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ZERIT Hard capsule (2019)

Αναφορές

Βιβλιογραφική αναφορά

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Περιεχόμενα

Name of the medicinal product

Zerit 15 mg hard capsules. Zerit 20 mg hard capsules. Zerit 30 mg hard capsules. Zerit 40 mg hard capsules.

Qualitative and quantitative composition

Zerit 15 mg hard capsules: Each hard capsule contains 15 mg of stavudine. Excipients with known effect: Each hard capsule contains 80.84 mg of lactose anhydrous. Each hard capsule contains 40.42 mg of ...

Pharmaceutical form

Hard capsule. Zerit 15 mg hard capsules: The hard capsule is red and yellow, opaque and imprinted with BMS over a BMS code 1964 on one side and 15 on the other side. Zerit 20 mg hard capsules: The hard ...

Therapeutic indications

Zerit is indicated in combination with other antiretroviral medicinal products for the treatment of HIV infected adult patients and paediatric patients (over the age of 3 months) only when other antiretrovirals ...

Posology and method of administration

The therapy should be initiated by a doctor experienced in the management of HIV infection (see also section 4.4). For patients starting therapy with Zerit, the duration should be limited to the shortest ...

Contraindications

Hypersensitivity to the active substance or to any of the excipients listed in section 6.1. Co-administration with didanosine due to the potential for serious and/or life-threatening events notably lactic ...

Special warnings and precautions for use

While effective viral suppression with antiretroviral therapy has been proven to substantially reduce the risk of sexual transmission, a residual risk cannot be excluded. Precautions to prevent transmission ...

Interaction with other medicinal products and other forms of interaction

The combination of stavudine with didanosine is contraindicated given that both drugs exhibits high risk of mitochondrial toxicity (see sections 4.3 and 4.4). Since stavudine is actively secreted by the ...

Fertility, pregnancy and lactation

Pregnancy Zerit should not be used during pregnancy unless clearly necessary. Clinical experience in pregnant women is limited, but congenital anomalies and abortions have been reported. In study AI455-094, ...

Effects on ability to drive and use machines

No studies on the effects on the ability to drive and use machines have been performed. Stavudine may cause dizziness and/or somnolence. Patients should be instructed that if they experience these symptoms ...

Undesirable effects

Summary of the safety profile Stavudine therapy is associated with several severe adverse reactions, such as lactic acidosis, lipoatrophy and polyneuropathy, for which a potential underlying mechanism ...

Overdose

Experience in adults treated with up to 12 times the recommended daily dosage revealed no acute toxicity. Complications of chronic overdosage could include peripheral neuropathy and hepatic dysfunction. ...

Pharmacodynamic properties

Pharmacotherapeutic group: antivirals for systemic use, nucleoside and nucleotide reverse transcriptase inhibitors ATC code: J05AF04 Mechanism of action Stavudine, a thymidine analogue, is phosphorylated ...

Pharmacokinetic properties

Absorption The absolute bioavailability is 86±18%. After multiple oral administration of 0.5-0.67 mg/kg doses, a C<sub>max</sub> value of 810±175 ng/ml was obtained. C<sub>max</sub> and AUC increased proportionally ...

Preclinical safety data

Animal data showed embryo-foetal toxicity at very high exposure levels. An ex vivo study using a term human placenta model demonstrated that stavudine reaches the foetal circulation by simple diffusion. ...

List of excipients

Capsule contents: Lactose Magnesium stearate Microcrystalline cellulose Sodium starch glycolate Capsule shell: Gelatin Iron oxide colorant (E172) Silicon dioxide Sodium laurilsulphate Titanium dioxide ...

Incompatibilities

Not applicable.

Shelf life

2 years.

Special precautions for storage

Store below 25°C (aclar/alu blisters). Do not store above 30°C (HDPE bottles). Store in the original package.

Nature and contents of container

HDPE bottles with child resistant screw cap (60 hard capsules per bottle). Aclar/aluminum blisters with 14 hard capsules per card and 4 cards (56 hard capsules) per carton. Not all pack sizes may be marketed. ...

Special precautions for disposal and other handling

Any unused medicinal product or waste material should be disposed of in accordance with local requirements.

Marketing authorization holder

Bristol-Myers Squibb Pharma EEIG, Plaza 254, Blanchardstown Corporate Park 2, Dublin 15, D15 T867, Ireland

Marketing authorization number(s)

EU/1/96/009/001-008

Date of first authorization / renewal of the authorization

Date of first authorisation: 08 May 1996 Date of last renewal: 20 April 2011

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