Pasereotide- Signifor - @- (Dec 2012)- Cushings disease
Drug Name:Pasereotide- Signifor - @- (Dec 2012)- Cushings disease
List Of Brands:
Indication Type Description:
Indication
Adverse Reaction
Contra-Indications
Dosages/ Overdosage Etc
Patient Information
Indication:
Drug Name- Signifor
Active Ingredient - Pasireotide
To treat Cushings Disease patients who cannot be helped
through surgery
Indication-
To treat Cushings Disease patients who cannt be helped
through surgery
Approved by FDA on 14-12--2012 (Ref- FDA approved List- 2012)
LIST OF APPROVED DRUG FROM 01-01-2015 To 31-12-2015
ISSUED BY NEW DRUG DIVISION - DRUG CONTROLLER GENERAL- INDIA
Sr.No Name of Drug Indication Date of Issue
5. Pasireotide solution for injection 18-03-2015
for injection 0.3mg/0.6mg/0.9mg
For the treatment of adult patients with Cushings
Disease for whom pituitary surgery is not an option
or has not been Curative
mellitus to improve glycemic control:
Approved by DCG INDIA (Ref- DCGI approved List- 01-01-2015 To 31-12-3015)
Adverse Reaction:
SIGNIFOR can cause serious side effects, including:
1. Low cortisol levels in your blood (hypocortisolism).
Tell your doctor right away if you have any signs and symptoms of hypocortisolism.
Signs and symptoms of hypocortisolism may include:
- weakness
- fatigue
- loss of appetite
- nausea
- vomiting
- low blood pressure
- low level of sodium in your blood
- low blood sugar
If you get hypocortisolism while taking SIGNIFOR, your doctor may change your dose
or ask you to stop taking it.
2 High blood sugar (hyperglycemia). Your doctor should check your blood sugar level
before you start taking SIGNIFOR and while you take it.
Signs and symptoms of hyperglycemia may include:
- excessive thirst
- high urine output
- increased appetite with weight loss
- tiredness
If you get hyperglycemia while taking SIGNIFOR, your doctor may give you another medicine
to take to lower your blood sugar.
Your doctor may also change your dose of SIGNIFOR or ask you to stop taking it.
The most common side effects of SIGNIFOR include:
-diarrhea
-nausea
-high blood sugar
-headache
-abdominal pain
-fatigue
-diabetes mellitus
-injection site reactions
-common cold
-hair loss
-weakness
-fluid retention Tell your doctor if you have any side effect that bothers you or that
does not go away. These are not all the possible side effects of SIGNIFOR.
For more information, ask your doctor or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1–
800–FDA–1088.
Reference ID: 371607
Contra-Indications:
Taking SIGNIFOR with certain other medicines can affect each other and cause side effects.
Especially tell your doctor if you take:
-medicines to control your heart beat (anti-arrhythmics)
-medicines that can affect the electrical system of your heart (QT prolongation)
-medicines to control your blood pressure (such as beta-blockers or calcium channel blockers)
-medicines to control the electrolyte (such as potassium or magnesium) levels in your blood
-cyclosporine (Gengraf®, Neoral®, Restasis®, Sandimmune®)
- bromocriptine (Cycloset®, Parlodel®) Ask your doctor for a list of these medicines, if you are not sure. Know the medicines you take. Keep a list of them to show to your doctor and pharmacist when
you get a new medicine.
Dosages/ Overdosage Etc:
Indication-
Cushings Disease
Dosage-
600ug - 900ug bid- by subcutaneous injection
Patient Information:
It is not known if SIGNIFOR is safe and effective in children.
What should I tell my doctor before using SIGNIFOR?
Before you take SIGNIFOR, tell your doctor if you:
Reference ID: 3716079
Tell your doctor if you
-have or have had high blood sugar (hyperglycemia)
- have diabetes
-have or have had heart problems
-have a history of low levels of potassium or magnesium in your blood
- have or have had liver problems
-have or have had gallstones
-have any other medical conditions
-are pregnant or plan to become pregnant.
It is not known if SIGNIFOR will harm your unborn baby.
