Land: Indonesië
Taal: Indonesisch
Bron: Badan Pengawas Obat dan Makanan RI - Indonesian Food and Drug Supervisory Agency
DIVALPROEX SODIUM
ABBOTT INDONESIA - Indonesia
DIVALPROEX SODIUM
250 MG
TABLET SALUT ENTERIK
DUS, BOTOL PLASTIK @ 100 TABLET SALUT ENTERIK
ABBOTT INDONESIA - Indonesia
2015-03-05
Page 1 of 36 DEPAKOTE DEPAKOTE DIVALPROEX SODIUM ENTERIC-COATED TABLETS WARNING: LIFE THREATENING ADVERSE REACTIONS HEPATOTOXICITY _GENERAL POPULATION: _HEPATIC FAILURE RESULTING IN FATALITIES HAS OCCURRED IN PATIENTS RECEIVING VALPROATE AND ITS DERIVATIVES. THESE INCIDENTS USUALLY HAVE OCCURRED DURING THE FIRST SIX MONTHS OF TREATMENT. SERIOUS OR FATAL HEPATOTOXICITY MAY BE PRECEDED BY NON-SPECIFIC SYMPTOMS SUCH AS MALAISE, WEAKNESS, LETHARGY, FACIAL EDEMA, ANOREXIA, AND VOMITING. IN PATIENTS WITH EPILEPSY, A LOSS OF SEIZURE CONTROL MAY ALSO OCCUR. PATIENTS SHOULD BE MONITORED CLOSELY FOR APPEARANCE OF THESE SYMPTOMS. SERUM LIVER TESTS SHOULD BE PERFORMED PRIOR TO THERAPY AND AT FREQUENT INTERVALS THEREAFTER, ESPECIALLY DURING THE FIRST SIX MONTHS _[SEE WARNINGS AND PRECAUTIONS (5.1)]_. CHILDREN UNDER THE AGE OF TWO YEARS ARE AT A CONSIDERABLY INCREASED RISK OF DEVELOPING FATAL HEPATOTOXICITY, ESPECIALLY THOSE ON MULTIPLE ANTICONVULSANTS, THOSE WITH CONGENITAL METABOLIC DISORDERS, THOSE WITH SEVERE SEIZURE DISORDERS ACCOMPANIED BY MENTAL RETARDATION, AND THOSE WITH ORGANIC BRAIN DISEASE. WHEN DEPAKOTE IS USED IN THIS PATIENT GROUP, IT SHOULD BE USED WITH EXTREME CAUTION AND AS A SOLE AGENT. THE BENEFITS OF THERAPY SHOULD BE WEIGHED AGAINST THE RISKS. THE INCIDENCE OF FATAL HEPATOTOXICITY DECREASES CONSIDERABLY IN PROGRESSIVELY OLDER PATIENT GROUPS. _PATIENTS WITH MITOCHONDRIAL DISEASE: _THERE IS AN INCREASED RISK OF VALPROATE-INDUCED ACUTE LIVER FAILURE AND RESULTANT DEATHS IN PATIENTS WITH HEREDITARY NEUROMETABOLIC SYNDROMES CAUSED BY DNA MUTATIONS OF THE MITOCHONDRIAL DNA POLYMERASE Γ (POLG) GENE (E.G. ALPERS HUTTENLOCHER SYNDROME). DEPAKOTE IS CONTRAINDICATED IN PATIENTS KNOWN TO HAVE MITOCHONDRIAL DISORDERS CAUSED BY POLG MUTATIONS AND CHILDREN UNDER TWO YEARS OF AGE WHO ARE CLINICALLY SUSPECTED OF HAVING A MITOCHONDRIAL DISORDER _[SEE CONTRAINDICATIONS (4)]_. IN PATIENTS OVER TWO YEARS OF AGE WHO ARE CLINICALLY SUSPECTED OF HAVING A HEREDITARY MITOCHONDRIAL DISEASE, DEPAKOTE SHOULD ONLY BE USED AFTER OTHER Lees het volledige document