to any of the excipients listed in section 6.1. Patients with moderate or severe hepatic impairment (Child-Pugh B or C) (see sections 4.2 and 5.2). Co-administration ...
4.4. Special warnings and precautions for use
ALT elevations The rate of late ALT elevations during treatment is directly related to the plasma exposure to grazoprevir. During clinical studies with ZEPATIER with or without ribavirin, <1% of subjects ...
4.5. Interaction with other medicinal products and other forms of interaction
Potential for other medicinal products to affect ZEPATIER Grazoprevir is a substrate of OATP1B drug transporters. Co-administration of ZEPATIER with medicinal products that inhibit OATP1B transporters ...
4.6. Fertility, pregnancy and lactation
If ZEPATIER is co-administered with ribavirin, the information for ribavirin with regard to contraception, pregnancy testing, pregnancy, breast-feeding, and fertility also applies to this combination regimen ...
4.7. Effects on ability to drive and use machines
ZEPATIER (administered alone or in combination with ribavirin) is not likely to have an effect on the ability to drive and use machines. Patients should be informed that fatigue has been reported during ...
4.8. Undesirable effects
Summary of the safety profile The safety of ZEPATIER was assessed based on 3 placebo-controlled studies and 7 uncontrolled Phase 2 and 3 clinical studies in approximately 2,000 subjects with chronic hepatitis ...
4.9. Overdose
Human experience of overdose with ZEPATIER is limited. The highest dose of elbasvir was 200 mg once daily for 10 days, and a single dose of 800 mg. The highest dose of grazoprevir was 1,000 mg once daily ...
5.1. Pharmacodynamic properties
<b>Pharmacotherapeutic group:</b> Antivirals for systemic use, Direct acting antivirals, Antivirals for treatment of HCV infections <b>ATC code:</b> J05AP54 Mechanism of action ZEPATIER combines two direct-acting ...
5.2. Pharmacokinetic properties
Absorption Following administration of elbasvir/grazoprevir to HCV-infected subjects, elbasvir peak plasma concentrations occur at a median Tmax of 3 hours (range of 3 to 6 hours); grazoprevir peak plasma ...
5.3. Preclinical safety data
Non-clinical data reveal no special hazard for humans based on conventional studies of safety pharmacology, repeated dose toxicity, genotoxicity, and toxicity to reproduction and development with grazoprevir ...
6.1. List of excipients
<u>Tablet core:</u> Sodium laurilsulfate Vitamin E polyethylene glycol succinate Copovidone Hypromellose Microcrystalline cellulose Mannitol (E421) Lactose monohydrate Croscarmellose sodium Sodium chloride ...
6.2. Incompatibilities
Not applicable.
6.3. Shelf life
3 years.
6.4. Special precautions for storage
This medicinal product does not require any special temperature storage conditions. Store in the original package until use to protect from moisture.
6.5. Nature and contents of container
The tablets are packaged into a carton containing two (2) cardboard cards, each cardboard card containing (2) 7-count aluminium blisters sealed in a cardboard card for a total of 28 tablets.
6.6. Special precautions for disposal and other handling
Any unused medicinal product or waste material should be disposed of in accordance with local requirements.
7. Marketing authorization holder
Merck Sharp & Dohme B.V., Waarderweg 39, 2031 BN Haarlem, The Netherlands
8. Marketing authorization number(s)
EU/1/16/1119/001
9. Date of first authorization / renewal of the authorization
Date of first authorisation: 22 July 2016 Date of latest renewal: 06 May 2021
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