Country: United States
Language: English
Source: NLM (National Library of Medicine)
LENALIDOMIDE (UNII: F0P408N6V4) (LENALIDOMIDE - UNII:F0P408N6V4)
Celgene Corporation
LENALIDOMIDE
LENALIDOMIDE 2.5 mg
ORAL
PRESCRIPTION DRUG
REVLIMID in combination with dexamethasone is indicated for the treatment of adult patients with multiple myeloma (MM). REVLIMID is indicated as maintenance therapy in adult patients with MM following autologous hematopoietic stem cell transplantation (auto-HSCT). REVLIMID is indicated for the treatment of adult patients with transfusion-dependent anemia due to low- or intermediate-1-risk myelodysplastic syndromes (MDS) associated with a deletion 5q cytogenetic abnormality with or without additional cytogenetic abnormalities. REVLIMID is indicated for the treatment of adult patients with mantle cell lymphoma (MCL) whose disease has relapsed or progressed after two prior therapies, one of which included bortezomib. REVLIMID in combination with a rituximab product, is indicated for the treatment of adult patients with previously treated follicular lymphoma (FL). REVLIMID in combination with a rituximab product, is indicated for the treatment of adult patients with previously treated marginal zone lymphoma (MZL)
White and blue-green opaque hard capsules imprinted "REV" on one half and "2.5 mg" on the other half in black ink: 2.5 mg bottles of 28 (NDC 59572-402-28) 2.5 mg bottles of 100 (NDC 59572-402-00) White opaque capsules imprinted "REV" on one half and "5 mg" on the other half in black ink: 5 mg bottles of 28 (NDC 59572-405-28) 5 mg bottles of 100 (NDC 59572-405-00) Blue/green and pale yellow opaque capsules imprinted "REV" on one half and "10 mg" on the other half in black ink: 10 mg bottles of 28 (NDC 59572-410-28) 10 mg bottles of 100 (NDC 59572-410-00) Powder blue and white opaque capsules imprinted "REV" on one half and "15 mg" on the other half in black ink: 15 mg bottles of 21 (NDC 59572-415-21) 15 mg bottles of 100 (NDC 59572-415-00) Powder blue and blue-green opaque hard capsules imprinted "REV" on one half and "20 mg" on the other half in black ink. 20 mg bottles of 21 (NDC 59572-420-21) 20 mg bottles of 100 (NDC 59572-420-00) White opaque capsules imprinted "REV" on one half and "25 mg" on the other half in black ink: 25 mg bottles of 21 (NDC 59572-425-21) 25 mg bottles of 100 (NDC 59572-425-00) Store at 20°C - 25°C (68°F - 77°F); excursions permitted to 15°C - 30°C (59°F - 86°F) [See USP Controlled Room Temperature]. Care should be exercised in the handling of REVLIMID. REVLIMID capsules should not be opened or broken. If powder from REVLIMID contacts the skin, wash the skin immediately and thoroughly with soap and water. If REVLIMID contacts the mucous membranes, flush thoroughly with water. Procedures for the proper handling and disposal of anticancer drugs should be considered. Several guidelines on the subject have been published.1 Dispense no more than a 28-day supply.
