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Drug Catalog - Product Detail

MEMANTINE HCL ER CP 28MG 30CT

NDC Mfr Size Str Form
10370-0349-11 PAR PHARMACEUTICAL 30 28MG CAPSULE
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Description
11 DESCRIPTION Memantine Hydrochloride Extended-Release Capsules are an orally active NMDA receptor antagonist. The chemical name for memantine hydrochloride is 1-amino-3,5-dimethyladamantane hydrochloride with the following structural formula: The molecular formula is C 12 H 21 N•HCl and the molecular weight is 215.76. Memantine hydrochloride occurs as a fine white to off-white powder and is soluble in water. Memantine hydrochloride extended-release capsules are supplied for oral administration as 7 mg, 14 mg, 21 mg, and 28 mg capsules. Each capsule contains extended release beads with the labeled amount of memantine hydrochloride and the following inactive ingredients: sucrose, corn starch, hydroxypropyl cellulose, talc, ethylcellulose, triethyl citrate, polyvinyl alcohol, polyethylene glycol, titanium dioxide, gelatin, shellac, iron oxide black, FD&C Blue # 2, FD&C Red # 40, D&C Yellow # 10, FD&C Blue # 1 and FD&C Yellow # 6. In addition, the 14 mg, 21 mg and 28 mg hard gelatin capsules contain the colorant FD&C Green # 3. molecular-structure
How Supplied
16 HOW SUPPLIED/STORAGE AND HANDLING The 7 mg, capsule is available as a Size 4CS hard gelatin capsule with a yellow opaque cap and yellow opaque body, imprinted with “par” on the cap and “C346” on the body in black ink, containing white to off-white spherical-shaped film-coated pellets. Bottle of 30.……..…NDC# 10370-346-11 The 14 mg, capsule is available as a Size 4CS hard gelatin capsule with a green opaque cap and yellow opaque body, imprinted with “par” on the cap and “C347” on the body in black ink, containing white to off-white spherical-shaped film-coated pellets. Bottle of 30.………..NDC# 10370-347-11 Bottle of 90.………..NDC# 10370-347-09 The 21 mg, capsule is available as a Size 3CS hard gelatin capsule with a green opaque cap and white opaque body, imprinted with “par” on the cap and “C348” on the body in black ink, containing white to off-white spherical-shaped film-coated pellets. Bottle of 30………...NDC# 10370-348-11 The 28 mg, capsule is available as a Size 2CS hard gelatin capsule with green opaque cap and green opaque body, imprinted with “par” on the cap and “C349” on the body in black ink, containing white to off-white spherical-shaped film-coated pellets. Bottle of 30………...NDC# 10370-349-11 Bottle of 90…….......NDC# 10370-349-09 Store at 20° to 25°C (68° to 77° F). [See USP Controlled Room Temperature]
Indications & Usage
1 INDICATIONS AND USAGE Memantine hydrochloride extended-release capsules are indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. Memantine hydrochloride extended-release capsules are N-methyl-D-aspartate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer’s type (1)
Dosage and Administration
2 DOSAGE AND ADMINISTRATION The recommended starting dose of memantine hydrochloride extended-release capsules is 7 mg once daily; the dose should be increased in 7 mg increments to the recommended maintenance dose of 28 mg once daily; the minimum recommended interval between dose increases is one week ( 2.1 ) Patients with severe renal impairment: the recommended maintenance dose of memantine hydrochloride extended-release capsules is 14 mg once daily ( 2.3 ) 2.1 Recommended Dosing The dosage of memantine hydrochloride extended-release capsules shown to be effective in a controlled clinical trial is 28 mg once daily. The recommended starting dose of memantine hydrochloride extended-release capsules is 7 mg once daily. The dose should be increased in 7 mg increments to the recommended maintenance dose of 28 mg once daily. The minimum recommended interval between dose increases is one week. The dose should only be increased if the previous dose has been well tolerated. The maximum recommended dose is 28 mg once daily. Memantine hydrochloride extended-release capsules can be taken with or without food. Memantine hydrochloride extended-release capsules can be taken intact or may be opened, sprinkled on applesauce, and thereby swallowed. The entire contents of each memantine hydrochloride extended-release capsule should be consumed; the dose should not be divided. Except when opened and sprinkled on applesauce, as described above, memantine hydrochloride extended-release capsules should be swallowed whole. Memantine hydrochloride extended-release capsules should not be divided, chewed, or crushed. If a patient misses a single dose of memantine hydrochloride extended-release capsules, that patient should not double up on the next dose. The next dose should be taken as scheduled. If a patient fails to take memantine hydrochloride extended-release capsules for several days, dosing may need to be resumed at lower doses and retitrated as described above. 2.2 Switching from Memantine Hydrochloride Immediate-Release Tablets to Memantine Hydrochloride Extended-Release Capsules Patients treated with memantine hydrochloride immediate-release tablets may be switched to memantine hydrochloride extended-release capsules as follows: It is recommended that a patient who is on a regimen of 10 mg twice daily of memantine hydrochloride immediate-release tablets be switched to memantine hydrochloride extended-release capsules 28 mg once daily capsules the day following the last dose of 10 mg memantine hydrochloride immediate-release tablets. There is no study addressing the comparative efficacy of these 2 regimens. In a patient with severe renal impairment, it is recommended that a patient who is on a regimen of 5 mg twice daily of memantine hydrochloride immediate-release tablets be switched to memantine hydrochloride extended-release capsules 14 mg once daily capsules the day following the last dose of 5 mg memantine hydrochloride immediate-release tablets. 2.3 Dosing in Patients with Renal Impairment In patients with severe renal impairment (creatinine clearance of 5 to 29 mL/min, based on the Cockcroft-Gault equation), the recommended maintenance dose (and maximum recommended dose) is 14 mg/day [ see Clinical Pharmacology ( 12.3 )] .