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Quetiapine
Overview
Active ingredients
Source: NDC Directory| Ingredient | Strength | RxCUI | Monograph |
|---|---|---|---|
| Quetiapine Fumarate | 100 mg/1 | 312743 | View |
| Quetiapine Fumarate | 150 mg/1 | 312743 | View |
| Quetiapine Fumarate | 200 mg/1 | 312743 | View |
| Quetiapine Fumarate | 25 mg/1 | 312743 | View |
| Quetiapine Fumarate | 300 mg/1 | 312743 | View |
| Quetiapine Fumarate | 400 mg/1 | 312743 | View |
| Quetiapine Fumarate | 50 mg/1 | 312743 | View |
Forms, strengths and routes
Source: NDC DirectoryPharmacologic classes are listed in the class section below.
Pharmacologic class
Source: NDC Directory| Class | Type | Browse |
|---|---|---|
| Atypical Antipsychotic [EPC] | EPC | All 62 members |
Regulatory status
Source: Drugs@FDANDC Directory| Product | Trade name | Form | Strength | Ingredient | Status | TE | Flags |
|---|---|---|---|---|---|---|---|
| 201504-001 | QUETIAPINE FUMARATE | TABLET | QUETIAPINE FUMARATE | Prescription | AB | ||
| 201504-002 | QUETIAPINE FUMARATE | TABLET | QUETIAPINE FUMARATE | Prescription | AB | ||
| 201504-003 | QUETIAPINE FUMARATE | TABLET | QUETIAPINE FUMARATE | Prescription | AB | ||
| 201504-004 | QUETIAPINE FUMARATE | TABLET | QUETIAPINE FUMARATE | Prescription | AB | ||
| 201504-005 | QUETIAPINE FUMARATE | TABLET | QUETIAPINE FUMARATE | Prescription | AB | ||
| 201504-006 | QUETIAPINE FUMARATE | TABLET | QUETIAPINE FUMARATE | Prescription | AB | ||
| 201504-007 | QUETIAPINE FUMARATE | TABLET | QUETIAPINE FUMARATE | Prescription | AB |
Therapeutic equivalence
Source: Orange BookWhat this rating means: Therapeutically equivalent — bioequivalence demonstrated by in vivo or in vitro testing
Codes beginning with “A” indicate products the FDA considers therapeutically equivalent. Codes beginning with “B” indicate bioequivalence has not been established. See methodology.
Approval history
Source: Drugs@FDA| Type | No. | Action | Status | Date | Review |
|---|---|---|---|---|---|
| Supplement | 28 | Labeling | Approved | May 11, 2023 | Standard |
| Supplement | 27 | Labeling | Approved | May 11, 2023 | Standard |
| Supplement | 23 | Labeling | Approved | May 11, 2023 | Standard |
| Supplement | 21 | Labeling | Approved | May 11, 2023 | Standard |
| Supplement | 17 | Labeling | Approved | May 11, 2023 | Standard |
| Supplement | 16 | Labeling | Approved | May 11, 2023 | Standard |
| Supplement | 9 | Labeling | Approved | May 11, 2023 | Standard |
| Supplement | 2 | Labeling | Approved | October 6, 2015 | Standard |
| Supplement | 1 | Labeling | Approved | August 29, 2013 | Standard |
| Original application | 1 | Not Applicable | Approved | February 12, 2013 | — |
Prescribing information
Source: openFDA Drug LabelingReproduced verbatim from the Structured Product Labeling submitted to the FDA (effective 20260115). This is the manufacturer's labelling text, not a summary and not advice.
