Maxidex

Dexamethasone


Alcon Laboratories, Inc.
Human Prescription Drug
NDC 0998-0615
Maxidex also known as Dexamethasone is a human prescription drug labeled by 'Alcon Laboratories, Inc.'. National Drug Code (NDC) number for Maxidex is 0998-0615. This drug is available in dosage form of Suspension. The names of the active, medicinal ingredients in Maxidex drug includes Dexamethasone - 1 mg/mL . The currest status of Maxidex drug is Active.

Drug Information:

Drug NDC: 0998-0615
The labeler code and product code segments of the National Drug Code number, separated by a hyphen. Asterisks are no longer used or included within the product code segment to indicate certain configurations of the NDC.
Proprietary Name: Maxidex
Also known as the trade name. It is the name of the product chosen by the labeler.
Product Type: Human Prescription Drug
Indicates the type of product, such as Human Prescription Drug or Human OTC Drug. This data element corresponds to the “Document Type” of the SPL submission for the listing.
Non Proprietary Name: Dexamethasone
Also known as the generic name, this is usually the active ingredient(s) of the product.
Labeler Name: Alcon Laboratories, Inc.
Name of Company corresponding to the labeler code segment of the ProductNDC.
Dosage Form: Suspension
The translation of the DosageForm Code submitted by the firm. There is no standard, but values may include terms like `tablet` or `solution for injection`.The complete list of codes and translations can be found www.fda.gov/edrls under Structured Product Labeling Resources.
Status: Active
FDA does not review and approve unfinished products. Therefore, all products in this file are considered unapproved.
Substance Name:DEXAMETHASONE - 1 mg/mL
This is the active ingredient list. Each ingredient name is the preferred term of the UNII code submitted.
Route Details:OPHTHALMIC
The translation of the Route Code submitted by the firm, indicating route of administration. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.

Marketing Information:

An openfda section: An annotation with additional product identifiers, such as NUII and UPC, of the drug product, if available.
Marketing Category: NDA
Product types are broken down into several potential Marketing Categories, such as New Drug Application (NDA), Abbreviated New Drug Application (ANDA), BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.
Marketing Start Date: 15 May, 1966
This is the date that the labeler indicates was the start of its marketing of the drug product.
Marketing End Date: 31 Aug, 2023
This is the date the product will no longer be available on the market. If a product is no longer being manufactured, in most cases, the FDA recommends firms use the expiration date of the last lot produced as the EndMarketingDate, to reflect the potential for drug product to remain available after manufacturing has ceased. Products that are the subject of ongoing manufacturing will not ordinarily have any EndMarketingDate. Products with a value in the EndMarketingDate will be removed from the NDC Directory when the EndMarketingDate is reached.
Application Number: NDA013422
This corresponds to the NDA, ANDA, or BLA number reported by the labeler for products which have the corresponding Marketing Category designated. If the designated Marketing Category is OTC Monograph Final or OTC Monograph Not Final, then the Application number will be the CFR citation corresponding to the appropriate Monograph (e.g. “part 341”). For unapproved drugs, this field will be null.
Listing Expiration Date: 22 Dec, 2025
This is the date when the listing record will expire if not updated or certified by the firm.

OpenFDA Information:

An openfda section: An annotation with additional product identifiers, such as NUII and UPC, of the drug product, if available.
Manufacturer Name:Alcon Laboratories, Inc.
Name of manufacturer or company that makes this drug product, corresponding to the labeler code segment of the NDC.
RxCUI:205669
309692
The RxNorm Concept Unique Identifier. RxCUI is a unique number that describes a semantic concept about the drug product, including its ingredients, strength, and dose forms.
Original Packager:Yes
Whether or not the drug has been repackaged for distribution.
NUI:N0000175576
N0000175450
Unique identifier applied to a drug concept within the National Drug File Reference Terminology (NDF-RT).
UNII:7S5I7G3JQL
Unique Ingredient Identifier, which is a non-proprietary, free, unique, unambiguous, non-semantic, alphanumeric identifier based on a substance’s molecular structure and/or descriptive information.
Pharmacologic Class MOA:Corticosteroid Hormone Receptor Agonists [MoA]
Mechanism of action of the drug—molecular, subcellular, or cellular functional activity—of the drug’s established pharmacologic class. Takes the form of the mechanism of action, followed by `[MoA]` (such as `Calcium Channel Antagonists [MoA]` or `Tumor Necrosis Factor Receptor Blocking Activity [MoA]`.
Pharmacologic Class EPC:Corticosteroid [EPC]
Established pharmacologic class associated with an approved indication of an active moiety (generic drug) that the FDA has determined to be scientifically valid and clinically meaningful. Takes the form of the pharmacologic class, followed by `[EPC]` (such as `Thiazide Diuretic [EPC]` or `Tumor Necrosis Factor Blocker [EPC]`.
Pharmacologic Class:Corticosteroid Hormone Receptor Agonists [MoA]
Corticosteroid [EPC]
These are the reported pharmacological class categories corresponding to the SubstanceNames listed above.

