Lansoprazole Delayed-release Orally Disintegrating label

Lansoprazole Delayed-release Orally Disintegrating

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Side Effects & Adverse Reactions

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FDA Safety Alerts

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Manufacturer Warnings

There is currently no manufacturer warning information available for this drug.

FDA Labeling Changes

There are currently no FDA labeling changes available for this drug.

Uses

1.1 Short-Term Treatment of Active Duodenal Ulcer

Lansoprazole delayed-release orally disintegrating tablets are indicated for short-term treatment (for 4 weeks) for healing and symptom relief of active duodenal ulcer [see Clinical Studies (14)].

1.2 H. pylori Eradication to Reduce the Risk of Duodenal Ulcer Recurrence

Triple Therapy: lansoprazole/amoxicillin/clarithromycin

Lansoprazole delayed-release orally disintegrating tablets in combination with amoxicillin plus clarithromycin as triple therapy are indicated for the treatment of patients with H. pylori infection and duodenal ulcer disease (active or one-year history of a duodenal ulcer) to eradicate H. pylori. Eradication of H. pylori has been shown to reduce the risk of duodenal ulcer recurrence [see Clinical Studies (14)].

Please refer to the full prescribing information for amoxicillin and clarithromycin.

Dual Therapy: lansoprazole/amoxicillin

Lansoprazole delayed-release orally disintegrating tablets in combination with amoxicillin as dual therapy are indicated for the treatment of patients with H. pylori infection and duodenal ulcer disease (active or one-year history of a duodenal ulcer) who are either allergic or intolerant to clarithromycin or in whom resistance to clarithromycin is known or suspected (see the clarithromycin package insert, MICROBIOLOGY section). Eradication of H. pylori has been shown to reduce the risk of duodenal ulcer recurrence [see Clinical Studies (14)].

Please refer to the full prescribing information for amoxicillin.

1.3 Maintenance of Healed Duodenal Ulcers

Lansoprazole delayed-release orally disintegrating tablets are indicated to maintain healing of duodenal ulcers. Controlled studies do not extend beyond 12 months [see Clinical Studies (14)].

1.4 Short-Term Treatment of Active Benign Gastric Ulcer

Lansoprazole delayed-release orally disintegrating tablets are indicated for short-term treatment (up to 8 weeks) for healing and symptom relief of active benign gastric ulcer [see Clinical Studies (14)].

1.5 Healing of NSAID-Associated Gastric Ulcer

Lansoprazole delayed-release orally disintegrating tablets are indicated for the treatment of NSAID-associated gastric ulcers in patients who continue NSAID use. Controlled studies did not extend beyond 8 weeks [see Clinical Studies (14)].

1.6 Risk Reduction of NSAID-Associated Gastric Ulcer

Lansoprazole delayed-release orally disintegrating tablets are indicated for reducing the risk of NSAID-associated gastric ulcers in patients with a history of a documented gastric ulcer who require the use of an NSAID. Controlled studies did not extend beyond 12 weeks [see Clinical Studies (14)].

1.7 Gastroesophageal Reflux Disease (GERD)

Short-Term Treatment of Symptomatic GERD

Lansoprazole delayed-release orally disintegrating tablets are indicated for the treatment of heartburn and other symptoms associated with GERD for up to 8 weeks [see Clinical Studies (14)].

Short-Term Treatment of Erosive Esophagitis

Lansoprazole delayed-release orally disintegrating tablets are indicated for short-term treatment (up to 8 weeks) for healing and symptom relief of all grades of erosive esophagitis. For patients who do not heal with lansoprazole delayed-release orally disintegrating tablets for 8 weeks (5 to 10%), it may be helpful to give an additional 8 weeks of treatment. If there is a recurrence of erosive esophagitis an additional 8-week course of lansoprazole delayed-release orally disintegrating tablets may be considered [see Clinical Studies (14)].

1.8 Maintenance of Healing of Erosive Esophagitis (EE)

Lansoprazole delayed-release orally disintegrating tablets are indicated to maintain healing of erosive esophagitis. Controlled studies did not extend beyond 12 months [see Clinical Studies (14)].

