Drugplain

Trientine Hydrochloride 250 mg/1

Trientine Hydrochloride · CAPSULE · Dr.Reddys Laboratories Inc

No Recall History
Plain English

Trientine hydrochloride is an oral medication used to treat Wilson disease, a rare genetic disorder that causes copper to accumulate in the body. It works by binding to copper and helping your body eliminate excess copper through urine.

Key Facts

Brand Name
Trientine Hydrochloride
Generic Name
Trientine Hydrochloride
NDC Code (Product)
43598-459
Manufacturer
Dr.Reddys Laboratories Inc
Strength
250 mg/1
Dosage Form
CAPSULE
Route
ORAL
Marketing Status
Application #
ANDA211076
Marketing Start
07/03/2019

Recall History

No Recall History

Side Effects Reported to FDA

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

enteritis8 reports
drug ineffective5 reports
anxiety3 reports
cognitive disorder3 reports
abdominal pain2 reports
acute kidney injury2 reports
arthralgia2 reports
colitis ulcerative2 reports
condition aggravated2 reports
constipation2 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

INDICATIONS AND USAGE Trientine hydrochloride capsules are indicated in the treatment of patients with Wilson's disease who are intolerant of penicillamine. Clinical experience with trientine hydrochloride capsules is limited and alternate dosing regimens have not been well-characterized; all endpoints in determining an individual patient's dose have not been well defined. Trientine hydrochloride capsules and penicillamine cannot be considered interchangeable. Trientine hydrochloride capsules should be used when continued treatment with penicillamine is no longer possible because of intolerable or life endangering side effects. Unlike penicillamine, trientine hydrochloride capsules are not recommended in cystinuria or rheumatoid arthritis. The absence of a sulfhydryl moiety renders it incapable of binding cystine and, therefore, it is of no use in cystinuria. In 15 patients with rheumatoid arthritis, trientine hydrochloride capsules was reported not to be effective in improving any clinical or biochemical parameter after 12 weeks of treatment. Trientine hydrochloride capsules are not indicated for treatment of biliary cirrhosis.

Dosage & Administration

DOSAGE AND ADMINISTRATION Systemic evaluation of dose and/or interval between dose has not been done. However, on limited clinical experience, the recommended initial dose of trientine hydrochloride capsules is 500 to 750 mg/day for pediatric patients and 750 to 1,250 mg/day for adults given in divided doses two, three or four times daily. This may be increased to a maximum of 2,000 mg/day for adults or 1,500 mg/day for pediatric patients age 12 or under. The daily dose of trientine hydrochloride should be increased only when the clinical response is not adequate or the concentration of free serum copper is persistently above 20 mcg/dL. Optimal long-term maintenance dosage should be determined at 6 to 12 month intervals (see PRECAUTIONS , Laboratory Tests ). It is important that trientine hydrochloride capsules be given on an empty stomach, at least one hour before meals or two hours after meals and at least one hour apart from any other drug, food, or milk. The capsules should be swallowed whole with water and should not be opened or chewed.

Warnings

WARNINGS Patient experience with trientine hydrochloride is limited (see CLINICAL PHARMACOLOGY ). Patients receiving trientine hydrochloride should remain under regular medical supervision throughout the period of drug administration. Patients (especially women) should be closely monitored for evidence of iron deficiency anemia.

Contraindications

CONTRAINDICATIONS Hypersensitivity to this product.

Adverse Reactions

ADVERSE REACTIONS Clinical experience with trientine hydrochloride has been limited. The following adverse reactions have been reported in a clinical study in patients with Wilson's disease who were on therapy with trientine hydrochloride: iron deficiency, systemic lupus erythematosus (see CLINICAL PHARMACOLOGY ). In addition, the following adverse reactions have been reported in marketed use: dystonia, muscular spasm, myasthenia gravis. Trientine hydrochloride is not indicated for treatment of biliary cirrhosis, but in one study of 4 patients treated with trientine hydrochloride for primary biliary cirrhosis, the following adverse reactions were reported: heartburn; epigastric pain and tenderness; thickening, fissuring and flaking of the skin; hypochromic microcytic anemia; acute gastritis; aphthoid ulcers; abdominal pain; melena; anorexia; malaise; cramps; muscle pain; weakness; rhabdomyolysis. A causal relationship of these reactions to drug therapy could not be rejected or established. To report SUSPECTED ADVERSE REACTIONS, contact Endo at 1-800-828-9393 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Frequently Asked Questions

What is Trientine Hydrochloride used for?

Trientine hydrochloride is an oral medication used to treat Wilson disease, a rare genetic disorder that causes copper to accumulate in the body. It works by binding to copper and helping your body eliminate excess copper through urine.

Is Trientine Hydrochloride a controlled substance?

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

What is the generic name for Trientine Hydrochloride?

The generic name for Trientine Hydrochloride is Trientine Hydrochloride. There are 3 other brand versions of Trientine Hydrochloride.

What is the NDC code for Trientine Hydrochloride 250 mg/1?

The NDC (National Drug Code) for Trientine Hydrochloride 250 mg/1 is 43598-459, listed by Dr.Reddys Laboratories Inc.

Product NDC

43598-459

Package NDC

43598-459-01

Not medical advice. Always consult your doctor or pharmacist before making any medication decisions.

Data from openFDA · Public domain (CC0 1.0)