- If you are breastfeeding or plan to breastfeed. It is not known if SIGNIFOR passes
into your breast milk.
You and your doctor should decide if you will take SIGNIFOR or breastfeed.
You should not do both.
Tell your doctor about all the medicines you take, including prescription and nonprescription
medicines, vitamins, and herbal supplements.
Taking SIGNIFOR with certain other medicines can affect each other and cause side effects.
Especially tell your doctor if you take:
-medicines to control your heart beat (anti-arrhythmics)
-medicines that can affect the electrical system of your heart (QT prolongation)
-medicines to control your blood pressure (such as beta-blockers or calcium channel blockers)
-medicines to control the electrolyte (such as potassium or magnesium) levels in your blood
-cyclosporine (Gengraf®, Neoral®, Restasis®, Sandimmune®)
- bromocriptine (Cycloset®, Parlodel®) Ask your doctor for a list of these medicines, if you are not sure. Know the medicines you take. Keep a list of them to show to your doctor and pharmacist when
you get a new medicine.
-Use SIGNIFOR exactly as your doctor tells you to.
-Your doctor may change your dose if needed.
-Before you use SIGNIFOR for the first time, your doctor should do a blood test to check
your blood sugar levels and your liver tests.
-Before you use SIGNIFOR for the first time, your doctor should do a test to check your heart
(electrocardiogram) and your gallbladder (ultrasound).
-SIGNIFOR should be clear and colorless. Before you inject your dose, check to make sure
that SIGNIFOR is clear and colorless, and does not have any clumps or particles in it.
-SIGNIFOR is given as an injection into the fat just under your skin (subcutaneous injection).
-Do not inject SIGNIFOR into skin that is red or irritated.
Reference ID: 3716079
The recommended injection sites for SIGNIFOR are the top of your thigh or stomach area (abdomen).
Change (rotate) your injection site with each dose.
Do not inject SIGNIFOR into the exact same spot for each injection.
Your doctor should show you how to prepare and give your dose of SIGNIFOR before you use
it for the first time.
You should not inject SIGNIFOR until your doctor has shown you how to use it the right way.
If you take too much SIGNIFOR, tell your doctor right away.
What are the possible side effects of SIGNIFOR?
SIGNIFOR may cause serious side effects,
(See -What is the most important information I should know about SIGNIFOR?)
Including:
- slow heart rate (bradycardia). SIGNIFOR can cause your heart to beat slower,
which may cause you to feel weak, dizzy or even faint. People who have, or have had,
heart problems are at higher risk for bradycardia.
-problems with the electrical system of your heart (QT interval prolongation) which can
put you at risk for abnormal heart beats, dizziness and fainting spells that can
be very serious. Call your doctor right away if you experience such spells.
-elevation of your liver tests. Your doctor should do blood tests to monitor your
liver tests while you use SIGNIFOR.
-gallstones (cholelithiasis). Your doctor should do an ultrasound to check for gallstones
before you start using SIGNIFOR and while you use it.
The most common side effects of SIGNIFOR include:
-diarrhea
-nausea
-high blood sugar
-headache
-abdominal pain
-fatigue
-diabetes mellitus
-injection site reactions
-common cold
-hair loss
-weakness
-fluid retention Tell your doctor if you have any side effect that bothers you or that
does not go away. These are not all the possible side effects of SIGNIFOR.
For more information, ask your doctor or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1–800–FDA–1088.
Reference ID: 371607
How should I store SIGNIFOR?
Store SIGNIFOR at 68°F to 77°F (20°C to 25°C).
Keep SIGNIFOR out of the light.
Keep SIGNIFOR and all medicines out of the reach of children.
General information about the safe and effective use of SIGNIFOR.
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide.
Do not use SIGNIFOR for a condition for which it was not prescribed.
Do not give SIGNIFOR to other people, even if they have the same symptoms that you have.
It may harm them.
This Medication Guide summarizes the most important information about SIGNIFOR. If you
would like more information, talk to your doctor. You can ask your pharmacist or doctor for
information about SIGNIFOR that is written for health professionals.
