CLARINEX-D 12 HOUR Extended Release Tablets (desloratadine/pseudoephedrine sulfate)(四)
dministration Site Conditions
Fatigue 4% 2% 2%
Metabolism and Nutrition Disorders
Anorexia 2% 0% 2%
Nervous System Disorders
Headache 8% 8% 9%
Somnolence 3% 4% 2%
Dizziness 3% 2% 2%
Psychiatric Disorders
Insomnia 10% 3% 13%
Respiratory, Thoracic and Mediastinal Disorders
Pharyngitis 3% 3% 3%
There were no relevant differences in adverse reactions for subgroups of patients as defined by gender, age, or race.
6.2 Post-Marketing Experience
In addition to the adverse reactions reported during clinical trials and listed above, adverse events have been identified during post approval use of CLARINEX-D 12 HOUR Extended Release Tablets. Because these events are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Adverse events identified from post-marketing surveillance on the use of CLARINEX-D 12 HOUR Extended Release Tablets include tachycardia, palpitations, dyspnea, rash and pruritis.
In addition to these events, the following spontaneous adverse events have been reported during the marketing of desloratadine as a single ingredient product: headache, somnolence, dizziness and rarely hypersensitivity reactions (such as urticaria, edema and anaphylaxis), and elevated liver enzymes including bilirubin and very rarely, hepatitis.
7 DRUG INTERACTIONS
No specific interaction studies have been conducted with CLARINEX-D 12 HOUR Extended Release Tablets.
7.1 Monoamine Oxidase Inhibitors
CLARINEX-D 12 HOUR Extended Release Tablets should not be used in patients receiving monoamine oxidase (MAO) inhibitor therapy or within fourteen (14) days of stopping such treatment because the action of pseudoephedrine a component of CLARINEX-D 12 HOUR Extended Release tablets on the vascular system may be potentiated by these agents. (see CONTRAINDICATIONS (4) and WARNINGS AND PRECAUTIONS 5.3)
7.2 Beta-adrenergic blocking agents
The antihypertensive effects of beta-adrenergic blocking agents, methyldopa, and reserpine, may be reduced by sympathomimetics such as pseudoephedrine. Exercise caution when using CLARINEX-D 12 HOUR Extended Release Tablets with these agents.
7.3 Digitalis
Increased ectopic pacemaker activity can occur when pseudoephedrine is used concomitantly with digitalis. Exercise caution when using CLARINEX-D 12 HOUR Extended Release Tablets with these agents.
7.4 Inhibitors of cytochrome P450 3A4
In controlled clinical studies co-administration of desloratadine with ketoconazole, erythromycin, or azithromycin resulted in increased plasma concentrations of desloratadine and 3-hydroxydesloratadine but there were no clinically relevant changes in the safety profile of desloratadine. [see CLINICAL PHARMACOLOGY (12.3)]
7.5 Fluoxetine
In controlled clinical studies co-administration of desloratadine with fluoxetine, a selective serotonin reuptake inhibitor (SSRI), resulted in increased plasma concentrations of desloratadine and 3-hydroxydesloratadine but there were no clinically relevant changes in the safety profile of desloratadine [see CLINICAL PHARMACOLOGY (12.3)]
7.6 Cimetidine
In controlled |