1.9 Pathological Hypersecretory Conditions Including Zollinger-Ellison Syndrome (ZES)

Lansoprazole delayed-release orally disintegrating tablets are indicated for the long-term treatment of pathological hypersecretory conditions, including Zollinger-Ellison syndrome [see Clinical Studies (14)].

History

There is currently no drug history available for this drug.

Other Information

The active ingredient in Lansoprazole Delayed-Release Orally Disintegrating Tablets is lansoprazole, a substituted benzimidazole, 2-[[[3-methyl-4-(2,2,2-trifluoroethoxy)-2-pyridyl] methyl] sulfinyl] benzimidazole, a compound that inhibits gastric acid secretion. Its empirical formula is C16H14F3N3O2S with a molecular weight of 369.37. Lansoprazole has the following structure:

Prevacid structural formula

Lansoprazole is a white to brownish-white odorless crystalline powder which melts with decomposition at approximately 166°C. Lansoprazole is freely soluble in dimethylformamide; soluble in methanol; sparingly soluble in ethanol; slightly soluble in ethyl acetate, dichloromethane and acetonitrile; very slightly soluble in ether; and practically insoluble in hexane and water.

Lansoprazole is stable when exposed to light for up to two months. The rate of degradation of the compound in aqueous solution increases with decreasing pH. The degradation half-life of the drug substance in aqueous solution at 25°C is approximately 0.5 hour at pH 5.0 and approximately 18 hours at pH 7.0.

Lansoprazole is supplied as delayed-release orally disintegrating tablets for oral administration.

Lansoprazole delayed-release orally disintegrating tablets are available in two dosage strengths: 15 mg and 30 mg of lansoprazole per tablet. Each delayed-release orally disintegrating tablet contains enteric-coated microgranules consisting of 15 mg or 30 mg of lansoprazole (active ingredient) and the following inactive ingredients: mannitol, methacrylic acid, hydroxypropyl cellulose, lactose monohydrate-microcrystalline cellulose sphere, triethyl citrate, crospovidone, polyacrylate, magnesium carbonate, aspartame1, glyceryl monostearate, hypromellose, magnesium stearate, citric acid, titanium dioxide, talc, artificial strawberry flavor, polyethylene glycol, polysorbate 80 and ferric oxide.

1Phenylketonurics: Contains Phenylalanine 2.5 mg per 15 mg Tablet and 5.1 mg per 30 mg Tablet.

Lansoprazole Delayed-release Orally Disintegrating Manufacturers

  • Prasco Laboratories
    Lansoprazole Delayed-release Orally Disintegrating | Prasco Laboratories
    No Recall

    Lansoprazole Delayed-release Orally Disintegrating | Prasco Laboratories

    Lansoprazole Delayed-release Orally Disintegrating | Prasco Laboratories

    Lansoprazole delayed-release orally disintegrating tablets are available in 15 mg and 30 mg strengths. Directions for use specific to the route and available methods of administration are presented below. Lansoprazole delayed-release orally disintegrating tablets should be taken before eating. Lansoprazole delayed-release orally disintegrating tablets SHOULD NOT BE CRUSHED OR CHEWED. In the clinical trials, antacids were used concomitantly with lansoprazole delayed-release orally disintegrating tablets.

    2.1 Recommended Dose Indication Recommended Dose Frequency * Please refer to amoxicillin and clarithromycin full prescribing information for CONTRAINDICATIONS and WARNINGS, and for information regarding dosing in elderly and renally-impaired patients. † Controlled studies did not extend beyond indicated duration. ‡ For patients who do not heal with lansoprazole for 8 weeks (5 to 10%), it may be helpful to give an additional 8 weeks of treatment. If there is a recurrence of erosive esophagitis, an additional 8 week course of lansoprazole may be considered. § The lansoprazole dose was increased (up to 30 mg twice daily) in some pediatric patients after 2 or more weeks of treatment if they remained symptomatic. For pediatric patients unable to swallow an intact capsule please see Administration Options. ¶ Controlled studies did not extend beyond 12 months # Varies with individual patient. Recommended adult starting dose is 60 mg once daily. Doses should be adjusted to individual patient needs and should continue for as long as clinically indicated. Dosages up to 90 mg twice daily have been administered. Daily dose of greater than 120 mg should be administered in divided doses. Some patients with Zollinger-Ellison Syndrome have been treated continuously with lansoprazole for more than 4 years.

