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Allegra-D: profile and news
UPDATE 2-Barr earnings beat targets, shares rise Feb 7, 2006 Barr's Generics Pipeline Includes Near-Term Catalysts Feb 7, 2006 Sanofi-Aventis sues Teva for Allegra D patent infringement Jan 22, 2006 UPDATE 2-Barr earnings beat targets, shares rise Feb 7, 2006 Barr's Generics Pipeline Includes Near-Term Catalysts Feb 7, 2006 Histamine blockers fight allergy symptoms Dec 4, 2005 LePharmacy.com Distributes Award Winning ALS Documentary ... Nov 28, 2005 Boca drug firm gets FDA approval for pill Nov 30, 2005 Ignoring rain, fans in Tarrytown jockey to see De Niro, Damon Nov 10, 2005 Hires set the stage for Albany Molecular's new focus on legal ... Oct 3, 2005 Sanofi-aventis Group Enters Agreement With Prasco Laboratories to ... Sep 12, 2005 AMRI Files Motion for Preliminary Injunction Against Manufacturers ... Sep 21, 2005 Barr, Teva to market generic Allegra Sep 7, 2005 NC drug maker moving to Boca to join burgeoning biotech sector Aug 25, 2005 Sanofi-aventis Announces Strong Growth In 2005 Aug 30, 2005 Fall allergies Aug 19, 2005 Allegra-D 24 Hour (fexofenadine HCl 180 mg/pseudoephedrine HCl 240 ... Jul 27, 2005 UPDATE 1-US FDA clears Barr's generic version of Allegra Jul 14, 2005 Barr gets FDA OK for version of Allegra Jul 14, 2005 Strong net sales growth in the first half of 2005: 11.0% on a ... Jul 19, 2005 FDA approves Barr's generic antidiuretic Jul 5, 2005 Other information Indication For management of Seasonal allergic rhinitis Pharmacology Fexofenadine is a second-generation, long lasting H1-receptor antagonist (antihistamine) which has a selective and peripheral H1-antagonist action. Histamine is a chemical that causes many of the signs that are part of allergic reactions, for example, swelling of tissues. Histamine is released from histamine-storing cells (mast cells) and attaches to other cells that have receptors for histamine. The attachment of the histamine to the receptors causes the cell to be "activated," releasing other chemicals which produce the effects that we associate with allergy. Fexofenadine blocks one type of receptor for histamine (the H1 receptor) and thus prevents activation of cells by histamine. Unlike most other antihistamines, Fexofenadine does not enter the brain from the blood and, therefore, does not cause drowsiness. Fexofenadine lacks the cardiotoxic potential, since it does not block the potassium channel involved in repolarization of cardiac cells. Mechanism Of Action Like other H1-blockers, Fexofenadine competes with free histamine for binding at H1-receptors in the GI tract, large blood vessels, and bronchial smooth muscle. This blocks the action of endogenous histamine, which subsequently leads to temporary relief of the negative symptoms brought on by histamine. Fexofenadine exhibits no anticholinergic, alpha1-adrenergic or beta-adrenergic-receptor blocking effects. Drug Category Antihistamines; Antihistamines; ATC:R06AX26 Brand Names/Synonyms Allegra; Allegra-D; CHEMBANK1622; Carboxyterfenadine; FEXOFENADINE HYDROCHLORIDE; Fexofenadine; Fexofendine; Terfenadine Acid Metabolite; Terfenadine Carboxylate; Terfenadine-Cooh Dosage Forms Oral tablets and capsules Absorption 33% Interactions -->Interactions for Fexofenadine: Drug Interaction with Erythromycin and Ketoconazole Fexofenadine has been shown to exhibit minimal (ca. 5%) metabolism. However, coñ administration of fexofenadine hydrochloride with either ketoconazole or erythromycin led to increased plasma concentrations of fexofenadine. Fexofenadine had no effect on the pharmacokinetics of either erythromycin or ketoconazole. In 2 separate studies, fexofenadine hydrochloride 120 mg twice daily (240 mg total daily dose) was co-administered with either erythromycin 500 mg every 8 hours or ketoconazole 400 mg once daily under steady-state conditions to healthy volunteers (n=24, each study). No differences in adverse events or QTc interval were observed when subjects were administered fexofenadine hydrochloride alone or in combination with either erythromycin or ketoconazole. The findings of these studies are summarized in the following table: Effects on steady-state fexofenadine pharmacokinetics after 7 days of
The changes in plasma levels were within the range of plasma levels achieved in adequate and well-controlled clinical trials. The mechanism of these interactions has been evaluated in in vitro, in situ, and in vivo animal models. These studies indicate that ketoconazole or erythromycin co-administration enhances fexofenadine gastrointestinal absorption. This observed increase in the bioavailability of fexofenadine may be due to transport-related effects, such as p-glycoprotein. in vivo animal studies also suggest that in addition to enhancing absorption, ketoconazole decreases fexofenadine gastrointestinal secretion, while erythromycin may also decrease biliary excretion. Drug Interactions with Antacids Administration of 120 mg of fexofenadine hydrochloride (2 x 60 mg capsule) within 15 minutes of an aluminum and magnesium containing antacid (Maalox®) decreased fexofenadine AUC by 41% and cmax by 43%. ALLEGRA should not be taken closely in time with aluminum and magnesium containing antacids. Interactions with Fruit Juices Fruit juices such as grapefruit, orange and apple may reduce the bioavailability and exposure of fexofenadine. This is based on the results from 3 clinical studies using histamine induced skin wheals and flares coupled with population pharmacokinetic analysis. The size of wheal and flare were significantly larger when fexofenadine hydrochloride was administered with either grapefruit or orange juices compared to water. Based on the literature reports, the same effects may be extrapolated to other fruit juices such as apple juice. The clinical significance of these observations is unknown. In addition, based on the population pharmacokinetics analysis of the combined data from grapefruit and orange juices studies with the data from a bioequivalence study, the bioavailability of fexofenadine was reduced by 36%. Therefore, to maximize the effects of fexofenadine, it is recommended that ALLEGRA should be taken with water.
Chemical IUPAC Name 2-[4-[1-hydroxy-4-[4-(hydroxy-diphenyl-methyl)-1-piperidyl]-butyl]phenyl]-2-methyl-propanoicacid Chemical Formula C32H39NO4 Half Life 14.4 hours Drug Type Approved Drug # Accession No APRD00349 CAS Registry Number 83799-24-0 |
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