Drug Catalog - Product Detail
ROSUVASTATIN CALCIUM TABS 40MG 30CT
| NDC | Mfr | Size | Str | Form |
|---|---|---|---|---|
| 27808-0158-01 | TRIS PHARMA | 30 | 40MG | TABLET |
PACKAGE FILES
Generic Name
ROSUVASTATIN CALCIUM
Substance Name
ROSUVASTATIN CALCIUM
Product Type
HUMAN PRESCRIPTION DRUG
Route
ORAL
Application Number
ANDA207408
Description
11 DESCRIPTION Rosuvastatin is a 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA)-reductase inhibitor. The chemical name for rosuvastatin calcium is bis[(E)-7-[4-(4-fluorophenyl)-6-isopropyl-2- [methyl(methylsulfonyl)amino] pyrimidin-5-yl](3R,5S)-3,5-dihydroxyhept-6-enoic acid] calcium salt with the following structural formula: The empirical formula for rosuvastatin calcium is (C 22 H 27 FN 3 O 6 S) 2 Ca and the molecular weight is 1001.14. Rosuvastatin calcium is a white amorphous powder that is sparingly soluble in water and methanol, and slightly soluble in ethanol. Rosuvastatin calcium is a hydrophilic compound with a partition coefficient (octanol/water) of 0.13 at pH of 7.0. Rosuvastatin calcium tablets for oral use contain rosuvastatin 5 mg, 10 mg, 20 mg, or 40 mg (equivalent to 5.2 mg, 10.4 mg, 20.8 mg, and 41.6 mg rosuvastatin calcium) and the following inactive ingredients: anhydrous dibasic calcium phosphate, crospovidone, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, titanium dioxide, and triacetin; in addition, the 5 mg and 40 mg strengths contain ferric oxide red, and the 10 mg and 20 mg strength contain ferric oxide yellow. Structure
How Supplied
16 HOW SUPPLIED/STORAGE AND HANDLING Rosuvastatin calcium tablets are supplied as: Strength How Supplied NDC Tablet Description 5 mg bottles of 90 tablets bottles of 500 tablets NDC 27808-155-01 NDC 27808-155-03 Pink, round, biconvex, coated tablets. Debossed as ‘CY’ on one side and ‘5’ on other side 10 mg bottles of 90 tablets bottles of 500 tablets NDC 27808-156-01 NDC 27808-156-03 Yellow, round, biconvex, coated tablets. Debossed as ‘CY’ on one side, and ‘10’ on other side 20 mg bottles of 90 tablets bottles of 500 tablets NDC 27808-157-01 NDC 27808-157-03 Yellow, round, biconvex, coated tablets. Debossed as ‘CY’ on one side, and ‘20’ on other side 40 mg bottles of 30 tablets bottles of 500 tablets NDC 27808-158-01 NDC 27808-158-03 Pink, round, biconvex, coated tablet. Debossed as ‘CY’ on one side, and ‘40’ on other side Storage Store at controlled room temperature, 20ºC to 25ºC (68ºF to 77ºF); excursions permitted between 15°C and 30°C (59°F and 86°F) [see USP Controlled Room Temperature]. Protect from moisture.
Indications & Usage
1 INDICATIONS AND USAGE Rosuvastatin calcium tablets is indicated: To reduce the risk of stroke, myocardial infarction, and arterial revascularization procedures in adults without established coronary heart disease who are at increased risk of cardiovascular (CV) disease based on age, hsCRP ≥2 mg/L, and at least one additional CV risk factor. As an adjunct to diet to: Reduce LDL-C in adults with primary hyperlipidemia. Reduce low-density lipoprotein cholesterol (LDL-C) and slow the progression of atherosclerosis in adults. Reduce LDL-C in adults and pediatric patients aged 8 years and older with heterozygous familial hypercholesterolemia (HeFH).As an adjunct to other LDL-C-lowering therapies, or alone if such treatments are unavailable, to reduce LDL-C in adults and pediatric patients aged 7 years and older with homozygous familial hypercholesterolemia (HoFH). As an adjunct to diet for the treatment of adults with: Primary dysbetalipoproteinemia. Hypertriglyceridemia. Rosuvastatin is an HMG Co-A reductase inhibitor (statin) indicated: (1) To reduce the risk of stroke, myocardial infarction, and arterial revascularization procedures in adults without established coronary heart disease who are at increased risk of cardiovascular (CV) disease based on age, hsCRP ≥2 mg/L, and at least one additional CV risk factor. As an adjunct to diet to reduce LDL-C in adults with primary hyperlipidemia. As an adjunct to diet to reduce low-density lipoprotein cholesterol (LDL-C) and slow the progression of atherosclerosis in adults. As an adjunct to diet to reduce LDL-C in adults and pediatric patients aged 8 years and older with heterozygous familial hypercholesterolemia (HeFH). As an adjunct to other LDL-C-lowering therapies, or alone if such treatments are unavailable, to reduce LDL-C in adults and pediatric patients aged 7 years and older with homozygous familial hypercholesterolemia (HoFH). As an adjunct to diet for the treatment of adults with: Primary dysbetalipoproteinemia. Hypertriglyceridemia.