New Drug Application
Celgene Corporation ---------- MEDICATION GUIDE REVLIMID® (rev-li-mid) (lenalidomide) capsules What is the most important information I should know about REVLIMID? Before you begin taking REVLIMID, you must read and agree to all of the instructions in the Lenalidomide REMS program. For more information, call 1-888-423-5436 or go to www.lenalidomiderems.com. Before prescribing REVLIMID, your healthcare provider will explain the Lenalidomide REMS program to you and have you sign the Patient-Physician Agreement Form. REVLIMID may cause serious side effects including: • Possible birth defects (deformed babies) or death of an unborn baby. Females who are pregnant or who plan to become pregnant must not take REVLIMID. REVLIMID is similar to the medicine thalidomide. We know thalidomide can cause severe life- threatening birth defects. REVLIMID has not been tested in pregnant females. REVLIMID has harmed unborn animals in animal testing. Females must not get pregnant: o For at least 4 weeks before starting REVLIMID o While taking REVLIMID o During any breaks (interruptions) in your treatment with REVLIMID o For at least 4 weeks after stopping REVLIMID Females who can become pregnant: o Will have pregnancy tests weekly for 4 weeks, then every 4 weeks if your menstrual cycle is regular, or every 2 weeks if your menstrual cycle is irregular. o If you miss your period or have unusual bleeding, you will need to have a pregnancy test and receive counseling. o Must agree to use two acceptable forms of birth control at the same time, for at least 4 weeks before, while taking, during any breaks (interruptions) in your treatment, and for at least 4 weeks after stopping REVLIMID. o Talk with your healthcare provider to find out about options for acceptable forms of birth control that you may use to prevent pregnancy before, during, and after treatment with REVLIMID. o If you had unprotected sex or if you think your birth control has failed, stop taking REVLIMID immediately and call your healthcare provider right away. If you be Read the complete document
REVLIMID- LENALIDOMIDE CAPSULE CELGENE CORPORATION ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE REVLIMID SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR REVLIMID. REVLIMID (LENALIDOMIDE) CAPSULES, FOR ORAL USE INITIAL U.S. APPROVAL: 2005 WARNING: EMBRYO-FETAL TOXICITY, HEMATOLOGIC TOXICITY, AND VENOUS AND ARTERIAL THROMBOEMBOLISM _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ EMBRYO-FETAL TOXICITY • • REVLIMID IS AVAILABLE ONLY THROUGH A RESTRICTED DISTRIBUTION PROGRAM, CALLED THE LENALIDOMIDE REMS PROGRAM (5.2, 17). HEMATOLOGIC TOXICITY.REVLIMID CAN CAUSE SIGNIFICANT NEUTROPENIA AND THROMBOCYTOPENIA (5.3). VENOUS AND ARTERIAL THROMBOEMBOLISM SIGNIFICANTLY INCREASED RISK OF DEEP VEIN THROMBOSIS (DVT) AND PULMONARY EMBOLISM (PE), AS WELL AS RISK OF MYOCARDIAL INFARCTION AND STROKE IN PATIENTS WITH MULTIPLE MYELOMA RECEIVING REVLIMID WITH DEXAMETHASONE. ANTI-THROMBOTIC PROPHYLAXIS IS RECOMMENDED (5.4). RECENT MAJOR CHANGES Warnings and Precautions (5.1, 5.2) 8/2021 Warnings and Precautions (5.1, 5.11) 5/2022 INDICATIONS AND USAGE REVLIMID is a thalidomide analogue indicated for the treatment of adult patients with: • • • • • • Limitations of Use: • DOSAGE AND ADMINISTRATION • • • • • • • DOSAGE FORMS AND STRENGTHS ® LENALIDOMIDE, A THALIDOMIDE ANALOGUE, CAUSED LIMB ABNORMALITIES IN A DEVELOPMENTAL MONKEY STUDY SIMILAR TO BIRTH DEFECTS CAUSED BY THALIDOMIDE IN HUMANS. IF LENALIDOMIDE IS USED DURING PREGNANCY, IT MAY CAUSE BIRTH DEFECTS OR EMBRYO-FETAL DEATH. PREGNANCY MUST BE EXCLUDED BEFORE START OF TREATMENT. PREVENT PREGNANCY DURING TREATMENT BY THE USE OF TWO RELIABLE METHODS OF CONTRACEPTION (5.1). Multiple myeloma (MM), in combination with dexamethasone (1.1). MM, as maintenance following autologous hematopoietic stem cell transplantation (auto-HSCT) (1.1). Transfusion-dependent anemia due to low- or intermediate-1-risk myelodysplastic syndromes (MDS) associated with a deletion 5q Read the complete document