Cromolyn Sodium Oral Solution (concentrate)


Ritedose Pharmaceuticals, Llc
Human Prescription Drug
NDC 76204-025
Cromolyn Sodium Oral Solution (concentrate) is a human prescription drug labeled by 'Ritedose Pharmaceuticals, Llc'. National Drug Code (NDC) number for Cromolyn Sodium Oral Solution (concentrate) is 76204-025. This drug is available in dosage form of Solution, Concentrate. The names of the active, medicinal ingredients in Cromolyn Sodium Oral Solution (concentrate) drug includes Cromolyn Sodium - 100 mg/5mL . The currest status of Cromolyn Sodium Oral Solution (concentrate) drug is Active.

Drug Information:

Drug NDC: 76204-025
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 Oral Solution (concentrate)
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 Oral Solution (concentrate)
Also known as the generic name, this is usually the active ingredient(s) of the product.
Labeler Name: Ritedose Pharmaceuticals, Llc
Name of Company corresponding to the labeler code segment of the ProductNDC.
Dosage Form: Solution, Concentrate
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 - 100 mg/5mL
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: 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: 01 Dec, 2021
This is the date that the labeler indicates was the start of its marketing of the drug product.
Marketing End Date: 26 Jun, 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: ANDA209264
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:Ritedose Pharmaceuticals, LLC
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
76204-025-9612 POUCH in 1 CARTON (76204-025-96) / 8 AMPULE in 1 POUCH (76204-025-08) / 5 mL in 1 AMPULE01 Dec, 2021N/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 oral solution (concentrate) cromolyn sodium oral solution (concentrate) cromolyn sodium cromolyn water

Indications and Usage:

Cromolyn sodium oral solution (concentrate) 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:

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:

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 oral solution (concentrate) 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 oral solution (concentrate) should be administered as a
solution at least 1/2 hour 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:

Cromolyn sodium oral solution (concentrate) is contraindicated in those patients who have shown hypersensitivity to cromolyn sodium.

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 oral solution (concentrate) 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 ritedose pharmaceuticals, llc at 1-855-806-3300 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 i
nclude: 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

Adverse Reactions Table:

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

Description:

Each 5 ml ampule of cromolyn sodium oral solution (concentrate) 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 oral solution (concentrate) is clear, colorless, and sterile. it is intended for oral use. chemically, cromolyn sodium is disodium 5,5’-[(2-hydroxy-trimethylene) 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 chemical-structure

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%.

Clinical Studies:

Four randomized, controlled clinical trials were conducted with cromolyn sodium oral solution (concentrate) 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 oral solution (concentrate) 200 mg qid was similar to chlorpheniramine (4 mg qid) plus cimetidine (300 mg qid) for both cutaneous and systemic symptoms of
mastocytosis. clinical improvement occurred within 2-6 weeks of treatment initiation and persisted for 2-3 weeks after treatment withdrawal. cromolyn sodium oral solution (concentrate) 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 oral solution (concentrate) in united states and foreign humanitarian programs.

How Supplied:

Cromolyn sodium oral solution (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 76204-025-96 96 ampules x 5 ml (12 pouches x 8 ampules) cromolyn sodium oral solution (concentrate) should be stored between 20° – 25°c (68° – 77°f) [see usp controlled room temperature] 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.

Information for Patients:

Cromolyn sodium oral solution (concentrate) for oral use only – not for inhalation or injection. must be diluted. how to use cromolyn sodium oral solution (concentrate): as with all prescription drugs, follow the directions for dosage that your physician recommends. the effect of cromolyn sodium oral solution (concentrate) therapy is dependent upon its administration at regular intervals, for as long as recommended by your physician. usual starting dose: 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. note: your physician may decide to increase or decrease your dosage to achieve optimum results with cromolyn sodium oral solution (concentrate). however, do not change your dose or stop taking cromolyn sodium oral solution (concentrate) without first consulting your physician. care & storage: cromolyn sodium ora
l solution (concentrate) should be stored between 20° - 25°c (68° - 77°f) and protected from light. do not use if it contains a precipitate (particles or cloudiness) or becomes discolored. keep out of the reach of children. store ampules in foil pouch until ready for use. recycling information: cromolyn sodium oral solution (concentrate) ampules are made with a low density polyethylene plastic (recycling material code: ldpe). call your doctor for medical advice about side effects. you may report side effects to ritedose pharmaceuticals, llc at 1-855-806-3300 or fda at 1-800-fda-1088 or www.fda.gov/medwatch.. recycle symbol

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