    Duodenal Ulcers

      Short-Term Treatment

    15 mg

    Once daily for 4 weeks

      Maintenance of Healed

    15 mg

    Once daily

    H. pylori Eradication to Reduce the Risk of Duodenal Ulcer Recurrence*

      Triple Therapy:

       Lansoprazole

    30 mg

    Twice daily (q12h) for 10 or 14 days

        Amoxicillin

    1 gram

    Twice daily (q12h) for 10 or 14 days

        Clarithromycin

    500 mg

    Twice daily (q12h) for 10 or 14 days

      Dual Therapy:

        Lansoprazole

    30 mg

    Three times daily (q8h) for 14 days

        Amoxicillin

    1 gram

    Three times daily (q8h) for 14 days

    Benign Gastric Ulcer

      Short-Term Treatment

    30 mg

    Once daily for up to 8 weeks

    NSAID-associated Gastric Ulcer

      Healing

    30 mg

    Once daily for 8 weeks†

      Risk Reduction

    15 mg

    Once daily for up to 12 weeks†

    Gastroesophageal Reflux Disease (GERD)

      Short-Term Treatment of Symptomatic GERD

    15 mg

    Once daily for up to 8 weeks

      Short-Term Treatment of Erosive Esophagitis

    30 mg

    Once daily for up to 8 weeks‡

    Pediatric

    (1 to 11 years of age)
    Short-Term Treatment of Symptomatic GERD and Short-Term Treatment of Erosive Esophagitis

      ≤ 30 kg

    15 mg

    Once daily for up to 12 weeks§

      > 30 kg

    30 mg

    Once daily for up to 12 weeks§

    (12 to 17 years of age)
    Short-Term Treatment of Symptomatic GERD

      Nonerosive GERD

    15 mg

    Once daily for up to 8 weeks

      Erosive Esophagitis

    30 mg

    Once daily for up to 8 weeks

    Maintenance of Healing of Erosive Esophagitis

    15 mg

    Once daily¶

    Pathological Hypersecretory Conditions Including Zollinger-Ellison Syndrome

    60 mg

    Once daily#

    Patients should be instructed that if a dose is missed, it should be taken as soon as possible. However, if the next scheduled dose is due, the patient should not take the missed dose, and should be instructed to take the next dose on time. Patients should be instructed not to take 2 doses at one time to make up for a missed dose.

    2.2 Special Populations

    Renal impairment patients and geriatric patients do not require dosage adjustment. However, consider dose adjustment in patients with severe liver impairment [see Use in Specific Populations (8.5, 8.6 and 8.7)].

    2.3 Important Administration Information

    Administration Options

    • Lansoprazole delayed-release orally disintegrating tablets should not be broken or cut. • Lansoprazole delayed-release orally disintegrating tablets should not be chewed. o Place the tablet on the tongue and allow it to disintegrate, with or without water, until the particles can be swallowed. o The tablet typically disintegrates in less than 1 minute. o Alternatively, for children or other patients who have difficulty swallowing tablets, lansoprazole delayed-release orally disintegrating tablets can be delivered in two different ways.   Oral Syringe   For administration via oral syringe, lansoprazole delayed-release orally disintegrating tablets can be administered as follows: • Place a 15 mg tablet in oral syringe and draw up 4 mL of water, or place a 30 mg tablet in oral syringe and draw up 10 mL of water. • Shake gently to allow for a quick dispersal. • After the tablet has dispersed, administer the contents within 15 minutes. • Refill the syringe with approximately 2 mL (5 mL for the 30 mg tablet) of water, shake gently, and administer any remaining contents.   Nasogastric Tube (≥8 French) Administration   For administration via a nasogastric tube, lansoprazole delayed-release orally disintegrating tablets can be administered as follows: • Place a 15 mg tablet in a syringe and draw up 4 mL of water, or place a 30 mg tablet in a syringe and draw up 10 mL of water. • Shake gently to allow for a quick dispersal. • After the tablet has dispersed, inject through the nasogastric tube into the stomach within 15 minutes. • Refill the syringe with approximately 5 mL of water, shake gently, and flush the nasogastric tube.