Cromolyn Sodium


Wallace Pharmaceuticals Inc.
Human Prescription Drug
NDC 51525-0470
Cromolyn Sodium is a human prescription drug labeled by 'Wallace Pharmaceuticals Inc.'. National Drug Code (NDC) number for Cromolyn Sodium is 51525-0470. This drug is available in dosage form of Solution. The names of the active, medicinal ingredients in Cromolyn Sodium drug includes Cromolyn Sodium - 20 mg/mL . The currest status of Cromolyn Sodium drug is Active.

Drug Information:

Drug NDC: 51525-0470
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: Cromolyn Sodium
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: Cromolyn Sodium
Also known as the generic name, this is usually the active ingredient(s) of the product.
Labeler Name: Wallace Pharmaceuticals Inc.
Name of Company corresponding to the labeler code segment of the ProductNDC.
Dosage Form: Solution
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:CROMOLYN SODIUM - 20 mg/mL
This is the active ingredient list. Each ingredient name is the preferred term of the UNII code submitted.
Route Details:ORAL
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 AUTHORIZED GENERIC
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: 21 Oct, 2015
This is the date that the labeler indicates was the start of its marketing of the drug product.
Marketing End Date: 20 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: NDA020479
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:Wallace Pharmaceuticals Inc.
Name of manufacturer or company that makes this drug product, corresponding to the labeler code segment of the NDC.
RxCUI:831261
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:Q2WXR1I0PK
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 Histamine Release [PE]
Mast Cell Stabilizer [EPC]
These are the reported pharmacological class categories corresponding to the SubstanceNames listed above.

Packaging Information:

Package NDCDescriptionMarketing Start DateMarketing End DateSample Available
51525-0470-912 POUCH in 1 CARTON (51525-0470-9) / 8 AMPULE in 1 POUCH (51525-0470-8) / 5 mL in 1 AMPULE21 Oct, 2015N/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:

Cromolyn sodium cromolyn sodium cromolyn sodium cromolyn water

Drug Interactions:

Drug interaction during pregnancy in pregnant mice, cromolyn sodium alone did not cause significant increases in resorptions or major malformations at subcutaneous doses up to 540 mg/kg (approximately equal to the maximum recommended daily oral dose in adults on a mg/m 2 basis). isoproterenol alone increased both resorptions and major malformations (primarily cleft palate) at a subcutaneous dose of 2.7 mg/kg (approximately 7 times the maximum recommended daily inhalation dose in adults on a mg/m 2 basis). the incidence of major malformations increased further when cromolyn sodium at a subcutaneous dose of 540 mg/kg was added to isoproterenol at a subcutaneous dose of 2.7 mg/kg. no such interaction was observed in rats or rabbits.

Indications and Usage:

Indications and usage cromolyn sodium, usp is indicated in the management of patients with mastocytosis. use of this product has been associated with improvement in diarrhea, flushing, headaches, vomiting, urticaria, abdominal pain, nausea, and itching in some patients.

Warnings:

Warnings the recommended dosage should be decreased in patients with decreased renal or hepatic function. severe anaphylactic reactions may occur rarely in association with cromolyn sodium administration.

Dosage and Administration:

Dosage and administration not for inhalation or injection. see directions for use. the usual starting dose is as follows: adults and adolescents (13 years and older) two ampules four times daily, taken one-half hour before meals and at bedtime. children 2-12 years one ampule four times daily, taken one-half hour before meals and at bedtime. pediatric patients under 2 years not recommended. if satisfactory control of symptoms is not achieved within two to three weeks, the dosage may be increased but should not exceed 40 mg/kg/day. patients should be advised that the effect of cromolyn sodium, usp therapy is dependent upon its administration at regular intervals, as directed. maintenance dose once a therapeutic response has been achieved, the dose may be reduced to the minimum required to maintain the patient with a lower degree of symptomatology. to prevent relapses, the dosage should be maintained. administration cromolyn sodium, usp should be administered as a solution at least 1/2 ho
ur before meals and at bedtime after preparation according to the following directions: 1. break open ampule(s) and squeeze liquid contents of ampule(s) into a glass of water. 2. stir solution. 3. drink all of the liquid.

Contraindications:

Contraindications cromolyn sodium, usp is contraindicated in those patients who have shown hypersensitivity to cromolyn sodium.