Boxed Warning
openFDA Drug LabelingWARNING: INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS; and SUICIDAL THOUGHTS AND BEHAVIORS Increased Mortality in Elderly Patients with Dementia-Related Psychosis Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death [see Warnings and Precautions ( 5.1 ) ] . Quetiapine fumarate is not approved for the treatment of patients with dementia-related psychosis [see Warnings and Precautions ( 5.1 ) ] . Suicidal Thoughts and Behaviors Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term studies. These studies did not show an increase in the risk of suicidal thoughts and behavior with antidepressant use in patients over age 24; there was a reduction in risk with antidepressant use in patients aged 65 and older [see Warnings and Precautions ( 5.2 ) ] . In patients of all ages who are started on antidepressant therapy, monitor closely for worsening, and for emergence of suicidal thoughts and behaviors. Advise families and caregivers of the need for close observation and communication with the prescriber [see Warnings and Precautions ( 5.2 ) ] . Quetiapine fumarate is not approved for use in pediatric patients under ten years of age [see Use in Specific Populations ( 8.4 ) ] . WARNING: INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS; and SUICIDAL THOUGHTS AND BEHAVIORS See full prescribing information for complete boxed warning. Increased Mortality in Elderly Patients with Dementia-Related Psychosis • Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Quetiapine fumarate is not approved for elderly patients with dementia-related psychosis ( 5.1 ) Suicidal Thoughts and Behaviors • Increased risk of suicidal thoughts and behavior in children, adolescents and young adults taking antidepressants ( 5.2 ) • Monitor for worsening and emergence of suicidal thoughts and behaviors ( 5.2 )
Recent Major Changes
openFDA Drug LabelingRECENT MAJOR CHANGES Warnings and Precautions, Tardive Dyskinesia ( 5.6 ) 08/2019 Warnings and Precautions, Leukopenia, Neutropenia and Agranulocytosis ( 5.10 ) 11/2018 Warnings and Precautions, Anticholinergic (antimuscarinic) Effects ( 5.20 ) 11/2018
Indications and Usage
openFDA Drug Labeling1 INDICATIONS AND USAGE Quetiapine tablet is an atypical antipsychotic indicated for the treatment of: • Schizophrenia ( 1.1 ) • Bipolar I disorder manic episodes ( 1.2 ) • Bipolar disorder, depressive episodes ( 1.2 ) 1.1 Schizophrenia Quetiapine tablet is indicated for the treatment of schizophrenia. The efficacy of quetiapine tablets in schizophrenia was established in three 6-week trials in adults and one 6-week trial in adolescents (13 to 17 years). The effectiveness of quetiapine tablets for the maintenance treatment of schizophrenia has not been systematically evaluated in controlled clinical trials [see Clinical Studies (14.1)]. 1.2 Bipolar Disorder Quetiapine tablet is indicated for the acute treatment of manic episodes associated with bipolar I disorder, both as monotherapy and as an adjunct to lithium or divalproex. Efficacy was established in two 12-week monotherapy trials in adults, in one 3-week adjunctive trial in adults, and in one 3-week monotherapy trial in pediatric patients (10 to 17 years) [ see Clinical Studies (14.2)] . Quetiapine tablet is indicated as monotherapy for the acute treatment of depressive episodes associated with bipolar disorder. Efficacy was established in two 8-week monotherapy trials in adult patients with bipolar I and bipolar II disorder [ see Clinical Studies (14.2)] . Quetiapine tablet is indicated for the maintenance treatment of bipolar I disorder, as an adjunct to lithium or divalproex. Efficacy was established in two maintenance trials in adults. The effectiveness of quetiapine tablets as monotherapy for the maintenance treatment of bipolar disorder has not been systematically evaluated in controlled clinical trials [ see Clinical Studies (14.2)] . 1.3 Special Considerations in Treating Pediatric Schizophrenia and Bipolar I Disorder Pediatric schizophrenia and bipolar I disorder are serious mental disorders, however, diagnosis can be challenging. For pediatric schizophrenia, symptom profiles can be variable, and for bipolar I disorder, patients may have variable patterns of periodicity of manic or mixed symptoms. It is recommended that medication therapy for pediatric schizophrenia and bipolar I disorder be initiated only after a thorough diagnostic evaluation has been performed and careful consideration given to the risks associated with medication treatment. Medication treatment for both pediatric schizophrenia and bipolar I disorder is indicated as part of a total treatment program that often includes psychological, educational and social interventions.
