DRUGS & SUPPLEMENTS

Lumigan RC

Name: Lumigan RC drug & pharmaceuticals. Available Forms, Doses, Prices
Creator: sdrugs.com
Published: 2021-11-11T10:10:10+00:00

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Lumigan RC uses

Recent major changes
Indications and usage
Dosage and administration
Dosage forms and strengths
Contraindications
Warnings and precautions
Adverse reactions
Use in specific populations
Overdosage
Description
Clinical pharmacology
Nonclinical toxicology
Clinical studies
How supplied/storage and handling
Patient counseling information
Lumigan RC reviews

RECENT MAJOR CHANGES

Warnings and Precautions, Intraocular Inflammation (5.3) 09/2014

1 INDICATIONS AND USAGE

Lumigan RC ophthalmic solution, 0.03% is a prostaglandin analog indicated for the reduction of elevated intraocular pressure in patients with open angle glaucoma or ocular hypertension. (1)

Lumigan RC ophthalmic solution, 0.03% is indicated for the reduction of elevated intraocular pressure in patients with open angle glaucoma or ocular hypertension.

2 DOSAGE AND ADMINISTRATION

One drop in the affected eye(s) once daily in the evening. (2)

The recommended dosage is one drop in the affected eye(s) once daily in the evening.

Lumigan RC ophthalmic solution, 0.03% should not be administered more than once daily since it has been shown that more frequent administration of prostaglandin analogs may decrease the intraocular pressure lowering effect.

Reduction of the intraocular pressure starts approximately 4 hours after the first administration with maximum effect reached within approximately 8 to 12 hours.

Lumigan RC ophthalmic solution, 0.03% may be used concomitantly with other topical ophthalmic drug products to lower intraocular pressure. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart.

3 DOSAGE FORMS AND STRENGTHS

Solution containing 0.3 mg/mL Lumigan RC. (3)

Ophthalmic solution containing Lumigan RC 0.3 mg/mL.

4 CONTRAINDICATIONS

None. (4)

None

5 WARNINGS AND PRECAUTIONS

Pigmentation.

Pigmentation of the iris, periorbital tissue and eyelashes can occur. Iris pigmentation is likely to be permanent. (5.1)

Eyelash Changes.

Gradual change to eyelashes including increased length, thickness and number of lashes. Usually reversible. (5.2)

5.1 Pigmentation

Lumigan RC ophthalmic solution has been reported to cause changes to pigmented tissues. The most frequently reported changes have been increased pigmentation of the iris, periorbital tissue (eyelid) and eyelashes. Pigmentation is expected to increase as long as Lumigan RC is administered. The pigmentation change is due to increased melanin content in the melanocytes rather than to an increase in the number of melanocytes. After discontinuation of Lumigan RC, pigmentation of the iris is likely to be permanent, while pigmentation of the periorbital tissue and eyelash changes have been reported to be reversible in some patients. Patients who receive treatment should be informed of the possibility of increased pigmentation. The long term effects of increased pigmentation are not known.

Iris color change may not be noticeable for several months to years. Typically, the brown pigmentation around the pupil spreads concentrically towards the periphery of the iris and the entire iris or parts of the iris become more brownish. Neither nevi nor freckles of the iris appear to be affected by treatment. While treatment with Lumigan RC ophthalmic solution, 0.03% can be continued in patients who develop noticeably increased iris pigmentation, these patients should be examined regularly .

5.2 Eyelash Changes

Lumigan RC ophthalmic solution, 0.03% may gradually change eyelashes and vellus hair in the treated eye. These changes include increased length, thickness, and number of lashes. Eyelash changes are usually reversible upon discontinuation of treatment.

5.3 Intraocular Inflammation

Prostaglandin analogs, including Lumigan RC, have been reported to cause intraocular inflammation. In addition, because these products may exacerbate inflammation, caution should be used in patients with active intraocular inflammation.

5.4 Macular Edema

Macular edema, including cystoid macular edema, has been reported during treatment with Lumigan RC ophthalmic solution. Lumigan RC ophthalmic solution, 0.03% should be used with caution in aphakic patients, in pseudophakic patients with a torn posterior lens capsule, or in patients with known risk factors for macular edema.

5.5 Bacterial Keratitis

There have been reports of bacterial keratitis associated with the use of multiple-dose containers of topical ophthalmic products. These containers had been inadvertently contaminated by patients who, in most cases, had a concurrent corneal disease or a disruption of the ocular epithelial surface [ see PATIENT COUNSELING INFORMATION, ].

5.6 Use with Contact Lenses

Contact lenses should be removed prior to instillation of Lumigan RC ophthalmic solution, 0.03% and may be reinserted 15 minutes following its administration.

