Loprox

Ciclopirox Olamine


Medimetriks Pharmaceuticals, Inc.
Human Prescription Drug
NDC 43538-550
Loprox also known as Ciclopirox Olamine is a human prescription drug labeled by 'Medimetriks Pharmaceuticals, Inc.'. National Drug Code (NDC) number for Loprox is 43538-550. This drug is available in dosage form of Suspension. The names of the active, medicinal ingredients in Loprox drug includes Ciclopirox Olamine - 7.7 mg/mL . The currest status of Loprox drug is Active.

Drug Information:

Drug NDC: 43538-550
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: Loprox
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: Ciclopirox Olamine
Also known as the generic name, this is usually the active ingredient(s) of the product.
Labeler Name: Medimetriks Pharmaceuticals, 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:CICLOPIROX OLAMINE - 7.7 mg/mL
This is the active ingredient list. Each ingredient name is the preferred term of the UNII code submitted.
Route Details:TOPICAL
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: 14 Oct, 2016
This is the date that the labeler indicates was the start of its marketing of the drug product.
Marketing End Date: 25 Dec, 2025
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: NDA019824
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: 31 Dec, 2023
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:Medimetriks Pharmaceuticals, Inc.
Name of manufacturer or company that makes this drug product, corresponding to the labeler code segment of the NDC.
RxCUI:309290
351383
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.
UNII:50MD4SB4AP
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:Decreased DNA Replication [PE]
Decreased Protein Synthesis [PE]
Decreased RNA Replication [PE]
Protein Synthesis Inhibitors [MoA]
These are the reported pharmacological class categories corresponding to the SubstanceNames listed above.

Packaging Information:

Package NDCDescriptionMarketing Start DateMarketing End DateSample Available
43538-550-601 BOTTLE in 1 CARTON (43538-550-60) / 60 mL in 1 BOTTLE14 Oct, 2016N/ANo
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:

Loprox ciclopirox olamine ciclopirox olamine ciclopirox benzyl alcohol cetyl alcohol lactic acid, unspecified form mineral oil myristyl alcohol octyldodecanol water polysorbate 60 sorbitan monostearate stearyl alcohol coco diethanolamide loprox ciclopirox olamine loprox ciclopirox olamine ciclopirox olamine ciclopirox benzyl alcohol cetyl alcohol lactic acid, unspecified form mineral oil myristyl alcohol octyldodecanol polysorbate 60 water sorbitan monostearate stearyl alcohol coco diethanolamide rehyla hair and body cleanser water glyceryl stearate se glycerin shea butter cetyl alcohol cocamidopropyl betaine disodium oleamido mipa-sulfosuccinate sodium lauroyl sarcosinate sodium lauryl sulfoacetate soy sterol caprylyl glycol phenoxyethanol sodium chloride propylene glycol peg-8 dimethicone hyaluronate sodium carboxypolymethylene laureth-12 succinate salicylic acid c13-14 isoparaffin chamaemelum nobile flower hexylene glycol laureth-7 edetate disodium

Indications and Usage:

Indications and usage loprox ® topical suspension is indicated for the topical treatment of the following dermal infections: tinea pedis, tinea cruris, and tinea corporis due to trichophyton rubrum, trichophyton mentagrophytes, epidermophyton floccosum, and microsporum canis; ; cutaneous candidiasis (moniliasis) due to candida albicans; and tinea (pityriasis) versicolor due to malassezia furfur.

Warnings:

Warnings general loprox ® topical suspension is not for ophthalmic use. keep out of reach of children.

Dosage and Administration:

Dosage and administration gently massage loprox ® topical suspension into the affected and surrounding skin areas twice daily, in the morning and evening. clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment. if a patient shows no clinical improvement after four weeks of treatment with loprox ® topical suspension, the diagnosis should be redetermined. patients with tinea versicolor usually exhibit clinical and mycological clearing after two weeks of treatment.

Contraindications:

Contraindications loprox ® topical suspension is contraindicated in individuals who have shown hypersensitivity to any of its components.