Adverse Reactions:

Adverse reactions most of the adverse events reported in mastocytosis patients have been transient and could represent symptoms of the disease. the most frequently reported adverse events in mastocytosis patients who have received cromolyn sodium, usp during clinical studies were headache and diarrhea, each of which occurred in 4 of the 87 patients. pruritus, nausea, and myalgia were each reported in 3 patients and abdominal pain, rash, and irritability in 2 patients each. one report of malaise was also recorded. to report suspected adverse reactions, contact wallace pharmaceuticals inc. at 1-877-999-8407 or fda at 1-800-fda-1088 or www.fda.gov/medwatch . other adverse events: additional adverse events have been reported during studies in other clinical conditions and from worldwide postmarketing experience. in most cases the available information is incomplete and attribution to the drug cannot be determined. the majority of these reports involve the gastrointestinal system and includ
e: diarrhea, nausea, abdominal pain, constipation, dyspepsia, flatulence, glossitis, stomatitis, vomiting, dysphagia, esophagospasm. other less commonly reported events (the majority representing only a single report) include the following: skin: pruritus, rash, urticaria/angioedema, erythema/ burning, photosensitivity musculoskeletal: arthralgia, myalgia, stiffness/weakness of legs neurologic: headache, dizziness, hypoesthesia, paresthesia, migraine, convulsions, flushing psychiatric: psychosis, anxiety, depression, hallucinations, behavior change, insomnia, nervousness heart rate: tachycardia, premature ventricular contractions (pvcs), palpitations respiratory: pharyngitis, dyspnea miscellaneous: fatigue, edema, unpleasant taste, chest pain, postprandial lightheadedness and lethargy, dysuria, urinary frequency, purpura, hepatic function test abnormal, polycythemia, neutropenia, pancytopenia, tinnitus, lupus erythematosus (le) syndrome

Drug Interactions:

Drug interaction during pregnancy in pregnant mice, cromolyn sodium alone did not cause significant increases in resorptions or major malformations at subcutaneous doses up to 540 mg/kg (approximately equal to the maximum recommended daily oral dose in adults on a mg/m 2 basis). isoproterenol alone increased both resorptions and major malformations (primarily cleft palate) at a subcutaneous dose of 2.7 mg/kg (approximately 7 times the maximum recommended daily inhalation dose in adults on a mg/m 2 basis). the incidence of major malformations increased further when cromolyn sodium at a subcutaneous dose of 540 mg/kg was added to isoproterenol at a subcutaneous dose of 2.7 mg/kg. no such interaction was observed in rats or rabbits.

Use in Pregnancy:

Pregnancy in reproductive studies in pregnant mice, rats, and rabbits, cromolyn sodium produced no evidence of fetal malformations at subcutaneous doses up to 540 mg/kg in mice (approximately equal to the maximum recommended daily oral dose in adults on a mg/m 2 basis) and 164 mg/kg in rats (less than the maximum recommended daily oral dose in adults on a mg/m 2 basis) or at intravenous doses up to 485 mg/kg in rabbits (approximately 4 times the maximum recommended daily oral dose in adults on a mg/m 2 basis). there are, however, no adequate and well controlled studies in pregnant women. because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

Pediatric Use:

Pediatric use in adult rats no adverse effects of cromolyn sodium were observed at oral doses up to 6144 mg/kg (approximately 25 times the maximum recommended daily oral dose in adults on a mg/m 2 basis). in neonatal rats, cromolyn sodium increased mortality at oral doses of 1000 mg/kg or greater (approximately 9 times the maximum recommended daily oral dose in infants on a mg/m 2 basis) but not at doses of 300 mg/kg or less (approximately 3 times the maximum recommended daily oral dose in infants on a mg/m 2 basis). plasma and kidney concentrations of cromolyn after oral administration to neonatal rats were up to 20 times greater than those in older rats. in term infants up to six months of age, available clinical data suggest that the dose should not exceed 20 mg/kg/day. the use of this product in pediatric patients less than two years of age should be reserved for patients with severe disease in which the potential benefits clearly outweigh the risks.

Geriatric Use:

Geriatric use clinical studies of cromolyn sodium, usp did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. other reported clinical experience has not identified differences in responses between the elderly and younger patients. in general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.

Description:

Description each 5 ml ampule of cromolyn sodium, usp contains 100 mg cromolyn sodium, usp, in purified water. cromolyn sodium is a hygroscopic, white powder having little odor. it may leave a slightly bitter aftertaste. cromolyn sodium, usp oral concentrate is clear, colorless, and sterile. it is intended for oral use. chemically, cromolyn sodium is disodium 5,5’-[(2-hydroxytrimethylene)dioxy]bis[4-oxo-4h-1-benzopyran-2-carboxylate]. the empirical formula is c 23 h 14 na 2 o 11 ; the molecular weight is 512.34. its chemical structure is: pharmacologic category: mast cell stabilizer therapeutic category: antiallergic cromolyn sodium structural formula

Clinical Pharmacology:

Clinical pharmacology in vitro and in vivo animal studies have shown that cromolyn sodium inhibits the release of mediators from sensitized mast cells. cromolyn sodium acts by inhibiting the release of histamine and leukotrienes (srs-a) from the mast cell. cromolyn sodium has no intrinsic vasoconstrictor, antihistamine, or glucocorticoid activity. cromolyn sodium is poorly absorbed from the gastrointestinal tract. no more than 1% of an administered dose is absorbed by humans after oral administration, the remainder being excreted in the feces. very little absorption of cromolyn sodium was seen after oral administration of 500 mg by mouth to each of 12 volunteers. from 0.28 to 0.50% of the administered dose was recovered in the first 24 hours of urinary excretion in 3 subjects. the mean urinary excretion of an administered dose over 24 hours in the remaining 9 subjects was 0.45%.

