Drugplain

Caffeine Citrate 20 mg/mL

Caffeine Citrate · SOLUTION · Sun Pharmaceutical Industries, Inc.

No Recall History
Plain English

Caffeine Citrate is a solution containing caffeine citrate at 20 mg/mL, taken oral. Manufactured by Sun Pharmaceutical Industries, Inc..

Key Facts

Brand Name
Caffeine Citrate
Generic Name
Caffeine Citrate
NDC Code (Product)
47335-290
Manufacturer
Sun Pharmaceutical Industries, Inc.
Strength
20 mg/mL
Dosage Form
SOLUTION
Route
ORAL
Marketing Status
Application #
ANDA090357
Marketing Start
03/01/2021

Recall History

No Recall History

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

pemphigus967 reports
pericarditis934 reports
hepatic enzyme increased926 reports
alopecia918 reports
glossodynia918 reports
pain911 reports
joint swelling901 reports
hand deformity898 reports
anti-cyclic citrullinated peptide antibody positive896 reports
arthropathy890 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

INDICATIONS AND USAGE Caffeine Citrate Injection is indicated for the treatment of apnea of prematurity.

Dosage & Administration

DOSAGE AND ADMINISTRATION Prior to initiation of caffeine citrate, baseline serum levels of caffeine should be measured in infants previously treated with theophylline, since preterm infants metabolize theophylline to caffeine. Likewise, baseline serum levels of caffeine should be measured in infants born to mothers who consumed caffeine prior to delivery, since caffeine readily crosses the placenta. The recommended loading dose and maintenance doses of caffeine citrate follow. Dose of Caffeine Citrate Volume Dose of Caffeine Citrate mg/kg Route Frequency Loading Dose 1 mL/kg 20 mg/kg Intravenous* (over 30 minutes) One time Maintenance Dose 0.25 mL/kg 5 mg/kg Intravenous* (over 10 minutes) or Orally Every 24 hours** *Using a syringe infusion pump **Beginning 24 hours after the loading dose NOTE THAT THE DOSE OF CAFFEINE BASE IS ONE-HALF THE DOSE WHEN EXPRESSED AS CAFFEINE CITRATE (e.g., 20 mg of caffeine citrate is equivalent to 10 mg of caffeine base). Serum concentrations of caffeine may need to be monitored periodically throughout treatment to avoid toxicity. Serious toxicity has been associated with serum levels greater than 50 mg/L. Caffeine Citrate Injection should be inspect

Warnings

WARNINGS Necrotizing Enterocolitis During the double-blind, placebo-controlled clinical trial, 6 cases of necrotizing enterocolitis developed among the 85 infants studied (caffeine=46, placebo=39), with 3 cases resulting in death. Five of the six patients with necrotizing enterocolitis were randomized to or had been exposed to caffeine citrate. Reports in the published literature have raised a question regarding the possible association between the use of methylxanthines and development of necrotizing enterocolitis, although a causal relationship between methylxanthine use and necrotizing enterocolitis has not been established. In a published randomized, placebo-controlled, clinical trial that studied the use of caffeine citrate in apnea of prematurity in approximately 2000 patients, necrotizing enterocolitis was not more common in caffeine treated patients compared to placebo. As with all preterm infants, patients being treated with caffeine citrate should be carefully monitored for the development of necrotizing enterocolitis.

Contraindications

CONTRAINDICATIONS Caffeine Citrate Injection is contraindicated in patients who have demonstrated hypersensitivity to any of its components.

Adverse Reactions

ADVERSE REACTIONS Overall, the reported number of adverse events in the double-blind period of the controlled trial was similar for the caffeine citrate and placebo groups. The following table shows adverse events that occurred in the double-blind period of the controlled trial and that were more frequent in caffeine citrate-treated patients than placebo. ADVERSE EVENTS THAT OCCURRED MORE FREQUENTLY IN CAFFEINE CITRATE-TREATED PATIENTS THAN PLACEBO DURING DOUBLE-BLIND THERAPY Adverse Event (AE) Caffeine Citrate N=46 n (%) Placebo N=39 n (%) BODY AS A WHOLE Accidental Injury 1 (2.2) 0 (0.0) Feeding Intolerance 4 (8.7) 2 (5.1) Sepsis 2 (4.3) 0 (0.0) CARDIOVASCULAR SYSTEM Hemorrhage 1 (2.2) 0 (0.0) DIGESTIVE SYSTEM Necrotizing Enterocolitis 2 (4.3) 1 (2.6) Gastritis 1 (2.2) 0 (0.0) Gastrointestinal Hemorrhage 1 (2.2) 0 (0.0) HEMIC AND LYMPHATIC SYSTEM Disseminated Intravascular Coagulation 1 (2.2) 0 (0.0) METABOLIC AND NUTRITIVE DISORDERS Acidosis 1 (2.2) 0 (0.0) Healing Abnormal 1 (2.2) 0 (0.0) NERVOUS SYSTEM Cerebral Hemorrhage 1 (2.2) 0 (0.0) RESPIRATORY SYSTEM Dyspnea 1 (2.2) 0 (0.0) Lung Edema 1 (2.2) 0 (0.0) SKIN AND APPENDAGES Dry Skin 1 (2.2) 0 (0.0) Rash 4 (8.7) 3 (7.7) Skin

Frequently Asked Questions

What is Caffeine Citrate used for?

Caffeine Citrate contains Caffeine Citrate. It is a solution taken oral. Consult your doctor for specific uses.

Is Caffeine Citrate a controlled substance?

Caffeine Citrate is not classified as a controlled substance by the DEA.

What is the generic name for Caffeine Citrate?

The generic name for Caffeine Citrate is Caffeine Citrate. There are 6 other brand versions of Caffeine Citrate.

What is the NDC code for Caffeine Citrate 20 mg/mL?

The NDC (National Drug Code) for Caffeine Citrate 20 mg/mL is 47335-290, listed by Sun Pharmaceutical Industries, Inc..