Zinc Sulfate Injection, USP is supplied in both a 25 mg/5 mL (5 mg/mL) Pharmacy Bulk Package vial, and a 30 mg/10 mL (3 mg/mL) Pharmacy Bulk Package vial.
American Regent, Inc. issued the following announcement on Jan. 28.
American Regent, Inc. announced the introduction of FDA approved Zinc Sulfate Injection, USP. Zinc Sulfate is a trace element indicated in adult and pediatric patients as a source of zinc for parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated.
"We are pleased to offer the first FDA approved Zinc Sulfate Injection - developed to align with the American Society for Parenteral and Enteral Nutrition (ASPEN) recommendations for trace element supplementation.3 This launch demonstrates our commitment to meeting the high bar of a new drug approval, and addressing the FDA's safety initiative for unapproved products,4" stated Harsher Singh, Vice President, Chief Commercial and Strategic Officer at American Regent, Inc. "The 3 mg/mL product represents a new concentration of Zinc Sulfate Injection."
Product is available for immediate shipment. Customers can order Zinc Sulfate Injection, USP through their wholesaler/distributor, or by contacting our Customer Support Group at 1-800-645-1706.
Zinc Sulfate Injection, USP is supplied as follows:
| Pack NDC# | Strength | Supplied As | Shelf Pack |
| 0517-6103-25 | 30 mg/10 mL (3 mg/mL) | 10 mL Pharmacy Bulk Package Vial | 25 |
| 0517-8005-25 | 25 mg/5 mL (5 mg/mL) | 5 mL Pharmacy Bulk Package Vial | 25 |
For additional information, please visit www.americanregent.com.
| References | |
| 1. | Approved Drug Products with Therapeutic Equivalence Evaluations: |
| https://www.accessdata.fda.gov/scripts/cder/ob/results_product.cfm?Appl_Type=N&Appl_No=209377. | |
| Accessed November 26, 2019. | |
| 2. | Zinc Sulfate Injection, USP [package insert]. Shirley, NY: American Regent, Inc. 2019 |
| 3. | American Society for Parenteral and Enteral Nutrition (ASPEN) website: |
| http://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/PN%20Dosing%201-Sheet-FINAL.pdf. | |
| Accessed November 26, 2019. | |
| 4. | FDA's Concerns About Unapproved Drugs: |
| https://www.fda.gov/drugs/unapproved-drugs/fdas-concerns-about-unapproved-drugs#main-content. | |
| Accessed November 26, 2019. | |
| PP-ZN-US-0003 2/2020 |
For intravenous use
INDICATIONS AND USAGE
Zinc Sulfate is a trace element indicated in adult and pediatric patients as a source of zinc for parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated.
Zinc Sulfate Injection is supplied as a pharmacy bulk package for admixing use only. It is not for direct intravenous infusion.
IMPORTANT SAFETY INFORMATION
CONTRAINDICATIONS
Zinc Sulfate Injection is contraindicated in patients with known hypersensitivity to zinc.
WARNINGS AND PRECAUTIONS
Pulmonary Embolism due to Pulmonary Vascular Precipitates: If signs of pulmonary distress occur, stop the infusion and initiate a medical evaluation. The infusion set and catheter should be checked periodically for precipitates.
Vein Damage and Thrombosis: Zinc Sulfate Injection has a low pH and must be prepared and used as an admixture in PN solutions. Solutions with osmolarity of 900 mOsm/L or more must be infused through a central venous catheter.
Aluminum Toxicity: Zinc Sulfate Injection contains aluminum that may be toxic. Aluminum may reach toxic levels with prolonged parenteral administration if kidney function is impaired. Preterm infants are particularly at risk for aluminum toxicity because their kidneys are immature, and they require large amounts of calcium and phosphate solutions, which also contain aluminum.
Monitoring and Laboratory Tests: Monitor Zinc concentrations, fluid and electrolyte status, serum osmolarity, blood glucose, liver and kidney function, blood count and coagulation parameters throughout treatment.
