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FDA Approval

MYXREDLIN

FDA-approved pharmaceutical product with comprehensive regulatory information, manufacturing details, and complete labeling documentation.

FDA Approval Summary

Company
Effective Date
June 4, 2020
Labeling Type
HUMAN PRESCRIPTION DRUG LABEL
Insulin human(1.00 [iU] in 1 mL)

Manufacturing Establishments1

FDA-registered manufacturing facilities and establishments involved in the production, packaging, or distribution of this drug product.

Baxter Healthcare Corporation

Baxter Healthcare Corporation

194684502

Products1

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

MYXREDLIN

Product Details

NDC Product Code
0338-0126
Application Number
BLA208157
Marketing Category
BLA (C73585)
Route of Administration
INTRAVENOUS
Effective Date
June 20, 2019
Code: 1Y17CTI5SRClass: ACTIBQuantity: 1.00 [iU] in 1 mL
WATERInactive
Code: 059QF0KO0RClass: IACT
SODIUM PHOSPHATE, DIBASIC, ANHYDROUSInactive
Code: 22ADO53M6FClass: IACTQuantity: 0.412 mg in 1 mL
SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATEInactive
Code: 593YOG76RNClass: IACTQuantity: 0.29 mg in 1 mL
SODIUM CHLORIDEInactive
Code: 451W47IQ8XClass: IACTQuantity: 9 mg in 1 mL

Drug Labeling Information

Complete FDA-approved labeling information including indications, dosage, warnings, contraindications, and other essential prescribing details.

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

Representative Container lbl 0338-0126-12 panel 1 of 2


****Representative Container lbl 0338-0126-12 panel 2 of 2


NDC 0338-0126-12

MYXREDLIN
Insulin Human
in 0.9% Sodium Chloride Injection

100 units per 100 mL
(1 unit / mL)

100 mL Single-Dose GALAXY container

Discard unused portion
For Intravenous Infusion Only

(REGULAR) Insulin Human
Sterile Nonpyrogenic

Cautions: Do not add supplemental medication or additives.

Must not be used in series connections. Check for minute leaks and
solution clarity.

Each mL contains: 1 unit Insulin Human, USP; 0.412 mg Dibasic Sodium

Phosphate Anhydrous, USP; 0.29 mg Monobasic Sodium Phosphate

Monohydrate, USP; 9 mg Sodium Chloride, USP; and Water for Injection,

USP.

Dosage: See prescribing information.

Rx only

Store refrigerated at 36°F to 46°F (2°C to 8°C) in the original carton to

protect from light. Do Not Shake. Do Not Freeze.

If needed, may store at room temperature up to 77°F (25°C) up to

30 days. Discard after 30 days if stored at room temperature.

Baxter logo

Baxter, Galaxy and Myxredlin are trademarks of
Baxter International Inc.

Baxter Healthcare Corporation

Deerfield, IL 60015 USA
U.S. License no. 0140

Code 2G3322
PL 2501 Plastic

Product of USA
07-34-00-0510

Representative Carton Label 0338-0126-12

NDC 0338-0126-12

Code 2G3322

MYXREDLIN
Insulin Human
in 0.9% Sodium Chloride Injection
100 units per 100 mL
(1 unit / mL)

For Intravenous Infusion Only
(REGULAR) Insulin Human

USE CARTON TO PROTECT CONTENTS
FROM LIGHT WHILE REFRIGERATED

Rx Only

1 Single-Dose Galaxy container
Discard unused portion

Baxter Logo

For Intravenous Infusion Only

MYXREDLIN

Insulin Human

in 0.9% Sodium Chloride Injection

CONTAINS INSULIN HUMAN
100 units per 100 mL

(1 unit/mL)

NDC 0338-0126-12

MYXREDLIN
Insulin Human
in 0.9% Sodium Chloride Injection
****(1 unit/mL)

UNVARNISHED AREA FOR ON-LINE
PRINTING OF LOT AND EXP

UPC-A
Bar Code
Placement

Sterile, Nonpyrogenic

Each mL contains: 1 unit Insulin Human, USP; 0.412 mg Dibasic Sodium Phosphate Anhydrous,

USP; 0.29 mg Monobasic Sodium Phosphate Monohydrate, USP; 9 mg Sodium Chloride, USP;

and Water for Injection, USP. No preservative.

**Dosage:**For Intravenous Infusion Only. See prescribing information.

**Caution:**Do not add supplemental medication or additives.

Rx only

Store refrigerated at 36°F to 46°F (2°C to 8°C) in the original carton to protect from light.

Do Not Shake. Do Not Freeze.

