Dimenhydrinate


Fresenius Kabi Usa, Llc
Human Prescription Drug
NDC 63323-366
Dimenhydrinate is a human prescription drug labeled by 'Fresenius Kabi Usa, Llc'. National Drug Code (NDC) number for Dimenhydrinate is 63323-366. This drug is available in dosage form of Injection, Solution. The names of the active, medicinal ingredients in Dimenhydrinate drug includes Dimenhydrinate - 50 mg/mL . The currest status of Dimenhydrinate drug is Active.

Drug Information:

Drug NDC: 63323-366
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: Dimenhydrinate
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: Dimenhydrinate
Also known as the generic name, this is usually the active ingredient(s) of the product.
Labeler Name: Fresenius Kabi Usa, Llc
Name of Company corresponding to the labeler code segment of the ProductNDC.
Dosage Form: Injection, 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:DIMENHYDRINATE - 50 mg/mL
This is the active ingredient list. Each ingredient name is the preferred term of the UNII code submitted.
Route Details:INTRAMUSCULAR
INTRAVENOUS
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: ANDA
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: 29 Nov, 2004
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: ANDA040519
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:Fresenius Kabi USA, LLC
Name of manufacturer or company that makes this drug product, corresponding to the labeler code segment of the NDC.
RxCUI:309914
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:JB937PER5C
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.

Packaging Information:

Package NDCDescriptionMarketing Start DateMarketing End DateSample Available
63323-366-0125 VIAL in 1 TRAY (63323-366-01) / 1 mL in 1 VIAL29 Nov, 2004N/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:

Dimenhydrinate dimenhydrinate benzyl alcohol propylene glycol sodium hydroxide hydrochloric acid dimenhydrinate chlortheophylline

Indications and Usage:

Indications and usage dimenhydrinate injection, usp is indicated for the prevention and treatment of nausea, vomiting, or vertigo of motion sickness.

Warnings:

Warnings caution should be used when dimenhydrinate is given in conjunction with certain antibiotics that may cause ototoxicity, since dimenhydrinate is capable of masking ototoxic symptoms, and an irreversible state may be reached. this drug may impair the mental and/or physical abilities required for the performance of potentially hazardous tasks, such as driving a vehicle or operating machinery. the concomitant use of alcohol or other central nervous system depressants may have an additive effect. therefore, patients should be warned accordingly. dimenhydrinate should be used with caution in patients having conditions which might be aggravated by anticholinergic therapy (i.e., prostatic hypertrophy, stenosing peptic ulcer, pyloroduodenal obstruction, bladder neck obstruction, narrow-angle glaucoma, bronchial asthma, or cardiac arrhythmias). the preparation should not be injected intra-arterially. pediatric patients for infants and children especially, antihistamines in overdosage ma
y cause hallucinations, convulsions, or death. as in adults, antihistamines may diminish mental alertness in pediatric patients. in the young child, particularly, they may produce excitation (see contraindications ).

Pediatric patients for infants and children especially, antihistamines in overdosage may cause hallucinations, convulsions, or death. as in adults, antihistamines may diminish mental alertness in pediatric patients. in the young child, particularly, they may produce excitation (see contraindications ).

Dosage and Administration:

Dosage and administration dimenhydrinate in the injectable form is indicated when the oral form is impractical. adults nausea or vomiting may be expected to be controlled for approximately 4 hours with 50 mg, and prevented by a similar dose every 4 hours. its administration may be attended by some degree of drowsiness in some patients, and 100 mg every 4 hours may be given in conditions in which drowsiness is not objectionable or is even desirable. for intramuscular administration, each milliliter (50 mg) of solution is injected as needed, but for intravenous administration, each milliliter (50 mg) of solution must be diluted in 10 ml of 0.9% sodium chloride injection, usp and injected over a period of 2 minutes. pediatric for intramuscular administration, 1.25 mg/kg of body weight or 37.5 mg/m 2 of body surface area is administered four times daily. the maximum dose should not exceed 300 mg daily (see contraindications ). parenteral drug products should be inspected visually for parti
culate matter and discoloration prior to administration, whenever solution and container permit.

Adults nausea or vomiting may be expected to be controlled for approximately 4 hours with 50 mg, and prevented by a similar dose every 4 hours. its administration may be attended by some degree of drowsiness in some patients, and 100 mg every 4 hours may be given in conditions in which drowsiness is not objectionable or is even desirable. for intramuscular administration, each milliliter (50 mg) of solution is injected as needed, but for intravenous administration, each milliliter (50 mg) of solution must be diluted in 10 ml of 0.9% sodium chloride injection, usp and injected over a period of 2 minutes.