Copper Deficiency: Several post-marketing cases have reported that high doses of supplemental zinc (approximately 10 times the recommended dosage of 3 mg/day Zinc Sulfate Injection in adults) taken over extended periods of time (i.e., months to years) may result in decreased enteral copper absorption and copper deficiency.
Hypersensitivity Reactions: If hypersensitivity reactions occur, discontinue Zinc Sulfate Injection and initiate appropriate medical treatment.
ADVERSE REACTIONS
No zinc-related adverse reactions have been reported in clinical studies or postmarketing reports in patients receiving intravenously administered PN solutions containing zinc sulfate within the recommended dosage range.
USE IN SPECIFIC POPULATIONS
Pregnancy: Risk Summary: Administration of the recommended dose of Zinc Sulfate Injection in PN is not expected to cause major birth defects, miscarriage, or adverse maternal or fetal outcomes.
Lactation: Risk Summary: Zinc is present in human milk. There is no information on the effects of zinc sulfate on milk production. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for Zinc Sulfate Injection and any potential adverse effects on the breastfed infant from Zinc Sulfate Injection or from the underlying maternal condition.
Pediatric Use: Safety and dosing recommendations in pediatric patients are based on published literature describing controlled studies of zinc-containing products in pediatric patients.
Geriatric Use: Dose selection should be individualized based on the patient's clinical condition, nutritional requirements, and additional nutritional intake provided orally or enterally to the patient.
OVERDOSAGE: There are reported cases of overdosage with intravenous zinc in parenteral nutrition.
For additional safety information, please see Full Prescribing Information.
| REF-1299 10/2019 |
Email: pv@americanregent.com; Fax: 1-610-650-0170;
Phone: 1-800-734-9236
ADEs may also be reported to the FDA:
1-800-FDA-1088 or to www.fda.gov/medwatch
Drug Information:
1-888-354-4855
(9:00 am – 5:00 pm Eastern Time, Monday – Friday)
For urgent drug information outside of normal business hours,
assistance is available at:
1-877-845-6371
About American Regent
American Regent, Inc. is a Daiichi Sankyo Group company with over $1B in U.S. sales. American Regent develops, manufactures and supplies high-quality sterile injectables for healthcare providers and their patients.
Supporting patient health is the guiding principle of American Regent, and their promise is to provide the healthcare marketplace with a steady supply and broad portfolio of branded and generic specialty injectables. American Regent is a top-10 injectable supplier in therapeutic areas, including IV additives, anti-inflammatories, diuretics, cytotoxics and diagnostic dyes. Additionally, for nearly 20 years, American Regent has been a leader in IV iron therapy, and supplies two of the top-selling brands in the U.S. today.
For more information, please visit www.americanregent.com.
About Daiichi Sankyo
Daiichi Sankyo Group is dedicated to the creation and supply of innovative pharmaceutical products to address diversified, unmet medical needs of patients in both mature and emerging markets. With over 100 years of scientific expertise and a presence in more than 20 countries, Daiichi Sankyo and its 15,000 employees around the world draw upon a rich legacy of innovation, and a robust pipeline of promising new medicines to help people. In addition to a strong portfolio of medicines for hypertension and thrombotic disorders, under the Group's 2025 Vision to become a "Global Pharma Innovator with Competitive Advantage in Oncology," Daiichi Sankyo research and development is primarily focused on bringing forth novel therapies in oncology, including immuno-oncology, with additional focus on new horizon areas, such as pain management, neurodegenerative diseases, heart and kidney diseases, and other rare diseases. For more information, please visit: www.daiichisankyo.com. Daiichi Sankyo, Inc., headquartered in Basking Ridge, New Jersey, is a member of the Daiichi Sankyo Group.
For more information on Daiichi Sankyo, Inc., please visit: www.dsi.com.
Original source can be found here.
