NEW
Remitch

Remitch

Manufacturer:

Bushu Pharmaceuticals

Distributor:

DKSH

Marketer:

Meiji
Concise Prescribing Info
Contents
Nalfurafine HCl
Indications/Uses
Cutaneous pruritus in hemodialysis patients when sufficient efficacy is not obtained w/ existing therapies or treatments.
Dosage/Direction for Use
Adult 2.5 mcg once daily after evening meal or before bedtime. Max: 5 mcg once daily.
Administration
May be taken with or without food. Place on the tongue & allow it to disintegrate. Swallow w/ saliva or water.
Contraindications
Special Precautions
Endocrine dysfunction eg, prolactin elevation. Not to be used for long term if no efficacy is observed. May affect ability to drive & use machine. Renal impairment. Moderate (Child-Pugh grade B) & severe (Child-Pugh grade C) hepatic dysfunction. Not recommended in pregnant or possibly pregnant female patients. Lactation. Premature, neonates, nursing infants, infants & childn. Elderly.
Adverse Reactions
Insomnia; constipation; pollakiuria/nocturia; increased prolactin. Sleepiness, dizziness, headache; thirst, nausea, diarrhoea; aggravated itching, eczema, rash; increased total bile acids; polyuria; decreased testosterone, increased antidiuretic hormone, decreased/increased TSH; presence of blood & protein urine; malaise.
Drug Interactions
Increased plasma conc w/ CYP3A4 inhibitors eg, azole antifungals (itraconazole), midecamycin, ritonavir, ciclosporin, nifedipine, cimetidine, grapefruit juice. Enhanced CNS adverse reactions w/ hypnotics, anxiolytics, antidepressants, antipsychotics, antiepileptics. Reinforced or decreased effect w/ opioids. Inhibited P-gp-mediated transport w/ ketoconazole, verapamil HCl, cyclosporine, tacrolimus, cetirizine HCl.
MIMS Class
Other Therapeutic Products
ATC Classification
V03AX02 - nalfurafine ; Belongs to the class of other therapeutic products. Used in the management of pruritus in haemodialysis patients.
Presentation/Packing
Form
Remitch orodispersible tab 2.5 mcg
Packing/Price
10 × 14's
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