Pediatric for intramuscular administration, 1.25 mg/kg of body weight or 37.5 mg/m 2 of body surface area is administered four times daily. the maximum dose should not exceed 300 mg daily (see contraindications ). parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.

Contraindications:

Contraindications neonates and patients with a history of hypersensitivity to dimenhydrinate or its components (diphenhydramine or 8-chlorotheophylline) should not be treated with dimenhydrinate. note: this product contains benzyl alcohol. benzyl alcohol has been associated with a fatal “gasping syndrome” in premature infants and infants of low birth weight.

Adverse Reactions:

Adverse reactions the most frequent adverse reaction to dimenhydrinate is drowsiness. dizziness may also occur. symptoms of dry mouth, nose and throat, blurred vision, difficult or painful urination, headache, anorexia, nervousness, restlessness or insomnia (especially in pediatric patients), skin rash, thickening of bronchial secretions, tachycardia, epigastric distress, lassitude, excitation, and nausea have been reported.

Use in Pregnancy:

Pregnancy pregnancy category b. reproduction studies have been performed in rats at doses up to 20 times the human dose, and in rabbits at doses up to 25 times the human dose (on a mg/kg basis), and have revealed no evidence of impaired fertility or harm to the fetus due to dimenhydrinate. there are no adequate and well-controlled studies in pregnant women. however, clinical studies in pregnant women have not indicated that dimenhydrinate increases the risk of abnormalities when administered in any trimester of pregnancy. it would appear that the possibility of fetal harm is remote when the drug is used during pregnancy. nevertheless, because the studies in humans cannot rule out the possibility of harm, dimenhydrinate should be used during pregnancy only if clearly needed.

Overdosage:

Overdosage drowsiness is the usual clinical side effect. convulsions, coma, and respiratory depression may occur with massive overdosage. no specific antidote is known. if respiratory depression occurs, mechanically assisted respiration should be initiated and oxygen should be administered. convulsions should be treated with appropriate doses of diazepam. phenobarbital (5 to 6 mg/kg) may be given to control convulsions in pediatric patients. the oral ld 50 in mice and rats is 203 mg/kg and 1320 mg/kg, respectively. the intraperitoneal ld 50 in mice is 149 mg/kg.

Description:

Description dimenhydrinate, an anti-nauseant/antiemetic, is the 8-chlorotheophylline salt of diphenhydramine. it contains not less than 53% and not more than 55.5% of diphenhydramine, and not less than 44% and not more than 47% of 8-chlorotheophylline, calculated on the dried basis. chemically, it is 8-chlorotheophylline compound with 2(diphenylmethoxy)-n,n-dimethylethylamine (1:1), and the structural formula is: c 17 h 21 no•c 7 h 7 cln 4 o 2 m.w. 469.96 dimenhydrinate injection, usp contains a sterile solution of dimenhydrinate 50 mg/ml; propylene glycol 50%; benzyl alcohol 5% as preservative; and water for injection q.s. sodium hydroxide and/or hydrochloric acid may have been used to adjust ph. structure

Clinical Pharmacology:

Clinical pharmacology while the precise mode of action of dimenhydrinate is not known, it has a depressant action on hyperstimulated labyrinthine function.

How Supplied:

How supplied dimenhydrinate injection, usp, 50 mg/ml is available in multiple dose amber vials, as follows: product no. ndc no. strength vial size 361601 63323-366-01 50 mg/ml 1 ml in 2 ml vial, in packages of 25. 361610 63323-366-10 50 mg/ml 10 ml in a 10 ml vial, packaged individually. protect from light. store at 20° to 25°c (68° to 77°f)[see usp controlled room temperature]. vial stoppers do not contain natural rubber latex.

Package Label Principal Display Panel:

Package label - principal display - dimenhydrinate 1 ml vial label ndc 63323-366-01 361601 dimenhydrinate injection, usp 50 mg/ml for im use for iv use: see package insert. rx only 1 ml multiple dose vial package label - principal display - dimenhydrinate 1 ml vial tray label ndc 63323-366-01 361601 dimenhydrinate injection, usp 50 mg/ml for im use *for iv use rx only 1 ml multiple dose vial vial tray


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