If needed, may store MYXREDLIN at room temperature up to 77°F (25°C) up to 30 days.
Once stored at room temperature, do not place back in the refrigerator.

Discard after 30 days if stored at room temperature.

Discard 30 days after storing at room temperature. Discard After:

(Month) (Day) (Year)

(to be completed by dispensing pharmacist)

Baxter, Galaxy and Myxredlin are registered trademarks of Baxter International Inc.

Baxter Healthcare Corporation

Deerfield, IL 60015 USA

U.S. License no. 0140

Product of USA
07-01-00-0251

G


DRUG INTERACTIONS SECTION

Highlight:

 Drugs that may increase the risk of hypoglycemia: antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analog (e.g., octreotide), and sulfonamide antibiotics. (7)

 Drugs that may decrease the blood glucose lowering effect: atypical antipsychotics, corticosteroids, danazol, diuretics, estrogens, glucagon, isoniazid, niacin, oral contraceptives, phenothiazines, progestogens (e.g., in oral contraceptives), protease inhibitors, somatropin, sympathomimetic agents (e.g., albuterol, epinephrine, terbutaline), and thyroid hormones. (7)

 Drugs that may increase or decrease the blood glucose lowering effect: Alcohol, beta-blockers, clonidine, lithium salts, and pentamidine. (7)

 Drugs that may blunt the signs and symptoms of hypoglycemia: beta-blockers, clonidine, guanethidine, and reserpine. (7)

7 DRUG INTERACTIONS

Table 1: Clinically Significant Drug Interactions with MYXREDLIN

Drugs that May Increase the Risk of Hypoglycemia

Drugs:

Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analog (e.g., octreotide), and sulfonamide antibiotics.

Intervention:

Dose adjustment and increased frequency of glucose monitoring may be required when MYXREDLIN is co-administered with these drugs.

Drugs that May Decrease the Blood Glucose Lowering Effect of MYXREDLIN

Drugs:

Atypical antipsychotics (e.g., olanzapine and clozapine), corticosteroids, danazol, diuretics, estrogens, glucagon, isoniazid, niacin, oral contraceptives, phenothiazines, progestogens (e.g., in oral contraceptives), protease inhibitors, somatropin, sympathomimetic agents (e.g., albuterol, epinephrine, terbutaline), and thyroid hormones.

Intervention:

Dose adjustment and increased frequency of glucose monitoring may be required when MYXREDLIN is co-administered with these drugs.

Drugs that May Increase or Decrease the Blood Glucose Lowering Effect of MYXREDLIN

Drugs:

Alcohol, beta-blockers, clonidine, and lithium salts. Pentamidine may cause hypoglycemia, which may sometimes be followed by hyperglycemia.

Intervention:

Dose adjustment and increased frequency of glucose monitoring may be required when MYXREDLIN is co-administered with these drugs.

Drugs that May Blunt Signs and Symptoms of Hypoglycemia

Drugs:

Beta-blockers, clonidine, guanethidine, and reserpine.

Intervention:

Increased frequency of glucose monitoring may be required when MYXREDLIN is co-administered with these drugs.


NONCLINICAL TOXICOLOGY SECTION

13 NONCLINICAL TOXICOLOGY

13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility

Standard 2-year carcinogenicity studies in animals have not been performed to evaluate the carcinogenic potential of insulin human injection.

Human insulin is not mutagenic in the following in vitro tests: The chromosomal aberration assay in human lymphocytes, the micronucleus assay in mouse polychromatic erythrocytes, and the mutation frequency assay in Chinese hamster cells.

Standard reproduction and teratology studies in animals, including fertility assessments have not been conducted with insulin human injection.


HOW SUPPLIED SECTION

16 HOW SUPPLIED/STORAGE AND HANDLING

16.1 How Supplied

MYXREDLIN (insulin human) in 0.9% sodium chloride injection contains 100 units/100 mL (1 unit/mL) of insulin human in 0.9% sodium chloride and is a clear, colorless solution available as:

100 mL single-dose GALAXY container, package of 12, NDC 0338-0126-12

16.2 Storage and Handling

Store MYXREDLIN in the refrigerator (36°F to 46°F [2°C to 8°C]) in the original carton to protect from light. Do not use after the expiration date printed on the carton and container label.

If needed, MYXREDLIN may be removed from the original carton and stored at room temperature up to 77°F (25°C) for up to 30 days. Once stored at room temperature, do not place back in the refrigerator. Discard MYXREDLIN after 30 days if stored at room temperature.

Do not freeze and do not use MYXREDLIN if it has been frozen. Do not shake.


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