Dosage and Administration
openFDA Drug Labeling2 DOSAGE AND ADMINISTRATION • Quetiapine tablets can be taken with or without food ( 2.1 ) Indication Initial Dose Recommended Dose Maximum Dose Schizophrenia-Adults ( 2.2 ) 25 mg twice daily 150 to 750 mg/day 750 mg/day Schizophrenia-Adolescents (13 to 17 years) ( 2.2 ) 25 mg twice daily 400 to 800 mg/day 800 mg/day Bipolar Mania- Adults Monotherapy or as an adjunct to lithium or divalproex ( 2.2 ) 50 mg twice daily 400 to 800 mg/day 800 mg/day Bipolar Mania-Children and Adolescents (10 to 17 years), Monotherapy ( 2.2 ) 25 mg twice daily 400 to 600 mg/day 600 mg/day Bipolar Depression-Adults ( 2.2 ) 50 mg once daily at bedtime 300 mg/day 300 mg/day • Geriatric Use: Consider a lower starting dose (50 mg/day), slower titration and careful monitoring during the initial dosing period in the elderly ( 2.3 , 8.5 ) • Hepatic Impairment: Lower starting dose (25 mg/day) and slower titration may be needed ( 2.4 , 8.7 , 12.3 ) 2.1 Important Administration Instructions Quetiapine tablets can be taken with or without food. 2.2 Recommended Dosing The recommended initial dose, titration, dose range and maximum quetiapine tablets dose for each approved indication is displayed in Table 1. After initial dosing, adjustments can be made upwards or downwards, if necessary, depending upon the clinical response and tolerability of the patient [see Clinical Studies ( 14.1 and 14.2 )]. Table 1: Recommended Dosing for Quetiapine Tablets Indication Initial Dose and Titration Recommended Dose Maximum Dose Schizophrenia-Adults Day 1: 25 mg twice daily. Increase in increments of 25 mg to 50 mg divided two or three times on Days 2 and 3 to range of 300 to 400 mg by Day 4. Further adjustments can be made in increments of 25 to 50 mg twice a day, in intervals of not less than 2 days. 150 to 750 mg/day 750 mg/day Schizophrenia-Adolescents (13 to 17 years) Day 1: 25 mg twice daily. Day 2: Twice daily dosing totaling 100 mg. Day 3: Twice daily dosing totaling 200 mg. Day 4: Twice daily dosing totaling 300 mg. Day 5: Twice daily dosing totaling 400 mg. Further adjustments should be in increments no greater than 100 mg/day within the recommended dose range of 400 to 800 mg/day. Based on response and tolerability, may be administered three times daily. 400 to 800 mg/day 800 mg/day Schizophrenia-Maintenance N/A N/A Not applicable 400 to 800 mg/day 800 mg/day Bipolar Mania-Adults Monotherapy or as an adjunct to lithium or divalproex Day 1: Twice daily dosing totaling 100 mg. Day 2: Twice daily dosing totaling 200 mg. Day 3: Twice daily dosing totaling 300 mg. Day 4: Twice daily dosing totaling 400 mg. Further dosage adjustments up to 800 mg/day by Day 6 should be in increments of no greater than 200 mg/day. 400 to 800 mg/day 800 mg/day Bipolar Mania-Children and Adolescents (10 to 17 years), Monotherapy Day 1: 25 mg twice daily. Day 2: Twice daily dosing totaling 100 mg. Day 3: Twice daily dosing totaling 200 mg. Day 4: Twice daily dosing totaling 300 mg. Day 5: Twice daily dosing totaling 400 mg. Further adjustments should be in increments no greater than 100 mg/day within the recommended dose range of 400 to 600 mg/day. Based on response and tolerability, may be administered three times daily. 400 to 600 mg/day 600 mg/day Bipolar Depression-Adults Administer once daily at bedtime. Day 1: 50 mg Day 2: 100 mg Day 3: 200 mg Day 4: 300 mg 300 mg/day 300 mg/day Bipolar I Disorder Maintenance Therapy-Adults Administer twice daily totaling 400 to 800 mg/day as adjunct to lithium or divalproex. Generally, in the maintenance phase, patients continued on the same dose on which they were stabilized. 400 to 800 mg/day 800 mg/day Maintenance Treatment for Schizophrenia and Bipolar I Disorder Maintenance Treatment —Patients should be periodically reassessed to determine the need for maintenance treatment and the appropriate dose for such treatment [see Clinical Studies ( 14.2 )]. 2.3 Dose Modifications in Elderly Patients Consideration should be given to a slower rate of dose t …
Dosage Forms and Strengths