6 ADVERSE REACTIONS

Most common adverse reaction is conjunctival hyperemia. (6.1)

To report SUSPECTED ADVERSE REACTIONS, contact Lupin Pharmaceuticals Inc. at 1-800-399-2561 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

6.1 Clinical Studies Experience

Because clinical studies are conducted under widely varying conditions, adverse reaction rates observed in the clinical studies of a drug cannot be directly compared to rates in the clinical studies of another drug and may not reflect the rates observed in practice.

In clinical trials, the most frequent events associated with the use of Lumigan RC ophthalmic solution, 0.03% occurring in approximately 15% to 45% of patients, in descending order of incidence, included conjunctival hyperemia, growth of eyelashes, and ocular pruritus. Approximately 3% of patients discontinued therapy due to conjunctival hyperemia.

Ocular adverse events occurring in approximately 3 to 10% of patients, in descending order of incidence, included ocular dryness, visual disturbance, ocular burning, foreign body sensation, eye pain, pigmentation of the periocular skin, blepharitis, cataract, superficial punctate keratitis, periorbital erythema, ocular irritation, and eyelash darkening. The following ocular adverse events reported in approximately 1 to 3% of patients, in descending order of incidence, included: eye discharge, tearing, photophobia, allergic conjunctivitis, asthenopia, increases in iris pigmentation, and conjunctival edema. In less than 1% of patients, intraocular inflammation was reported as iritis.

Systemic adverse events reported in approximately 10% of patients were infections (primarily colds and upper respiratory tract infections). The following systemic adverse events reported in approximately 1 to 5% of patients, in descending order of incidence, included headaches, abnormal liver function tests, asthenia and hirsutism.

6.2 Postmarketing Experience

The following reactions have been identified during postmarketing use of Lumigan RC ophthalmic solution, 0.03% in clinical practice. Because they are reported voluntarily from a population of unknown size, estimates of frequency cannot be made. The reactions, which have been chosen for inclusion due to either their seriousness, frequency of reporting, possible causal connection to Lumigan RC ophthalmic solution, or a combination of these factors, include: abnormal hair growth, dizziness, eyelid edema, hypertension, nausea, and periorbital and lid changes associated with a deepening of the eyelid sulcus.

8 USE IN SPECIFIC POPULATIONS

Use in pediatric patients below the age of 16 years is not recommended because of potential safety concerns related to increased pigmentation following long-term chronic use.

8.1 Pregnancy

Pregnancy Category C

Teratogenic effects:

In embryo/fetal developmental studies in pregnant mice and rats, abortion was observed at oral doses of Lumigan RC which achieved at least 33 or 97 times, respectively, the maximum intended human exposure based on blood AUC levels.

At doses at least 41 times the maximum intended human exposure based on blood AUC levels, the gestation length was reduced in the dams, the incidence of dead fetuses, late resorptions, peri- and postnatal pup mortality was increased, and pup body weights were reduced.

There are no adequate and well-controlled studies of Lumigan RC ophthalmic solution, 0.03% administration in pregnant women. Because animal reproductive studies are not always predictive of human response. Lumigan RC ophthalmic solution, 0.03% should be administered during pregnancy only if the potential benefit justifies the potential risk to the fetus.

8.3 Nursing Mothers

It is not known whether Lumigan RC ophthalmic solution, 0.03% is excreted in human milk, although in animal studies, Lumigan RC has been shown to be excreted in breast milk. Because many drugs are excreted in human milk, caution should be exercised when Lumigan RC ophthalmic solution, 0.03% is administered to a nursing woman.

8.4 Pediatric Use

Use in pediatric patients below the age of 16 years is not recommended because of potential safety concerns related to increased pigmentation following long-term chronic use.

8.5 Geriatric Use

No overall clinical differences in safety or effectiveness have been observed between elderly and other adult patients.

8.6 Hepatic Impairment

In patients with a history of liver disease or abnormal ALT, AST and/or bilirubin at baseline, Lumigan RC 0.03% had no adverse effect on liver function over 48 months.

10 OVERDOSAGE

No information is available on overdosage in humans. If overdose with Lumigan RC ophthalmic solution, 0.03% occurs, treatment should be symptomatic.

In oral (by gavage) mouse and rat studies, doses up to 100 mg/kg/day did not produce any toxicity. This dose expressed as mg/m² is at least 70 times higher than the accidental dose of one bottle of Lumigan RC ophthalmic solution, 0.03% for a 10 kg child.

11 DESCRIPTION

Lumigan RC ophthalmic solution, 0.03% is a synthetic prostamide analog with ocular hypotensive activity. Its chemical name is (Z)-7-[(1R,2R,3R,5S)-3,5-Dihydroxy-2-[(1E,3S)-3-hydroxy-5-phenyl-1-pentenyl]cyclopentyl]-5-N-ethylheptenamide, and its molecular weight is 415.58. Its molecular formula is C₂₅H₃₇NO₄. Its chemical structure is:

Lumigan RC is a powder, which is freely soluble in alcohol. Lumigan RC ophthalmic solution, 0.03% is a clear, isotonic, colorless, sterile ophthalmic solution with an osmolality of approximately 290 mOsmol/kg.

