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Name:Glycopyrrolate
Manufacturer:Rising Pharmaceuticals Inc
Category:Prescription Marketed Drugs


GLYCOPYRROLATE TABLETS USP1 mg and 2 mgRx only

GLYCOPYRROLATE - glycopyrrolate tablet 
Rising Pharmaceuticals Inc

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GLYCOPYRROLATE TABLETS USP
1 mg and 2 mg
Rx only

DESCRIPTION
Glycopyrrolate tablets USP contain the synthetic anticholinergic, glycopyrrolate. Glycopyrrolate is a quaternary ammonium compound with the following chemical name: 3-[(cyclopentylhydroxyphenylacetyl)oxy]-1, 1-dimethylpyrrolidinium bromide.

Each glycopyrrolate tablet USP, intended for oral administration, contains glycopyrrolate equivalent to 1 mg or 2 mg. In addition, it also contains the following inactive ingredients: lactose monohydrate, dibasic calcium phosphate anhydrous, povidone, sodium starch glycolate and magnesium stearate.

The structural formula of glycopyrrolate is represented below:

Chemical Structure

Molecular Formula: C19H28BrNO3
Molecular Weight: 398.33

ACTIONS
Glycopyrrolate, like other anticholinergic (antimuscarinic) agents, inhibits the action of acetylcholine on structures innervated by postganglionic cholinergic nerves and on smooth muscles that respond to acetylcholine but lack cholinergic innervation. These peripheral cholinergic receptors are present in the autonomic effector cells of smooth muscle, cardiac muscle, the sino-atrial node, the atrioventricular node, exocrine glands, and, to a limited degree, in the autonomic ganglia. Thus, it diminishes the volume and free acidity of gastric secretions and controls excessive pharyngeal, tracheal, and bronchial secretions.

Glycopyrrolate antagonizes muscarinic symptoms (e.g., bronchorrhea, bronchospasm, bradycardia, and intestinal hypermotility) induced by cholinergic drugs such as the anticholinesterases.

The highly polar quaternary ammonium group of glycopyrrolate limits its passage across lipid membranes, such as the blood-brain barrier, in contrast to atropine sulfate and scopolamine hydrobromide, which are non-polar tertiary amines which penetrate lipid barriers easily.

INDICATIONS
For use as adjunctive therapy in the treatment of peptic ulcer.

CONTRAINDICATIONS
Glaucoma; obstructive uropathy (for example, bladder neck obstruction due to prostatic hypertrophy); obstructive disease of the gastrointestinal tract (as in achalasia, pyloroduodenal stenosis, etc.); paralytic ileus; intestinal atony of the elderly or debilitated patient; unstable cardiovascular status in acute hemorrhage; severe ulcerative colitis; toxic megacolon complicating ulcerative colitis; myasthenia gravis.

Glycopyrrolate tablets USP are contraindicated in those patients with a hypersensitivity to glycopyrrolate.

WARNINGS
In the presence of a high environmental temperature, heat prostration (fever and heat stroke due to decreased sweating) can occur with use of glycopyrrolate.

Diarrhea may be an early symptom of incomplete intestinal obstruction, especially in patients with ileostomy or colostomy. In this instance treatment with this drug would be inappropriate and possibly harmful.

Glycopyrrolate may produce drowsiness or blurred vision. In this event, the patient should be warned not to engage in activities requiring mental alertness such as operating a motor vehicle or other machinery, or performing hazardous work while taking this drug.

Theoretically, with overdosage, a curare-like action may occur, i.e., neuro-muscular blockade leading to muscular weakness and possible paralysis.

Pregnancy
The safety of this drug during pregnancy has not been established. The use of any drug during pregnancy requires that the potential benefits of the drug be weighed against possible hazards to mother and child. Reproduction studies in rats revealed no teratogenic effects from glycopyrrolate; however, the potent anticholinergic action of this agent resulted in diminished rates of conception and of survival at weaning, in a dose-related manner. Other studies in dogs suggest that this may be due to diminished seminal secretion which is evident at high doses of glycopyrrolate. Information on possible adverse effects in the pregnant female is limited to uncontrolled data derived from marketing experience. Such experience has revealed no reports of teratogenic or other fetus-damaging potential. No controlled studies to establish the safety of the drug in pregnancy have been performed.

Nursing Mothers
It is not known whether this drug is excreted in human milk. As a general rule, nursing should not be undertaken while a patient is on a drug since many drugs are excreted in human milk.

Pediatric Use
Since there is no adequate experience in pediatric patients who have received this drug, safety and efficacy in pediatric patients have not been established.

PRECAUTIONS
Use glycopyrrolate with caution in the elderly and in all patients with:

  • Autonomic neuropathy.
  • Hepatic or renal disease.
  • Ulcerative colitis-large doses may suppress intestinal motility to the point of producing a paralytic ileus and for this reason may precipitate or aggravate “toxic megacolon,” a serious complication of the disease.
  • Hyperthyroidism, coronary heart disease, congestive heart failure, cardiac tachyarrhythmias, tachycardia, hypertension and prostatic hypertrophy.
  • Hiatal hernia associated with reflux esophagitis, since anticholinergic drugs may aggravate this condition.

ADVERSE REACTIONS
Anticholinergics produce certain effects, most of which are extensions of their fundamental pharmacological actions. Adverse reactions to anticholinergics in general may include xerostomia; decreased sweating; urinary hesitancy and retention; blurred vision; tachycardia; palpitations; dilatation of the pupil; cycloplegia; increased ocular tension; loss of taste; headaches; nervousness; mental confusion; drowsiness; weakness; dizziness; insomnia; nausea; vomiting; constipation; bloated feeling; impotence; suppression of lactation; severe allergic reaction or drug idiosyncrasies including anaphylaxis, urticaria and other dermal manifestations.

