Drugplain

Memantine Hydrochloride 14 mg/1

Memantine Hydrochloride · CAPSULE, EXTENDED RELEASE · Amneal Pharmaceuticals LLC

7 Recalls on Record
Plain English

Memantine Hydrochloride is a capsule, extended release containing memantine hydrochloride at 14 mg/1, taken oral. Manufactured by Amneal Pharmaceuticals LLC.

Key Facts

Brand Name
Memantine Hydrochloride
Generic Name
Memantine Hydrochloride
NDC Code (Product)
65162-783
Manufacturer
Amneal Pharmaceuticals LLC
Strength
14 mg/1
Dosage Form
CAPSULE, EXTENDED RELEASE
Route
ORAL
Marketing Status
Application #
ANDA205825
Marketing Start
12/22/2017

Recall History

7 Recalls on Record
Class II05/21/2019

Torrent Pharma Inc

cGMP Deviations: Potential product contamination with Burkholderia cepacia (B.cepacia) and Ralstonia pickettii (R. pickettii).

TerminatedVoluntary: Firm initiated
Class II02/12/2020

Lupin Pharmaceuticals Inc.

Failed Dissolution Specifications: Low out of specification results observed in dissolution test at six-month long-term stability study.

TerminatedVoluntary: Firm initiated
Class II05/21/2019

Torrent Pharma Inc

cGMP Deviations: Potential product contamination with Burkholderia cepacia (B.cepacia) and Ralstonia pickettii (R. pickettii).

TerminatedVoluntary: Firm initiated
Class II03/24/2026

The Harvard Drug Group LLC

Failed Dissolution Specifications

OngoingVoluntary: Firm initiated
Class III04/24/2020

The Harvard Drug Group

Failed dissolution specifications: Low stage 3 results obtained for dissolution during routine stability testing.

TerminatedVoluntary: Firm initiated
Class III12/13/2019

The Harvard Drug Group

Failed Dissolution Specifications: High out of specification result observed at stability studies.

TerminatedVoluntary: Firm initiated
Class III12/10/2019

Lupin Pharmaceuticals Inc.

Failed Dissolution Specifications: High out of specification result observed at stability studies.

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

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

fall962 reports
death893 reports
drug ineffective836 reports
off label use758 reports
confusional state718 reports
fatigue622 reports
hallucination605 reports
condition aggravated511 reports
asthenia479 reports
dizziness451 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE Memantine hydrochloride tablets are indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. Memantine hydrochloride tablets are an N-methyl-D-aspartate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. (1)

Dosage & Administration

2 DOSAGE AND ADMINISTRATION The recommended starting dose of memantine hydrochloride tablets is 5 mg once daily. The dose should be increased in 5 mg increments to 10 mg/day (5 mg twice daily), 15 mg/day (5 mg and 10 mg as separate doses), and 20 mg/day (10 mg twice daily). The minimum recommended interval between dose increases is one week. The dosage shown to be effective in controlled clinical trials is 20 mg/day. Memantine hydrochloride tablets can be taken with or without food. If a patient misses a single dose of memantine hydrochloride tablets, 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 tablets for several days, dosing may need to be resumed at lower doses and retitrated as described above. Specific Populations Renal Impairment A target dose of 5 mg twice daily is recommended in patients with severe renal impairment (creatinine clearance of 5 to 29 mL/min based on the Cockcroft-Gault equation). Hepatic Impairment Memantine hydrochloride tablets should be administered with caution to patients with severe hepatic impairment [see Clinical Pharmacology (12.3) ] . May be taken

Contraindications

4 CONTRAINDICATIONS Memantine hydrochloride tablets are contraindicated in patients with known hypersensitivity to memantine hydrochloride or to any excipients used in the formulation. Memantine hydrochloride tablets are contraindicated in patients with known hypersensitivity to memantine hydrochloride or to any excipients used in the formulation. (4)

Drug Interactions

7 DRUG INTERACTIONS 7.1 Drugs that Make the Urine Alkaline The clearance of memantine was reduced by about 80% under alkaline urine conditions at pH 8. Therefore, alterations of urine pH towards the alkaline condition may lead to an accumulation of the drug with a possible increase in adverse effects. Urine pH is altered by diet, drugs (e.g. carbonic anhydrase inhibitors, sodium bicarbonate) and clinical state of the patient (e.g. renal tubular acidosis or severe infections of the urinary tract). Hence, memantine should be used with caution under these conditions. 7.2 Use with Other N-methyl-D-aspartate (NMDA) Antagonists The combined use of memantine hydrochloride with other NMDA antagonists (amantadine, ketamine, and dextromethorphan) has not been systematically evaluated and such use should be approached with caution.

Adverse Reactions

6 ADVERSE REACTIONS Most common adverse reactions (≥ 5 % and greater than placebo) are dizziness, headache, confusion and constipation. (6.1) To report SUSPECTED ADVERSE REACTIONS, contact Amneal Pharmaceuticals at 1-877-835-5472 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Memantine hydrochloride was evaluated in eight double-blind placebo-controlled trials involving a total of 1862 dementia (Alzheimer’s disease, vascular dementia) patients (940 patients treated with memantine hydrochloride and 922 patients treated with placebo) for a treatment period up to 28 weeks. Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice. Adverse Events Leading to Discontinuation In placebo-controlled trials in which dementia patients received doses of memantine hydrochloride up to 20 mg/day, the likelihood of discontinuation because of an adverse reaction was the same in the memantine hydrochloride group (10.1%) as in the placebo group (11.5%). No

Frequently Asked Questions

What is Memantine Hydrochloride used for?

Memantine Hydrochloride contains Memantine Hydrochloride. It is a capsule, extended release taken oral. Consult your doctor for specific uses.

Is Memantine Hydrochloride a controlled substance?

Memantine Hydrochloride is not classified as a controlled substance by the DEA.

What is the generic name for Memantine Hydrochloride?

The generic name for Memantine Hydrochloride is Memantine Hydrochloride. There are 4 other brand versions of Memantine Hydrochloride.

What is the NDC code for Memantine Hydrochloride 14 mg/1?

The NDC (National Drug Code) for Memantine Hydrochloride 14 mg/1 is 65162-783, listed by Amneal Pharmaceuticals LLC.