Packaging Information:

Package NDCDescriptionMarketing Start DateMarketing End DateSample Available
0998-0615-055 mL in 1 BOTTLE, PLASTIC (0998-0615-05)15 May, 196631 Aug, 2023No
Package NDC number, known as the NDC, identifies the labeler, product, and trade package size. The first segment, the labeler code, is assigned by the FDA. Description tells the size and type of packaging in sentence form. Multilevel packages will have the descriptions concatenated together.

Product Elements:

Maxidex dexamethasone dexamethasone dexamethasone benzalkonium chloride hypromelloses sodium chloride sodium phosphate, dibasic polysorbate 80 edetate disodium citric acid monohydrate sodium hydroxide water carton chemical

Indications and Usage:

Indications and usage steroid responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea, and anterior segment of the globe, such as allergic conjunctivitis, acne rosacea, superficial punctate keratitis, herpes zoster keratitis, iritis, cyclitis, selected infective conjunctivitides when the inherent hazard of steroid use is accepted to obtain an advisable diminution in edema and inflammation; corneal injury from chemical, radiation, or thermal burns, or penetration of foreign bodies.

Warnings:

Warnings prolonged use may result in ocular hypertension and/or glaucoma, with damage to the optic nerve, defects in visual acuity and fields of vision, and posterior subcapsular cataract formation. prolonged use may suppress the host response and thus increase the hazard of secondary ocular infections. in acute purulent conditions or parasitic infections of the eye, corticosteroids may mask infection or enhance existing infection. in those diseases causing thinning of the cornea or sclera, perforations have been known to occur with the use of topical corticosteroids. if these products are used for 10 days or longer, intraocular pressure (iop) should be routinely monitored even though it may be difficult in children and uncooperative patients. employment of corticosteroid medication in the treatment of herpes simplex other than epithelial herpes simplex keratitis, in which it is contraindicated, requires great caution; periodic slit-lamp microscopy is essential.

General Precautions:

General for topical ophthalmic use. the possibility of persistent fungal infections of the cornea should be considered after prolonged corticosteroid dosing. the initial prescription and renewal of the medication order should be made by a physician only after examination of the patient with the aid of magnification, such as slit lamp biomicroscopy and, where appropriate, fluorescein staining. if signs and symptoms fail to improve after 2 days, the patient should be re-evaluated.

Dosage and Administration:

Dosage and administration shake well before using. one or two drops topically in the conjunctival sac(s). in severe disease, drops may be used hourly, being tapered to discontinuation as the inflammation subsides. in mild disease, drops may be used up to four to six times daily. not more than one bottle should be prescribed initially, and the prescription should not be refilled without further evaluation as outlined in precautions above.

Contraindications:

Contraindications contraindicated in acute, untreated bacterial infections; mycobacterial ocular infections; epithelial herpes simplex (dendritic keratitis); vaccinia, varicella, and most other viral diseases of the cornea and conjunctiva; fungal disease of ocular structures; and in those persons who have shown hypersensitivity to any component of this preparation.

