Flarex

Fluorometholone Acetate


Eyevance Pharmaceuticals
Human Prescription Drug
NDC 71776-100
Flarex also known as Fluorometholone Acetate is a human prescription drug labeled by 'Eyevance Pharmaceuticals'. National Drug Code (NDC) number for Flarex is 71776-100. This drug is available in dosage form of Suspension/ Drops. The names of the active, medicinal ingredients in Flarex drug includes Fluorometholone Acetate - 1 mg/mL . The currest status of Flarex drug is Active.

Drug Information:

Drug NDC: 71776-100
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: Flarex
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: Fluorometholone Acetate
Also known as the generic name, this is usually the active ingredient(s) of the product.
Labeler Name: Eyevance Pharmaceuticals
Name of Company corresponding to the labeler code segment of the ProductNDC.
Dosage Form: Suspension/ Drops
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:FLUOROMETHOLONE ACETATE - 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: 05 Mar, 2019
This is the date that the labeler indicates was the start of its marketing of the drug product.
Marketing End Date: 19 Jan, 2026
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: NDA019079
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, 2024
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:Eyevance Pharmaceuticals
Name of manufacturer or company that makes this drug product, corresponding to the labeler code segment of the NDC.
RxCUI:1249629
1249631
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.
UPC:0371776100059
0371776100035
UPC stands for Universal Product Code.
UNII:9I50C3I3OK
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: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
71776-100-031 BOTTLE, PLASTIC in 1 CARTON (71776-100-03) / 2.5 mL in 1 BOTTLE, PLASTIC01 Jan, 2022N/AYes
71776-100-051 BOTTLE, PLASTIC in 1 CARTON (71776-100-05) / 5 mL in 1 BOTTLE, PLASTIC05 Mar, 2019N/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:

Flarex fluorometholone acetate benzalkonium chloride sodium chloride sodium phosphate, monobasic, unspecified form edetate disodium hydroxyethyl cellulose (2000 mpa.s at 1%) tyloxapol hydrochloric acid sodium hydroxide water fluorometholone acetate fluorometholone

Indications and Usage:

Indications and usage flarex (fluorometholone acetate ophthalmic suspension) 0.1% is indicated for use in the treatment of steroid responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea, and anterior segment of the eye.

Warnings:

Warnings for topical ophthalmic use. not for injection. use in the treatment of herpes simplex infection requires great caution. prolonged use may result in glaucoma, damage to the optic nerve, defect in visual acuity and visual field, cataract formation and/or may aid in the establishment of secondary ocular infections from pathogens due to suppression of host response. acute purulent infections of the eye may be masked or exacerbated by presence of steroid medication. topical ophthalmic corticosteroids may slow corneal wound healing. in those diseases causing thinning of the cornea or sclera, perforation has been known to occur with chronic use of topical steroids. 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.

General Precautions:

General fungal infections of the cornea are particularly prone to develop coincidentally with long-term local steroid application. fungus invasion must be considered in any persistent corneal ulceration where a steroid has been used or is in use.

Dosage and Administration:

Dosage and administration shake well before using. one to two drops instilled into the conjunctival sac(s) four times daily. during the initial 24 to 48 hours the dosage may be safely increased to two drops every two hours. if no improvement after two weeks, consult physician. care should be taken not to discontinue therapy prematurely. not more than one bottle should be prescribed initially, and the prescription should not be refilled without further evaluation [see precautions ] .

Contraindications:

Contraindications contraindicated in acute superficial herpes simplex keratitis, vaccinia, varicella, and most other viral diseases of cornea and conjunctiva; mycobacterial infection of the eye; fungal diseases; acute purulent untreated infections, which like other diseases caused by microorganisms, may be masked or enhanced by the presence of the steroid; and in those persons who have known 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. postmarketing experience the following reaction has been identified during post-marketing use of flarex ® (fluorometholone acetate ophthalmic suspension) 0.1% in clinical practice. because reactions are reported voluntarily from a population of unknown size, estimates of frequency cannot be made. the reaction, which has been chosen for inclusion due to either its seriousness, frequency of reporting, possible causal connection to flarex, or a combination of these factors, includes: dysgeusia. the following rare adverse reactions have been reported: cushing's syndrome and adrenal suppression may occur after very frequent use of topical ophthalmic corticosteroids, particularly in very young children.

