Drugplain

Fulvestrant 50 mg/mL

Fulvestrant · INJECTION, SOLUTION · Dr.Reddy's Laboratories Inc

3 Recalls on Record
Plain English

Fulvestrant is a injection, solution containing fulvestrant at 50 mg/mL, taken intramuscular. Manufactured by Dr.Reddy's Laboratories Inc.

Key Facts

Brand Name
Fulvestrant
Generic Name
Fulvestrant
NDC Code (Product)
43598-262
Manufacturer
Dr.Reddy's Laboratories Inc
Strength
50 mg/mL
Dosage Form
INJECTION, SOLUTION
Route
INTRAMUSCULAR
Marketing Status
Application #
ANDA209246
Drug Class
Estrogen Receptor Antagonist [EPC]
Marketing Start
12/31/2023

Recall History

3 Recalls on Record
Class II08/27/2021

Glenmark Pharmaceuticals Inc., USA

Lack of Assurance of Sterility

TerminatedVoluntary: Firm initiated
Class II07/15/2022

Zydus Pharmaceuticals (USA) Inc

Failed Impurities/Degradation Specifications

TerminatedVoluntary: Firm initiated
Class II11/14/2014

Attix Pharmaceuticals

Penicillin Cross Contamination: All lots of all products repackaged and distributed between 01/05/12 and 02/12/15 are being recalled because they were repackaged in a facility with penicillin products without adequate separation which could introduce the potential for cross contamination with penicillin.

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

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

malignant neoplasm progression2,690 reports
fatigue1,750 reports
neutropenia1,631 reports
nausea1,489 reports
metastases to bone1,411 reports
death1,358 reports
diarrhoea1,310 reports
breast cancer metastatic1,184 reports
metastases to liver1,146 reports
neoplasm progression984 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE Fulvestrant Injection is an estrogen receptor antagonist indicated for the treatment of: Hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer in postmenopausal women not previously treated with endocrine therapy. ( 1 ) HR-positive advanced breast cancer in postmenopausal women with disease progression following endocrine therapy. ( 1 ) HR-positive, HER2-negative advanced or metastatic breast cancer in postmenopausal women in combination with ribociclib, as initial endocrine based therapy or following disease progression on endocrine therapy. ( 1 ) HR-positive, HER2-negative advanced or metastatic breast cancer in combination with palbociclib or abemaciclib in women with disease progression after endocrine therapy. ( 1 ) Monotherapy Fulvestrant Injection is indicated for the treatment of: Hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer in postmenopausal women not previously treated with endocrine therapy, or HR-positive advanced breast cancer in postmenopausal women with disease progression following endocrine therapy. Combination Therapy

Dosage & Administration

2 DOSAGE AND ADMINISTRATION Fulvestrant Injection 500 mg should be administered intramuscularly into the buttocks (gluteal area) slowly (1 - 2 minutes per injection) as two 5 mL injections, one in each buttock, on Days 1, 15, 29, and once monthly thereafter. ( 2.1 , 14 ) A dose of 250 mg is recommended in patients with moderate hepatic impairment to be administered intramuscularly into the buttock (gluteal area) slowly (1 - 2 minutes) as one 5 mL injection on Days 1, 15, 29, and once monthly thereafter. ( 2.2 , 5.2 , 8.6 ) 2.1 Recommended Dose Monotherapy The recommended dose of Fulvestrant Injection is 500 mg to be administered intramuscularly into the buttocks (gluteal area) slowly (1 - 2 minutes per injection) as two 5 mL injections, one in each buttock, on Days 1, 15, 29, and once monthly thereafter [see Clinical Studies ( 14 )]. Combination Therapy When Fulvestrant Injection is used in combination with palbociclib, abemaciclib, or ribociclib, the recommended dose of Fulvestrant Injection is 500 mg to be administered intramuscularly into the buttocks (gluteal area) slowly (1 - 2 minutes per injection) as two 5 mL injections, one in each buttock, on Days 1, 15, 29, and once mont

Contraindications

4 CONTRAINDICATIONS Fulvestrant Injection is contraindicated in patients with a known hypersensitivity to the drug or to any of its components. Hypersensitivity reactions, including urticaria and angioedema, have been reported in association with Fulvestrant Injection [see Adverse Reactions ( 6.2 )]. Hypersensitivity. ( 4 )

Drug Interactions

7 DRUG INTERACTIONS There are no known drug-drug interactions. Although, fulvestrant is metabolized by CYP 3A4 in vitro , drug interactions studies with ketoconazole or rifampin did not alter fulvestrant pharmacokinetics. Dose adjustment is not needed in patients co-prescribed CYP 3A4 inhibitors or inducers [see Clinical Pharmacology ( 12.3 )] . There are no known drug-drug interactions. ( 7 )

Adverse Reactions

6 ADVERSE REACTIONS The following adverse reactions are discussed in more detail in other sections of the labeling: Risk of Bleeding [see Warnings and Precautions ( 5.1 )] Increased Exposure in Patients with Hepatic Impairment [see Warnings and Precautions ( 5.2 )] Injection Site Reaction [see Warnings and Precautions ( 5.3 )] Embryo-Fetal Toxicity [see Warnings and Precautions ( 5.4 )] The most common adverse reactions occurring in ≥5% of patients receiving Fulvestrant Injection 500 mg were: injection site pain, nausea, bone pain, arthralgia, headache, back pain, fatigue, pain in extremity, hot flash, vomiting, anorexia, asthenia, musculoskeletal pain, cough, dyspnea, and constipation. ( 6.1 ) Increased hepatic enzymes (ALT, AST, ALP) occurred in >15% of Fulvestrant Injection patients and were not dose-dependent. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Meitheal Pharmaceuticals, Inc. at 1-844-824-8426 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch . 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, the adverse reaction rates observed cannot be directly compared to rates in other trials and may not reflect the rate

Frequently Asked Questions

What is Fulvestrant used for?

Fulvestrant contains Fulvestrant. It is a injection, solution taken intramuscular. Consult your doctor for specific uses.

Is Fulvestrant a controlled substance?

Fulvestrant is not classified as a controlled substance by the DEA.

What is the generic name for Fulvestrant?

The generic name for Fulvestrant is Fulvestrant. There are 5 other brand versions of Fulvestrant.

What is the NDC code for Fulvestrant 50 mg/mL?

The NDC (National Drug Code) for Fulvestrant 50 mg/mL is 43598-262, listed by Dr.Reddy's Laboratories Inc.