Emend® I.V. Powder for Solution for Infusion 150mg

MSD PHARMA (SINGAPORE) PTE. LTD.

MSD PHARMA (SINGAPORE) PTE. LTD.

Therapeutic

Prescription Only

INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION

**V. DOSAGE AND ADMINISTRATION** EMEND I.V. for intravenous administration is a lyophilized prodrug of aprepitant (EMEND) containing polysorbate 80 (PS80). **EMEND I.V. 150 mg** EMEND I.V. 150 mg is administered on Day 1 as an infusion **over 20 – 30 minutes** initiated approximately 30 minutes prior to chemotherapy. EMEND I.V. should be administered in conjunction with a corticosteroid and a 5-HT3 antagonist as specified in the tables below. The package insert for the co-administered 5-HT3 antagonist must be consulted prior to initiation of treatment with EMEND I.V. 150 mg. Recommended dosing for the prevention of nausea and vomiting associated with highly emetogenic cancer chemotherapy:  Recommended dosing for the prevention of nausea and vomiting associated with moderately emetogenic cancer chemotherapy:  **Preparation of EMEND I.V. for Injection 150 mg** 1. Aseptically inject 5 ml 0.9% saline into the vial. Assure that saline is added to the vial along the vial wall in order to prevent foaming. Swirl the vial gently. Avoid shaking and jetting saline into the vial. 2. Aseptically prepare an infusion bag filled with **145 ml** of saline. 3. Aseptically withdraw the entire volume from the vial and transfer it into an infusion bag containing 145 ml of saline to **yield a total volume of 150 ml**. Gently invert the bag 2–3 times. The reconstituted solution should be used immediately; although the reconstituted final drug solution is stable for 24 hours at ambient room temperature (at or below 25°C). Parenteral drug products should be inspected visually for particulate matter and discoloration before administration whenever solution and container permit. EMEND I.V. is incompatible with any solutions containing divalent cations (e.g., Ca2+, Mg2+), including Hartman’s and Lactated Ringer’s Solution. EMEND I.V. must not be reconstituted or mixed with solutions for which physical and chemical compatibility have not been established. **GENERAL INFORMATION** See DRUG INTERACTIONS for additional information on the administration of EMEND I.V. with corticosteroids – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_. Refer to the full prescribing information for coadministered antiemetic agents. No dosage adjustment is necessary based on age, gender, race or Body Mass Index (BMI). No dosage adjustment is necessary for patients with severe renal insufficiency (creatinine clearance <30 ml/min) or for patients with end stage renal disease undergoing hemodialysis. No dosage adjustment is necessary for patients with mild to moderate hepatic insufficiency (Child-Pugh score 5 to 9). There are no clinical data in patients with severe hepatic insufficiency (Child-Pugh score >9).