Carcinogenesis and Mutagenesis and Impairment of Fertility:

Carcinogenesis, mutagenesis, impairment of fertility in carcinogenicity studies in mice, hamsters, and rats, cromolyn sodium had no neoplastic effects at intraperitoneal doses up to 150 mg/kg three days per week for 12 months in mice, at intraperitoneal doses up to 53 mg/kg three days per week for 15 weeks followed by 17.5 mg/kg three days per week for 37 weeks in hamsters, and at subcutaneous doses up to 75 mg/kg six days per week for 18 months in rats. these doses in mice, hamsters, and rats are less than the maximum recommended daily oral dose in adults and children on a mg/m 2 basis. cromolyn sodium showed no mutagenic potential in ames salmonella/microsome plate assays, mitotic gene conversion in saccharomyces cerevisiae and in an in vitro cytogenetic study in human peripheral lymphocytes. in rats, cromolyn sodium showed no evidence of impaired fertility at subcutaneous doses up to 175 mg/kg in males (approximately equal to the maximum recommended daily oral dose in adults on a mg
/m 2 basis) and 100 mg/kg in females (less than the maximum recommended daily oral dose in adults on a mg/m 2 basis).

Clinical Studies:

Clinical studies four randomized, controlled clinical trials were conducted with cromolyn sodium, usp in patients with either cutaneous or systemic mastocytosis; two of which utilized a placebo-controlled crossover design, one utilized an active-controlled (chlorpheniramine plus cimetidine) crossover design, and one utilized a placebo-controlled parallel group design. due to the rare nature of this disease, only 36 patients qualified for study entry, of whom 32 were considered evaluable. consequently, formal statistical analyses were not performed. clinically significant improvement in gastrointestinal symptoms (diarrhea, abdominal pain) were seen in the majority of patients with some improvement also seen for cutaneous manifestations (urticaria, pruritus, flushing) and cognitive function. the benefit seen with cromolyn sodium, usp 200 mg qid was similar to chlorpheniramine (4 mg qid) plus cimetidine (300 mg qid) for both cutaneous and systemic symptoms of mastocytosis. clinical improv
ement occurred within 2-6 weeks of treatment initiation and persisted for 2-3 weeks after treatment withdrawal. cromolyn sodium, usp did not affect urinary histamine levels or peripheral eosinophilia, although neither of these variables appeared to correlate with disease severity. positive clinical benefits were also reported for 37 of 51 patients who received cromolyn sodium, usp in united states and foreign humanitarian programs.

How Supplied:

How supplied cromolyn sodium, usp oral concentrate is an unpreserved, colorless solution supplied in a low density polyethylene plastic unit dose ampule with 8 ampules per foil pouch. each 5 ml ampule contains 100 mg cromolyn sodium, usp, in purified water. ndc 51525-0470-8 8 ampules x 5 ml ndc 51525-0470-9 96 ampules x 5 ml cromolyn sodium, usp oral concentrate should be stored between 15°-30°c (59°-86°f) and protected from light. do not use if it contains a precipitate or becomes discolored. keep out of the reach of children. store ampules in foil pouch until ready for use. distributed by: wallace pharmaceuticals inc. somerset, new jersey 08873-4120 wallace and are registered trademarks of wallace pharmaceuticals inc., a mylan company © 2018 mylan specialty lp rev. 10/2018 stw-prs7096-642r02 in-0470-03 wallace logo

Package Label Principal Display Panel:

Principal display panel ndc 51525-0470-9 cromolyn sodium, usp oral concentrate for oral use only – not for inhalation or injection. rx only 100 mg/5 ml 96 plastic ampules description: each 5 ml ampule contains 100 mg cromolyn sodium, usp, in purified water. note: see package circular for full prescribing information including contraindications, warnings and precautions. cromolyn sodium, usp oral concentrate should be stored between 15º-30ºc (59º-86ºf) and protected from light. do not use if it contains a precipitate or becomes discolored. keep out of the reach of children. store ampules in foil pouch until ready to use rev. 10/2018 stw-prs7096-442r02 uc-0470-04 distributed by: wallace pharmaceuticals inc. somerset, new jersey 08873-4120 wallace and are registered trademarks of wallace pharmaceuticals inc., a mylan company © 2018 mylan specialty lp wallace logo cromolyn sodium, usp oral concentrate carton label


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.