Lumigan RC ophthalmic solution, 0.03% contains Active: Lumigan RC 0.3 mg/mL; Inactives: benzalkonium chloride 0.05 mg/mL; disodium hydrogen phosphate heptahydrate, citric acid monohydrate, sodium chloride and water for injection. Sodium hydroxide and/or hydrochloric acid may be added to adjust pH. The pH during its shelf life ranges from 6.9 to 7.6.

structure

12 CLINICAL PHARMACOLOGY

12.1 Mechanism of Action

Lumigan RC, a prostaglandin analog, is a synthetic structural analog of prostaglandin with ocular hypotensive activity. It selectively mimics the effects of naturally occurring substances, prostamides. Lumigan RC is believed to lower intraocular pressure in humans by increasing outflow of aqueous humor through both the trabecular meshwork and uveoscleral routes. Elevated IOP presents a major risk factor for glaucomatous field loss. The higher the level of IOP, the greater the likelihood of optic nerve damage and visual field loss.

12.3 Pharmacokinetics

Absorption

After one drop of Lumigan RC ophthalmic solution, 0.03% was administered once daily to both eyes of 15 healthy subjects for two weeks, blood concentrations peaked within 10 minutes after dosing and were below the lower limit of detection in most subjects within 1.5 hours after dosing. Mean C_max and AUC_0-24hr values were similar on days 7 and 14 at approximately 0.08 ng/mL and 0.09 ng-hr/mL, respectively, indicating that steady state was reached during the first week of ocular dosing. There was no significant systemic drug accumulation over time.

Distribution

Lumigan RC is moderately distributed into body tissues with a steady-state volume of distribution of 0.67 L/kg. In human blood, Lumigan RC resides mainly in the plasma. Approximately 12% of Lumigan RC remains unbound in human plasma.

Metabolism

Lumigan RC is the major circulating species in the blood once it reaches the systemic circulation following ocular dosing. Lumigan RC then undergoes oxidation, N-deethylation and glucuronidation to form a diverse variety of metabolites.

Elimination

Following an intravenous dose of radiolabeled Lumigan RC (3.12 mcg/kg) to six healthy subjects, the maximum blood concentration of unchanged drug was 12.2 ng/mL and decreased rapidly with an elimination half-life of approximately 45 minutes. The total blood clearance of Lumigan RC was 1.5 L/hr/kg. Up to 67% of the administered dose was excreted in the urine while 25% of the dose was recovered in the feces.

13 NONCLINICAL TOXICOLOGY

13.1 Carcinogenesis, Mutagenesis, Impairment Of Fertility

Lumigan RC was not carcinogenic in either mice or rats when administered by oral gavage at doses of up to 2 mg/kg/day and 1 mg/kg/day respectively (at least 192 and 291 times the recommended human exposure based on blood AUC levels respectively) for 104 weeks.

Lumigan RC was not mutagenic or clastogenic in the Ames test, in the mouse lymphoma test, or in the in vivo mouse micronucleus tests.

Lumigan RC did not impair fertility in male or female rats up to doses of 0.6 mg/kg/day (at least 103 times the recommended human exposure based on blood AUC levels).

14 CLINICAL STUDIES

In clinical studies of patients with open angle glaucoma or ocular hypertension with a mean baseline IOP of 26 mmHg, the IOP-lowering effect of Lumigan RC ophthalmic solution, 0.03% once daily (in the evening) was 7 to 8 mmHg.

16 HOW SUPPLIED/STORAGE AND HANDLING

Lumigan RC ophthalmic solution, 0.03% is supplied sterile in opaque white low density polyethylene bottle which is closed with white low density polyethylene nozzle and then with turquoise colored high density polyethylene cap in the following sizes:

2.5 mL fill in a 5 mL container - NDC 68180-429-01

5 mL fill in a 10 mL container - NDC 68180-429-02

7.5 mL fill in a 10 mL container - NDC 68180-429-03

Storage: Lumigan RC ophthalmic solution, 0.03% should be stored at 2 to 25°C (36 to 77°F).

17 PATIENT COUNSELING INFORMATION

17.1 Potential for Pigmentation

Advise patients about the potential for increased brown pigmentation of the iris, which may be permanent. Also inform patients about the possibility of eyelid skin darkening, which may be reversible after discontinuation of Lumigan RC ophthalmic solution, 0.03%.