Use in Pregnancy:

Pregnancy fluorometholone has been shown to be embryocidal and teratogenic in rabbits when administered at low multiples of the human ocular dose. fluorometholone was applied ocularly to rabbits daily on days 6-18 of gestation, and dose-related fetal loss and fetal abnormalities including cleft palate, deformed rib cage, anomalous limbs and neural abnormalities such as encephalocele, craniorachischisis, and spina bifida were observed. there are no adequate and well controlled studies of fluorometholone in pregnant women, and it is not known whether fluorometholone can cause fetal harm when administered to a pregnant woman. fluorometholone should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Pediatric Use:

Pediatric use safety and effectiveness in pediatric patients have not been established.

Geriatric Use:

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

Description:

Description flarex ® (fluorometholone acetate ophthalmic suspension) 0.1% is a corticosteroid prepared as a sterile topical ophthalmic suspension. the active ingredient, fluorometholone acetate, is a white to creamy white powder with an empirical formula of c 24 h 31 fo 5 and a molecular weight of 418.5. its chemical name is 9-fluoro-11β, 17-dihydroxy-6α-methylpregna-1, 4-diene-3, 20-dione 17-acetate. the chemical structure of fluorometholone acetate is presented below: each ml of flarex (fluorometholone acetate ophthalmic suspension) 0.1% contains: active: fluorometholone acetate 1 mg (0.1%). preservative: benzalkonium chloride 0.01%. inactives: sodium chloride, monobasic sodium phosphate, edetate disodium, hydroxyethyl cellulose, tyloxapol, hydrochloric acid and/or sodium hydroxide (to adjust ph), and purified water. the ph of the suspension is approximately 7.3, with an osmolality of approximately 300 mosm/kg. chemical structure

Clinical Pharmacology:

Clinical pharmacology corticosteroids suppress the inflammatory response to inciting agents of mechanical, chemical or immunological nature. no generally accepted explanation of this steroid property has been advanced. corticosteroids cause a rise in intraocular pressure (iop) in susceptible individuals. in a small study, flarex (fluorometholone acetate ophthalmic suspension) 0.1% demonstrated a significantly longer average time to produce a rise in iop than did dexamethasone phosphate; however, the ultimate magnitude of the rise was equivalent for both drugs and in a small percentage of individuals a significant rise in iop occurred within three days.

Carcinogenesis and Mutagenesis and Impairment of Fertility:

Carcinogenesis, mutagenesis, impairment of fertility no studies have been conducted in animals or in humans to evaluate the possibility of these effects with fluorometholone.

How Supplied:

How supplied flarex (fluorometholone acetate ophthalmic suspension) 0.1% is supplied in white low density polyethylene (ldpe) bottles, with natural ldpe dispensing plugs and pink polypropylene closures. the product is supplied as 5 ml in an 8 ml bottle. 5 ml: ndc 71776-100-05 storage store upright between 2°c to 25°c (36°f to 77°f). after opening, flarex can be used until the expiration date on the bottle. protect from freezing.

Information for Patients:

Information for patients do not touch dropper tip to any surface, as this may contaminate the suspension. the preservative in flarex ® (fluorometholone acetate ophthalmic suspension) 0.1%, benzalkonium chloride, may be absorbed by soft contact lenses. contact lenses should be removed during instillation of flarex (fluorometholone acetate ophthalmic suspension) 0.1% but may be reinserted 15 minutes after instillation. patients should be advised that their vision may be temporarily blurred following dosing with flarex ® (fluorometholone acetate ophthalmic suspension) 0.1%. care should be exercised in operating machinery or driving a motor vehicle.

Package Label Principal Display Panel:

Principal display panel - 2.5 ml bottle carton sample - not for sale eyevance ® pharmaceuticals flarex ® (fluorometholone acetate ophthalmic suspension) 0.1 % for topical ophthalmic use 2.5ml sterile principal display panel - 2.5 ml bottle carton

Principal display panel - 5 ml bottle carton eyevance ™ pharmaceuticals flarex ® (fluorometholone acetate ophthalmic suspension) 0.1 % for topical ophthalmic use 5 ml sterile principal display panel - 5 ml bottle carton


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