Adverse Reactions:

Adverse reactions in the controlled clinical trial with 89 patients using loprox ® topical suspension and 89 patients using the vehicle, the incidence of adverse reactions was low. those considered possibly related to treatment or occurring in more than one patient were pruritus, which occurred in two patients using ciclopirox suspension and one patient using the suspension vehicle, and burning, which occurred in one patient using ciclopirox suspension.

Use in Pregnancy:

Pregnancy teratogenic effects pregnancy category b there are no adequate or well-controlled studies in pregnant women. therefore, loprox ® topical suspension should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. oral embryofetal developmental studies were conducted in mice, rats, rabbits and monkeys. ciclopirox or ciclopirox olamine was orally administered during the period of organogenesis. no maternal toxicity, embryotoxicity or teratogenicity were noted at the highest doses of 77, 125, 80 and 38.5 mg/kg/day ciclopirox in mice, rats, rabbits and monkeys, respectively (approximately 11, 37, 51 and 24 times the maximum recommended human dose based on body surface area comparisons, respectively). dermal embryofetal developmental studies were conducted in rats and rabbits with ciclopirox olamine dissolved in peg 400. ciclopirox olamine was topically administered during the period of organogenesis. no maternal toxicity, embryotoxicity
or teratogenicity were noted at the highest doses of 92 mg/kg/day and 77 mg/kg/day ciclopirox in rats and rabbits, respectively (approximately 27 and 49 times the maximum recommended human dose based on body surface area comparisons, respectively).

Pediatric Use:

Pediatric use safety and effectiveness in pediatric patients below the age of 10 years have not been established.

Description:

Description loprox ® (ciclopirox) topical suspension, 0.77% is for topical use. each gram of loprox ® topical suspension contains 7.70 mg of ciclopirox (as ciclopirox olamine) in a water miscible suspension base consisting of purified water usp, cocamide dea, octyldodecanol nf, mineral oil usp, stearyl alcohol nf, cetyl alcohol nf, polysorbate 60 nf, myristyl alcohol nf, lactic acid usp, sorbitan monostearate nf, and benzyl alcohol nf (1%) as preservative. loprox ® topical suspension contains a synthetic, broad spectrum, antifungal agent ciclopirox (as ciclopirox olamine). the chemical name is 6-cyclohexyl-1-hydroxy-4-methyl-2(1 h )-pyridone, 2-aminoethanol salt. the cas registry number is 41621-49-2. loprox ® topical suspension has a ph of 7. the chemical structure is: chemical structure

Clinical Pharmacology:

Clinical pharmacology mechanism of action ciclopirox is a hydroxypyridone antifungal agent that acts by chelation of polyvalent cations (fe 3+ or al 3+ ), resulting in the inhibition of the metal-dependent enzymes that are responsible for the degradation of peroxides within the fungal cell. pharmacokinetics pharmacokinetic studies in men with radiolabeled ciclopirox solution in polyethylene glycol 400 showed an average of 1.3% absorption of the dose when it was applied topically to 750 cm 2 on the back followed by occlusion for 6 hours. the biological half life was 1.7 hours and excretion occurred via the kidney. two days after application only 0.01% of the dose applied could be found in the urine. fecal excretion was negligible. autoradiographic studies with human cadaver skin showed that ciclopirox penetrates into the hair and through the epidermis and hair follicles into the sebaceous glands and dermis, while a portion of the drug remains in the stratum corneum. in vitro penetration
studies in frozen or fresh excised human cadaver and pig skin indicated that the penetration of loprox ® topical suspension is equivalent to that of loprox ® (ciclopirox) cream, 0.77%. therapeutic equivalence of cream and suspension formulations also was indicated by studies of experimentally induced guinea pig and human trichophytosis.

Mechanism of Action:

Mechanism of action ciclopirox is a hydroxypyridone antifungal agent that acts by chelation of polyvalent cations (fe 3+ or al 3+ ), resulting in the inhibition of the metal-dependent enzymes that are responsible for the degradation of peroxides within the fungal cell.