Dosage and Administration
2 DOSAGE AND ADMINISTRATION Take orally with or without food, at any time of day. (2.1 ) Assess LDL-C when clinically appropriate, as early as 4 weeks after initiating rosuvastatin calcium tablets, and adjust dosage if necessary. (2.1) Adults: Recommended dosage range is 5 to 40 mg once daily. (2.1) Pediatric Patients with HeFH : Recommended dosage range is 5 to 10 mg once daily for patients aged 8 to less than 10 years of age, and 5 to 20 mg once daily for patients aged 10 years and older. (2.2) Pediatric Patients with HoFH : Recommended dosage is 20 mg once daily for patients aged 7 years and older. (2.2) Asian Patients: Initiate at 5 mg once daily. Consider risks and benefits of treatment if not adequately controlled at doses up to 20 mg once daily. (2.4) Patients with Severe Renal Impairment (not on hemodialysis): Initiate at 5 mg once daily; do not exceed 10 mg once daily. (2.5, 5.1, 8.6) See full prescribing information for rosuvastatin dosage and administration modifications due to drug interactions. (2.6) 2.1 General Dosage and Administration Information Administer rosuvastatin calcium tablets orally as a single dose at any time of day, with or without food. The tablet should be swallowed whole. Assess LDL-C when clinically appropriate, as early as 4 weeks after initiating rosuvastatin calcium tablets, and adjust the dosage if necessary. If a dose is missed, advise patients not take an extra dose. Resume treatment with the next dose. 2.2 Recommended Dosage in Adult Patients The dosage range for rosuvastatin calcium tablets is 5 to 40 mg orally once daily. The recommended dose of rosuvastatin calcium tablets depends on a patient’s indication for usage, LDL- C, and individual risk for cardiovascular events. 2.3 Recommended Dosage in Pediatric Patients D osage in Pediatric Patients 8 Years of Age and Older with HeFH The recommended dosage range is 5 mg to 10 mg orally once daily in patients aged 8 years to less than 10 years and 5 mg to 20 mg orally once daily in patients aged 10 years and older. D osage in Pediatric Patients 7 Years of Age and Older with HoFH The recommended dosage is 20 mg orally once daily. 2.4 Dosing in Asian Patients Initiate rosuvastatin calcium tablets at 5 mg once daily due to increased rosuvastatin plasma concentrations. Consider the risks and benefits of rosuvastatin calcium tablets when treating Asian patients not adequately controlled at doses up to 20 mg once daily [see Warnings and Precautions (5.1) , Use in Specific Populations (8.8) , and Clinical Pharmacology(12.3) ]. 2.5 Recommended Dosage in Patients with Renal Impairment In patients with severe renal impairment (CL cr less than 30 mL/min/1.73 m 2 ) not on hemodialysis, the recommended starting dosage is 5 mg once daily and should not exceed 10 mg once daily [see W arnings and Precautions (5.1) a nd U se in Specific Populations (8.6) ]. There are no dosage adjustment recommendations for patients with mild and moderate renal impairment. 2.6 Dosage and Administration Modifications Due to Drug Interactions Rosuvastatin Calcium Tablets Dosage Modifications Due to Drug Interactions Table 1 displays dosage modifications for rosuvastatin calcium tablets due to drug interactions [see W arnings and Precautions (5.1) and D rug Interactions (7.1) ]. Table 1: Rosuvastatin Calcium Tablets D osage Modifications Due to Drug Interactions C oncomitantly Used Drug Rosuvastatin Calcium Tablets D osage Modifications Cyclosporine Do not exceed 5 mg once daily. Teriflunomide Do not exceed 10 mg once daily. Enasidenib Do not exceed 10 mg once daily. Capmatinib Do not exceed 10 mg once daily. Fostamatinib Do not exceed 20 mg once daily. Febuxostat Do not exceed 20 mg once daily. Gemfibrozil Avoid concomitant use. If used concomitantly, initiate at 5 mg once daily and do not exceed 10 mg once daily. Tafamidis Avoid concomitant use. If used concomitantly, initiate at 5 mg once daily and do not exceed 20 mg once daily. Antiviral Medications Sofbuvir/velpatasvir/voxilaprevir Ledipasvir/sofosbuvir Concomitant use not recommended. Simeprevir Dasabuvir/ombitasvir/paritaprevir/ritonavir Elbasvir/Grazoprevir Sofosbuvir/Velpatasvir Glecaprevir/Pibrentasvir Atazanavir/Ritonavir Lopinavir/Ritonavir Initiate at 5 mg once daily. Do not exceed 10 mg once daily. Darolutamide Do not exceed 5 mg once daily. Regorafenib Do not exceed 10 mg once daily. R osuvastatin Calcium Tablets A dministration Modifications Due to Drug Interactions When taking rosuvastatin calcium tablets with an aluminum and magnesium hydroxide combination antacid, administer rosuvastatin calcium tablets at least 2 hours before the antacid [ see D rug Interactions (7.2) ].