openFDA Drug Labeling3 DOSAGE FORMS & STRENGTHS • Quetiapine Tablets, USP 25 mg are Peach coloured, film coated, round shape, biconvex tablets, debossed with "262" on other side and plain on other side • Quetiapine Tablets, USP 50 mg are White coloured, film coated, round shape, biconvex tablets, debossed with"337" on one side and plain on other side • Quetiapine Tablets, USP 100 mg are Yellow coloured film coated, round shape, biconvex tablets, debossed with "261" on one side and plain on other side • Quetiapine Tablets, USP 150 mg are Off white to light yellow coloured, film coated, round shape, biconvex tablets, debossed with "353" on one side and plain on other side • Quetiapine Tablets, USP 200 mg are White coloured, film coated, round shape, biconvex tablets, debossed with "260" on one side and plain on other side • Quetiapine Tablets, USP 300 mg are White coloured, film coated, capsule shaped, biconvex tablets, debossed with "259" on one side and plain on other side • Quetiapine Tablets, USP 400 mg are Yellow coloured, film coated, capsule shaped, biconvex tablets, debossed with ''336'' on one side and plain on other side Tablets: 25 mg, 50 mg, 100 mg, 150mg, 200 mg, 300 mg, and 400 mg ( 3 )
Contraindications
openFDA Drug Labeling4 CONTRAINDICATIONS Hypersensitivity to quetiapine or to any excipients in the quetiapine fumarate formulation. Anaphylactic reactions have been reported in patients treated with quetiapine fumarate. Known hypersensitivity to quetiapine fumarate or any components in the formulation. ( 4 )
Warnings and Cautions
openFDA Drug Labeling5 WARNINGS AND PRECAUTIONS Cerebrovascular Adverse Reactions: Increased incidence of cerebrovascular adverse reactions (e.g., stroke, transient ischemic attack) has been seen in elderly patients with dementia-related psychoses treated with atypical antipsychotic drugs ( 5.3 ) Neuroleptic Malignant Syndrome (NMS): Manage with immediate discontinuation and close monitoring ( 5.4 ) Metabolic Changes: Atypical antipsychotics have been associated with metabolic changes. These metabolic changes include hyperglycemia, dyslipidemia, and weight gain ( 5.5 ) Hyperglycemia and Diabetes Mellitus: Monitor patients for symptoms of hyperglycemia including polydipsia, polyuria, polyphagia, and weakness. Monitor glucose regularly in patients with diabetes or at risk for diabetes Dyslipidemia: Undesirable alterations have been observed in patients treated with atypical antipsychotics. Appropriate clinical monitoring is recommended, including fasting blood lipid testing at the beginning of, and periodically, during treatment Weight Gain: Gain in body weight has been observed; clinical monitoring of weight is recommended Tardive Dyskinesia: Discontinue if clinically appropriate ( 5.6 ) Hypotension: Use with caution in patients with known cardiovascular or cerebrovascular disease ( 5.7 ) Increased Blood Pressure in Children and Adolescents: Monitor blood pressure at the beginning of, and periodically during treatment in children and adolescents ( 5.9 ) Leukopenia, Neutropenia and Agranulocytosis: Monitor complete blood count frequently during the first few months of treatment in patients with a pre-existing low white cell count or a history of leukopenia/neutropenia and discontinue quetiapine at the first sign of a decline in WBC in absence of other causative factors ( 5.10 ) Cataracts: Lens changes have been observed in patients during long-term quetiapine treatment. Lens examination is recommended when starting treatment and at 6-month intervals during chronic treatment ( 5.11 ) Anticholinergic (antimuscarinic) Effects: Use with caution with other anticholinergic drugs and in patients with urinary retention, prostatic hypertrophy, or constipation ( 5.20 ) 5.1 Increased Mortality in Elderly Patients with Dementia-Related Psychosis Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Analysis of 17 placebo-controlled trials (modal duration of 10 weeks), largely in patients taking atypical antipsychotic drugs, revealed a risk of death in drug-treated patients of between 1.6 to 1.7 times the risk of death in placebo-treated patients. Over the course of a typical 10-week controlled trial, the rate of death in drug-treated patients was about 4.5%, compared to a rate of about 2.6% in the placebo group. Although the causes of death were varied, most of the deaths appeared to be either cardiovascular (e.g., heart failure, sudden death) or infectious (e.g., pneumonia) in nature. Observational studies suggest that, similar to atypical antipsychotic drugs, treatment with conventional antipsychotic drugs may increase mortality. The extent to which the findings of increased mortality in observational studies may be attributed to the antipsychotic drug as opposed to some characteristic(s) of the patients is not clear. Quetiapine is not approved for the treatment of patients with dementia-related psychosis [see Boxed Warning] . 