Pharmacokinetics:

Pharmacokinetics pharmacokinetic studies in men with radiolabeled ciclopirox solution in polyethylene glycol 400 showed an average of 1.3% absorption of the dose when it was applied topically to 750 cm 2 on the back followed by occlusion for 6 hours. the biological half life was 1.7 hours and excretion occurred via the kidney. two days after application only 0.01% of the dose applied could be found in the urine. fecal excretion was negligible. autoradiographic studies with human cadaver skin showed that ciclopirox penetrates into the hair and through the epidermis and hair follicles into the sebaceous glands and dermis, while a portion of the drug remains in the stratum corneum. in vitro penetration studies in frozen or fresh excised human cadaver and pig skin indicated that the penetration of loprox ® topical suspension is equivalent to that of loprox ® (ciclopirox) cream, 0.77%. therapeutic equivalence of cream and suspension formulations also was indicated by studies of experi
mentally induced guinea pig and human trichophytosis.

Carcinogenesis and Mutagenesis and Impairment of Fertility:

Carcinogenesis, mutagenesis, impairment of fertility a 104-week dermal carcinogenicity study in mice was conducted with ciclopirox cream applied at doses up to 1.93% (100 mg/kg/day or 300 mg/m2/day). no increase in drug related neoplasms was noted when compared to control. the following in vitro genotoxicity tests have been conducted with ciclopirox: evaluation of gene mutation in the ames salmonella and e. coli assays (negative); chromosome aberration assays in v79 chinese hamster lung fibroblast cells, with and without metabolic activation (positive); chromosome aberration assays in v79 chinese hamster lung fibroblast cells in the presence of supplemental fe3+, with and without metabolic activation (negative); gene mutation assays in the hgprt-test with v79 chinese hamster lung fibroblast cells (negative); and a primary dna damage assay (i.e., unscheduled dna synthesis assay in a549 human cells) (negative). an in vitro cell transformation assay in balb/c 3t3 cells was negative for ce
ll transformation. in an in vivo chinese hamster bone marrow cytogenetic assay, ciclopirox was negative for chromosome aberrations at a dosage of 5000 mg/kg body weight. a combined oral fertility and embryofetal developmental study was conducted in rats with ciclopirox olamine. no effect on fertility or reproductive performance was noted at the highest dose tested of 3.85 mg/kg/day ciclopirox (approximately 1.2 times the maximum recommended human dose based on body surface area comparisons).

How Supplied:

How supplied loprox ® (ciclopirox) topical suspension, 0.77% is supplied in 60 ml bottles (ndc 43538-550-60) bottle space provided to allow for vigorous shaking before each use. store between 5° - 25°c (41° - 77°f). to report suspected adverse reactions, contact medimetriks pharmaceuticals, inc., at 1-973-882-7512 or fda at 1-800-fda-1088 or www.fda.gov/medwatch.

Information for Patients:

Information for patients the patient should be told to: use the medication for the full treatment time even though signs/symptoms may have improved and notify the physician if there is no improvement after four weeks. inform the physician if the area of application shows signs of increased irritation (redness, itching, burning, blistering, swelling, oozing) indicative of possible sensitization. avoid the use of occlusive wrappings or dressings

Package Label Principal Display Panel:

Principal display panel - 60 ml bottle carton ndc 43538-550-60 for topical use only not for use in eyes 60 ml loprox ® (ciclopirox) topical suspension, 0.77% r x only medimetriks pharmaceuticals, inc. principal display panel - 60 ml bottle carton principal display panel - kit carton ndc 43538-551-60 for topical use only not for use in eyes 60ml r x only loprox ® (ciclopirox) topical suspension, 0.77% kit kit contains: 1 - loprox ® (ciclopirox) topical suspension, 0.77% 60 ml bottle 1 - rehyla ® hair + body cleanser net wt. 16 oz. (454 g) bottle medimetriks pharmaceuticals, inc. principal display panel - kit carton

Principal display panel - kit carton ndc 43538-551-60 for topical use only not for use in eyes 60ml r x only loprox ® (ciclopirox) topical suspension, 0.77% kit kit contains: 1 - loprox ® (ciclopirox) topical suspension, 0.77% 60 ml bottle 1 - rehyla ® hair + body cleanser net wt. 16 oz. (454 g) bottle medimetriks pharmaceuticals, inc. principal display panel - kit carton


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