17.2 Potential for Eyelash Changes

Inform patients of the possibility of eyelash and vellus hair changes in the treated eye during treatment with Lumigan RC ophthalmic solution, 0.03%. These changes may result in a disparity between eyes in length, thickness, pigmentation, number of eyelashes or vellus hairs, and/or direction of eyelash growth. Eyelash changes are usually reversible upon discontinuation of treatment.

17.3 Handling the Container

Instruct patients to avoid allowing the tip of the dispensing container to contact the eye, surrounding structures, fingers, or any other surface in order to avoid contamination of the solution by common bacteria known to cause ocular infections. Serious damage to the eye and subsequent loss of vision may result from using contaminated solutions.

17.4 When to Seek Physician Advice

Advise patients that if they develop an intercurrent ocular condition, have ocular surgery, or develop any ocular reactions, particularly conjunctivitis and eyelid reactions, they should immediately seek their physician's advice concerning the continued use of Lumigan RC ophthalmic solution, 0.03%.

17.5 Use with Contact Lenses

Advise patients that Lumigan RC ophthalmic solution, 0.03% contains benzalkonium chloride, which may be absorbed by soft contact lenses. Contact lenses should be removed prior to instillation of Lumigan RC ophthalmic solution, 0.03% and may be reinserted 15 minutes following its administration.

17.6 Use with Other Ophthalmic Drugs

Advise patients that if more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes between applications.

Marketed by:

Lupin Pharmaceuticals, Inc.

Baltimore, Maryland 21202

United States

Manufactured by:

Lupin Limited

Pithampur (M.P.) - 454 775

India

March 2015 ID#: 239313

Lumigan RC OPHTHALMIC SOLUTION

Rx Only

0.03%

NDC 68180-429-01

2.5 mL Bottle Label

Lumigan RC OPHTHALMIC SOLUTION

Rx Only

0.03%

NDC 68180-429-01

2.5 mL Carton Label

Lumigan RC OPHTHALMIC SOLUTION

Rx Only

0.03%

NDC 68180-429-02

5 mL Bottle Label

Lumigan RC OPHTHALMIC SOLUTION

Rx Only

0.03%

NDC 68180-429-02

5 mL Carton Label

Lumigan RC OPHTHALMIC SOLUTION

Rx Only

0.03%

NDC 68180-429-03

7.5 mL Bottle Label

Lumigan RC OPHTHALMIC SOLUTION

Rx Only

0.03%

NDC 68180-429-03

7.5 mL Carton Label

2.5 ml bottle 2.5 ml carton 5 ml bottle 5 ml carton 7.5 ml bottle 7.5 ml carton

Lumigan RC pharmaceutical active ingredients containing related brand and generic drugs:

Bimatoprost

Lumigan RC available forms, composition, doses:

Solution; Ophthalmic; Bimatoprost 0.01%

Lumigan RC destination | category:

Human:
Antiglaucoma preparations
EENT drugs, miscellaneous
Prostaglandin analogs

Lumigan RC Anatomical Therapeutic Chemical codes:

S01EE03 - Bimatoprost

Lumigan RC pharmaceutical companies:

Allergan

References

Dailymed."BIMATOPROST SOLUTION/ DROPS [LUPIN PHARMACEUTICALS, INC.]". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
Dailymed."BIMATOPROST: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
"Bimatoprost". https://pubchem.ncbi.nlm.nih.gov/co... (accessed August 28, 2018).

Frequently asked Questions

Can i drive or operate heavy machine after consuming Lumigan RC?

Depending on the reaction of the Lumigan RC after taken, if you are feeling dizziness, drowsiness or any weakness as a reaction on your body, Then consider Lumigan RC not safe to drive or operate heavy machine after consumption. Meaning that, do not drive or operate heavy duty machines after taking the capsule if the capsule has a strange reaction on your body like dizziness, drowsiness. As prescribed by a pharmacist, it is dangerous to take alcohol while taking medicines as it exposed patients to drowsiness and health risk. Please take note of such effect most especially when taking Primosa capsule. It's advisable to consult your doctor on time for a proper recommendation and medical consultations.

Is Lumigan RC addictive or habit forming?

Medicines are not designed with the mind of creating an addiction or abuse on the health of the users. Addictive Medicine is categorically called Controlled substances by the government. For instance, Schedule H or X in India and schedule II-V in the US are controlled substances.

Please consult the medicine instruction manual on how to use and ensure it is not a controlled substance.In conclusion, self medication is a killer to your health. Consult your doctor for a proper prescription, recommendation, and guidiance.

Review

sdrugs.com conducted a study on Lumigan RC, and the result of the survey is set out below. It is noteworthy that the product of the survey is based on the perception and impressions of the visitors of the website as well as the views of Lumigan RC consumers. We, as a result of this, advice that you do not base your therapeutic or medical decisions on this result, but rather consult your certified medical experts for their recommendations.