5.2 Suicidal Thoughts and Behaviors in Adolescents and Young Adults Patients with major depressive disorder (MDD), both adult and pediatric, may experience worsening of their depression and/or the emergence of suicidal ideation and behavior (suicidality) or unusual changes in behavior, whether or not they are taking antidepressant medications, and this risk may persist until significant remission occurs. Suicide is a known risk of depression and certain other psychiatric disorders, and these disorders themselves are the strongest predictors of suicide. There has been a long- …
Adverse Reactions
openFDA Drug Labeling6 ADVERSE REACTIONS The following adverse reactions are discussed in more detail in other sections of the labeling: • Increased mortality in elderly patients with dementia-related psychosis [see Warnings and Precautions (5.1) ] • Suicidal thoughts and behaviors in adolescents and young adults [see Warnings and Precautions (5.2) ] • Cerebrovascular adverse reactions, including stroke in elderly patients with dementia-related psychosis [see Warnings and Precautions (5.3 )] • Neuroleptic Malignant Syndrome (NMS) [see Warnings and Precautions (5.4 )] • Metabolic changes (hyperglycemia, dyslipidemia, weight gain) [see Warnings and Precautions (5.5 )] • Tardive dyskinesia [see Warnings and Precautions (5.6 )] • Hypotension [see Warnings and Precautions (5.7 )] • Falls [ see Warnings and Precautions (5.8) ] • Increases in blood pressure (children and adolescents) [see Warnings and Precautions ( 5.9 )] • Leukopenia, neutropenia and agranulocytosis [see Warnings and Precautions ( 5.10 )] • Cataracts [see Warnings and Precautions ( 5.11 )] • QT Prolongation [see Warnings and Precautions ( 5.12 )] • Seizures [see Warnings and Precautions ( 5.13 )] • Hypothyroidism [see Warnings and Precautions ( 5.14 )] • Hyperprolactinemia [see Warnings and Precautions ( 5.15 )] • Potential for cognitive and motor impairment [see Warnings and Precautions ( 5.16 )] • Body temperature regulation [see Warnings and Precautions ( 5.17 )] • Dysphagia [see Warnings and Precautions ( 5.18 )] • Discontinuation Syndrome [see Warnings and Precautions ( 5.19 )] • Anticholinergic (antimuscarinic) Effects [see Warnings and Precautions ( 5.20 )] • Most common adverse reactions (incidence ≥ 5% and twice placebo): Adults: somnolence, dry mouth, dizziness, constipation, asthenia, abdominal pain, postural hypotension, pharyngitis, weight gain, lethargy, ALT increased, dyspepsia ( 6.1 ) • Children and Adolescents: somnolence, dizziness, fatigue, increased appetite, nausea, vomiting, dry mouth, tachycardia, weight increased ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Ascend Laboratories, LLC at 1-877-ASC-RX01 (877-272-7901) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch 6.1 Clinical Study 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. Adults: The information below is derived from a clinical trial database for quetiapine consisting of over 4,300 patients. This database includes 698 patients exposed to quetiapine for the treatment of bipolar depression, 405 patients exposed to quetiapine for the treatment of acute bipolar mania (monotherapy and adjunct therapy), 646 patients exposed to quetiapine for the maintenance treatment of bipolar I disorder as adjunct therapy, and approximately 2600 patients and/or normal subjects exposed to 1 or more doses of quetiapine for the treatment of schizophrenia. Of these approximately 4,300 subjects, approximately 4,000 (2,300 in schizophrenia, 405 in acute bipolar mania, 698 in bipolar depression, and 646 for the maintenance