Glycopyrrolate is chemically a quaternary ammonium compound; hence, its passage across lipid membranes, such as the blood-brain barrier, is limited in contrast to atropine sulfate and scopolamine hydrobromide. For this reason the occurrence of CNS related side effects is lower, in comparison to their incidence following administration of anticholinergics which are chemically tertiary amines that can cross this barrier readily.

OVERDOSAGE
The symptoms of overdosage of glycopyrrolate are peripheral in nature rather than central.

  1. To guard against further absorption of the drug-use gastric avage, cathartics and/or enemas.
  2. To combat peripheral anticholinergic effects (residual mydriasis, dry mouth, etc.)-utilize a quaternary ammonium anticholinesterase, such as neostigmine methylsulfate.
  3. To combat hypotension-use pressor amines (norepinephrine, metaraminol) i.v.; and supportive care.
  4. To combat respiratory depression-administer oxygen; utilize a respiratory stimulant such as Dopram® i.v.; artificial respiration.

DOSAGE AND ADMINISTRATION
The dosage of glycopyrrolate should be adjusted to the needs of the individual patient to assure symptomatic control with a minimum of adverse reactions. The presently recommended maximum daily dosage of glycopyrrolate is 8 mg.

Glycopyrrolate Tablets USP 1 mg. The recommended initial dosage for adults is one tablet three times daily (in the morning, early afternoon, and at bedtime). Some patients may require two tablets at bedtime to assure overnight control of symptoms. For maintenance, a dosage of one tablet twice a day is frequently adequate.

Glycopyrrolate Tablets USP 2 mg. The recommended dosage for adults is one tablet two or three times daily at equally spaced intervals.

Glycopyrrolate tablets USP are not recommended for use in pediatric patients under the age of 12 years.

DRUG INTERACTIONS
There are no known drug interactions.

HOW SUPPLIED

Glycopyrrolate tablets USP 1 mg are white, round, compressed tablets debossed “cor” above the bisect and “155” below the bisect on one side and other side is plain.

They are supplied as follows:
Bottles of 100            (NDC 64980-131-01)
Bottles of 1000          (NDC 64980-131-10)

Glycopyrrolate tablets USP 2 mg are white, round, compressed tablets debossed “cor” above the bisect and “156” below the bisect on one side and other side is plain.

They are supplied as follows:
Bottles of 100            (NDC 64980-132-01)
Bottles of 1000          (NDC 64980-132-10)

Store at 20° - 25°C (68° - 77°F) [see USP Controlled Room Temperature].

Dispense in a tight container as defined in the USP.

Keep this and all drugs out of the reach of children.

CorepFharma Logo

Manufactured by:
Corepharma, LLC.
Middlesex, NJ 08846

Manufactured for:
Rising Pharmaceuticals, Inc.
Allendale, NJ 07401
MF # 426-03
July 2009

Container Label for 1mg, 100 Count
Container Label for 2mg, 100 Count

GLYCOPYRROLATE 
glycopyrrolate tablet
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:64980-131
Route of Administration ORAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
GLYCOPYRROLATE (GLYCOPYRROLATE) GLYCOPYRROLATE 1 mg
Inactive Ingredients
Ingredient Name Strength
LACTOSE MONOHYDRATE  
ANHYDROUS DIBASIC CALCIUM PHOSPHATE  
POVIDONE  
SODIUM STARCH GLYCOLATE TYPE A POTATO  
MAGNESIUM STEARATE  
Product Characteristics
Color WHITE (White) Score 2 pieces
Shape ROUND (round) Size 6mm
Flavor Imprint Code cor;155
Contains     
Packaging
# Item Code Package Description Multilevel Packaging
1 NDC:64980-131-01 100 TABLET ( TABLET) in 1 BOTTLE, PLASTIC None
2 NDC:64980-131-10 1000 TABLET ( TABLET) in 1 BOTTLE, PLASTIC None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA040568 12/30/2004

GLYCOPYRROLATE 
glycopyrrolate tablet
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:64980-132
Route of Administration ORAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
GLYCOPYRROLATE (GLYCOPYRROLATE) GLYCOPYRROLATE 2 mg
Inactive Ingredients
Ingredient Name Strength
LACTOSE MONOHYDRATE  
ANHYDROUS DIBASIC CALCIUM PHOSPHATE  
POVIDONE  
SODIUM STARCH GLYCOLATE TYPE A POTATO  
MAGNESIUM STEARATE  
Product Characteristics
Color WHITE (White) Score 2 pieces
Shape ROUND (round) Size 9mm
Flavor Imprint Code cor;156
Contains     
Packaging
# Item Code Package Description Multilevel Packaging
1 NDC:64980-132-01 100 TABLET ( TABLET) in 1 BOTTLE, PLASTIC None
2 NDC:64980-132-10 1000 TABLET ( TABLET) in 1 BOTTLE, PLASTIC None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA040568 12/30/2004

Labeler - Rising Pharmaceuticals Inc (041241766)
Registrant - Rising Pharmaceuticals Inc (041241766)
Establishment
Name Address ID/FEI Operations
Corepharma LLC 031192276 manufacture

Revised: 02/2010 Rising Pharmaceuticals Inc



Source: http://dailymed.nlm.nih.gov
Reproduced with permission of U.S. National Library of Medicine


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