Adverse Reactions:

Adverse reactions glaucoma with optic nerve damage, visual acuity and field defects; cataract formation; secondary ocular infection following suppression of host response; and perforation of the globe may occur. clinical studies experience in clinical studies with maxidex, the most frequently reports adverse reactions were ocular discomfort occurring in approximately 10% of the patients and eye irritation occurring in approximately 1% of the patients. all other adverse reactions from these studies occurred with a frequency less than 1%, including keratitis, conjunctivitis, dry eye, photophobia, blurred vision, eye pruritis, foreign body sensation, increased lacrimation, abnormal ocular sensation, eyelid margin crusting, and ocular hyperemia. postmarketing experience additional adverse reactions identified from post-marketing use include corneal erosion, dizziness, eye pain, eyelid ptosis, headache, hypersensitivity reactions, and mydriasis. frequencies cannot be estimated from the avai
lable data. the following additional adverse reactions have been reported with dexamethasone use: cushing’s syndrome and adrenal suppression may occur after use of dexamethasone in excess of the listed dosing instructions in predisposed patients, including children and patients treated with cyp3a4 inhibitors.

Use in Pregnancy:

Pregnancy dexamethasone has been shown to be teratogenic in mice and rabbits following topical ophthalmic application in multiples of the therapeutic dose. in the mouse, corticosteroids produce fetal resorptions and a specific abnormality, cleft palate. in the rabbit, corticosteroids have produced fetal resorptions and multiple abnormalities involving the head, ears, limbs, palate, etc. maxidex (dexamethasone ophthalmic suspension) 0.1% should be used during pregnancy only if the potential benefit to the mother justifies the potential risk to the embryo or fetus. there are no adequate or well-controlled studies in pregnant women. however, prolonged or repeated corticoid use during pregnancy has been associated with an increased risk of intra-uterine growth retardation. infants born of mothers who have received substantial doses of corticosteroids during pregnancy should be observed carefully for signs of hypoadrenalism.

Pediatric Use:

Pediatric use the safety and effectiveness of maxidex have been established in the pediatric patients. use of maxidex in all pediatric age groups is supported by evidence from adequate and well-controlled studies of maxidex in adults with safety data from additional adequate and well-controlled trials in pediatric patients.

Geriatric Use:

Geriatric use no overall differences in safety or effectiveness have been observed between elderly and younger patients.

Description:

Description maxidex (dexamethasone ophthalmic suspension) 0.1% is an adrenocortical steroid prepared as a sterile topical ophthalmic suspension. the active ingredient is represented by the chemical structure: chemical name: pregna-1,4-diene-3,20-dione,9-fluoro-11,17,21-trihydroxy-16-methyl-,(11β,16α)-. each ml of maxidex (dexamethasone ophthalmic suspension) 0.1% contains: active: dexamethasone 0.1%. preservative: benzalkonium chloride 0.01%. vehicle: hypromellose 0.5%. inactives: citric acid and/or sodium hydroxide (to adjust ph), dibasic sodium phosphate, edetate disodium, polysorbate 80, purified water, and sodium chloride.

Clinical Pharmacology:

Clinical pharmacology dexamethasone suppresses the inflammatory response to a variety of agents and it probably delays or slows healing.

Carcinogenesis and Mutagenesis and Impairment of Fertility:

Carcinogenesis, mutagenesis, impairment of fertility long-term animal studies have not been performed to evaluate the carcinogenic potential or the effect on fertility of maxidex (dexamethasone ophthalmic suspension) 0.1%.

How Supplied:

How supplied maxidex ® (dexamethasone ophthalmic suspension) 0.1% in plastic drop-tainer ® dispensers: 5 ml ndc 0998-0615-05 storage: store upright at 8°c to 27°c (46°f to 80°f). after opening, maxidex can be used until the expiration date on the bottle. © novartis distributed by: novartis pharmaceuticals corporation east hanover, new jersey 07936 revised: december 2021 t2021-159

Information for Patients:

Information for patients do not touch dropper tip to any surface, as this may contaminate the contents. the preservative in maxidex (dexamethasone ophthalmic suspension) 0.1%, benzalkonium chloride, may be absorbed by soft contact lenses. maxidex (dexamethasone ophthalmic suspension) 0.1% should not be administered while wearing soft contact lenses.

Package Label Principal Display Panel:

Principal display panel ndc 0998-0615-05 alcon ® a novartis company maxidex ® (dexamethasone ophthalmic suspension) 0.1% 5 ml sterile


Comments/ Reviews:

* Data of this site is collected from www.fda.gov. This page is for informational purposes only. Always consult your physician with any questions you may have regarding a medical condition.