treatment of bipolar I disorder) were patients who participated in multiple dose effectiveness trials, and their experience corresponded to approximately 2,400 patient-years. The conditions and duration of treatment with quetiapine varied greatly and included (in overlapping categories) open-label and double-blind phases of studies, inpatients and outpatients, fixed-dose and dose-titration studies, and short-term or longer-term exposure. Adverse reactions were assessed by collecting adverse reactions, results of physical examinations, vital signs, weights, laboratory analyses, ECGs, and results of ophthalmologic examinations. The stated frequencies of adverse reactions represent the proportion of individuals who experienced, at least once, an adverse reaction of the type listed. A …
Drug Interactions
openFDA Drug Labeling7 DRUG INTERACTIONS Concomitant use of strong CYP3A4 inhibitors: Reduce quetiapine dose to one sixth when coadministered with strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) ( 2.5 , 7.1 , 12.3 ) Concomitant use of strong CYP3A4 inducers: Increase quetiapine dose up to 5-fold when used in combination with a chronic treatment (more than 7 to 14 days) of potent CYP3A4 inducers (e.g., phenytoin, rifampin, St. John’s wort) ( 2.6 , 7.1 , 12.3 ) Discontinuation of strong CYP3A4 inducers: Reduce quetiapine dose by 5-fold within 7 to 14 days of discontinuation of CYP3A4 inducers ( 2.6 , 7.1 , 12.3 ) 7.1 Effect of Other Drugs on Quetiapine The risks of using quetiapine in combination with other drugs have not been extensively evaluated in systematic studies. Given the primary CNS effects of quetiapine, caution should be used when it is taken in combination with other centrally acting drugs. Quetiapine potentiated the cognitive and motor effects of alcohol in a clinical trial in subjects with selected psychotic disorders, and alcoholic beverages should be limited while taking quetiapine. Quetiapine exposure is increased by the prototype CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, indinavir, ritonavir, nefazodone, etc.) and decreased by the prototype CYP3A4 inducers (e.g., phenytoin, carbamazepine, rifampin, avasimibe, St. John’s wort etc.). Dose adjustment of quetiapine will be necessary if it is co-administered with potent CYP3A4 inducers or inhibitors. CYP3A4 inhibitors: Coadministration of ketoconazole, a potent inhibitor of cytochrome CYP3A4, resulted in significant increase in quetiapine exposure. The dose of quetiapine should be reduced to one sixth of the original dose if co-administered with a strong CYP3A4 inhibitor [see Dosage and Administration ( 2.5 ) and Clinical Pharmacology ( 12.3 )]. CYP3A4 inducers: Coadministration of quetiapine and phenytoin, a CYP3A4 inducer increased the mean oral clearance of quetiapine by 5-fold. Increased doses of quetiapine up to 5-fold may be required to maintain control of symptoms of schizophrenia in patients receiving quetiapine and phenytoin, or other known potent CYP3A4 inducers [see Dosage and Administration ( 2.6 ) and Clinical Pharmacology ( 12.3 )]. When the CYP3A4 inducer is discontinued, the dose of quetiapine should be reduced to the original level within 7 to 14 days [see Dosage and Administration ( 2.6 )]. Anticholinergic Drugs: Concomitant treatment with quetiapine and other drugs with anticholinergic activity can increase the risk for severe gastrointestinal adverse reactions related to hypomotility. Quetiapine should be used with caution in patients receiving medications having anticholinergic (antimuscarinic) effects [see Warnings and Precautions ( 5.20 )] . The potential effects of several concomitant medications on quetiapine pharmacokinetics were studied [see Clinical Pharmacology ( 12.3 )]. 7.2 Effect of Quetiapine on Other Drugs Because of its potential for inducing hypotension, quetiapine may enhance the effects of certain antihypertensive agents. Quetiapine may antagonize the effects of levodopa and dopamine agonists. There are no clinically relevant pharmacokinetic interactions of quetiapine on other drugs based on the CYP pathway. Quetiapine and its metabolites are non-inhibitors of major metabolizing CYP’s (1A2, 2C9, 2C19, 2D6, and 3A4).
Use in Specific Populations
openFDA Drug Labeling8 USE IN SPECIFIC POPULATIONS • Pregnancy: May cause extrapyramidal and/or withdrawal symptoms in neonates with third trimester exposure. (8.1 ) 8.1 Pregnancy Pregnancy Exposure Registry There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to atypical antipsychotics, including quetiapine fumarate, during pregnancy. Healthcare providers are encouraged to register patients by contacting the National Pregnancy Registry for Atypical Antipsychotics at 1-866-961-2388 or online at http://womensmentalhealth.org/clinical-and-research-programs/pregnancyregistry/. Risk Summary Neonates exposed to antipsychotic drugs (including quetiapine) during the third trimester are at risk for extrapyramidal and/or withdrawal symptoms following delivery (see Clinical Considerations). Overall available data from published epidemiologic studies of pregnant women exposed to quetiapine have not established a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes (see Data). There are risks to the mother associated with untreated schizophrenia, bipolar I, or major depressive disorder, and with exposure to antipsychotics, including quetiapine, during pregnancy (see Clinical Considerations) . In animal studies, embryo-fetal toxicity occurred including delays in skeletal ossification at approximately 1 and 2 times the maximum recommended human dose (MRHD) of 800 mg/day in both rats and rabbits, and an increased incidence of carpal/tarsal flexure (minor soft tissue anomaly) in rabbit fetuses at approximately 2 times the MRHD. In addition, fetal weights were decreased in both species. Maternal toxicity (observed as decreased body weights and/or death) occurred at 2 times the MRHD in rats and approximately 1-2 times the MRHD in rabbits. The estimated background risk of major birth defects and miscarriage for the indicated populations is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively. Clinical Considerations Disease-associated maternal and/or fetal risk There is a risk to the mother from untreated schizophrenia, or bipolar I disorder, including increased risk of relapse, hospitalization, and suicide. Schizophrenia and bipolar I disorder are associated with increased adverse perinatal outcomes, including preterm birth. It is not known if this is a direct result of the illness or other comorbid factors. A prospective, longitudinal study followed 201 pregnant women with a history of major depressive disorder who were euthymic and taking antidepressants at the beginning of pregnancy. The women who discontinued antidepressants during pregnancy were more likely to experience a relapse of major depression than women who continued antidepressants. Consider the risk of untreated depression when discontinuing or changing treatment with antidepressant medication during pregnancy and postpartum. Fetal/neonatal adverse reactions Extrapyramidal and/or withdrawal symptoms, including agitation, hypertonia, hypotonia, tremor, somnolence, respiratory distress, and feeding disorder have been reported in neonates who were exposed to antipsychotic drugs, including quetiapine, during the third trimester of pregnancy. These symptoms varied in severity. Monitor neonates for extrapyramidal and/or withdrawal symptoms and manage symptoms appropriately. Some neonates recovered within hours or days without specific treatment; others required prolonged hospitalization. Data Human Data Published data from observational studies, birth registries, and case reports on the use of atypical antipsychotics during pregnancy do not report a clear association with antipsychotics and major birth defects. A retrospective cohort study from a Medicaid database of 9258 women exposed to antipsychotics during …
Mechanism of Action
openFDA Drug Labeling12.1 Mechanism of Action The mechanism of action of quetiapine fumarate is unknown. However, it has been proposed that the efficacy of quetiapine fumarate in schizophrenia and its mood stabilizing properties in bipolar depression and mania are mediated through a combination of dopamine type 2 (D 2 ) and serotonin type 2 (5HT 2 ) antagonism. Antagonism at receptors other than dopamine and 5HT 2 with similar receptor affinities may explain some of the other effects of quetiapine fumarate. Quetiapine fumarate’s antagonism of histamine H 1 receptors may explain the somnolence observed with this drug. Quetiapine fumarate’s antagonism of adrenergic α 1 receptors may explain the orthostatic hypotension observed with this drug.
Description
openFDA Drug Labeling11 DESCRIPTION Quetiapine tablets, USP are an atypical antipsychotic belonging to a chemical class, the dibenzothiazepine derivatives. The chemical designation is 2-[2-(4-dibenzo [ b,f ] [1,4]thiazepin-11-yl-1-piperazinyl)ethoxy]-ethanol fumarate (2:1) (salt). It is present in tablets as the fumarate salt. All doses and tablet strengths are expressed as milligrams of base, not as fumarate salt. The structural formula is: C 42 H 50 N 6 O 4 S 2 •C 4 H 4 O 4 M.W. 883.11 (fumarate salt) Quetiapine fumarate, USP is a white to off-white crystalline powder which is moderately soluble in water. Quetiapine tablets, USP are supplied for oral administration as 25 mg (round, light orange), 50 mg (round, white to off-white), 100 mg (round, light orange), 200 mg (round, white to off-white), 300 mg (capsule-shaped, pale yellow), and 400 mg (capsule-shaped, white to off-white) tablets. Inactive ingredients are colloidal silicon dioxide, dibasic calcium phosphate dihydrate, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone, sodium starch glycolate, titanium dioxide and triacetin. Additionally, the 25 mg, 100 mg, and 300 mg tablets contain iron oxide yellow; the 25 mg and 100 mg tablets contain FD&C Yellow No. 6/Sunset Yellow FCF/Aluminum Lake; and the 50 mg, 200 mg, and 400 mg tablets contain polydextrose and polyethylene glycol. Each 25 mg tablet contains 28.78 mg of quetiapine fumarate, USP equivalent to 25 mg quetiapine. Each 50 mg tablet contains 57.57 mg of quetiapine fumarate, USP equivalent to 50 mg quetiapine. Each 100 mg tablet contains 115.15 mg of quetiapine fumarate, USP equivalent to 100 mg quetiapine. Each 200 mg tablet contains 230.30 mg of quetiapine fumarate, USP equivalent to 200 mg quetiapine. Each 300 mg tablet contains 345.45 mg of quetiapine fumarate, USP equivalent to 300 mg quetiapine. Each 400 mg tablet contains 460.60 mg of quetiapine fumarate, USP equivalent to 400 mg quetiapine. quetiapine fumarate structural formula
Overdosage
openFDA Drug Labeling10 OVERDOSAGE 10.1 Human Experience In clinical trials, survival has been reported in acute overdoses of up to 30 grams of quetiapine. Most patients who overdosed experienced no adverse reactions or recovered fully from the reported reactions. Death has been reported in a clinical trial following an overdose of 13.6 grams of quetiapine alone. In general, reported signs and symptoms were those resulting from an exaggeration of the drug's known pharmacological effects, i.e., drowsiness and sedation, tachycardia and hypotension. Patients with pre-existing severe cardiovascular disease may be at an increased risk of the effects of overdose [see Warnings and Precautions ( 5.12 )] . One case, involving an estimated overdose of 9,600 mg, was associated with hypokalemia and first-degree heart block. In post-marketing experience, there were cases reported of QT prolongation with overdose. There were also very rare reports of overdose of quetiapine fumarate alone resulting in death or coma. 10.2 Management of Overdosage In case of acute overdosage, establish and maintain an airway and ensure adequate oxygenation and ventilation. Gastric lavage (after intubation, if patient is unconscious) and administration of activated charcoal together with a laxative should be considered. The possibility of obtundation, seizure or dystonic reaction of the head and neck following overdose may create a risk of aspiration with induced emesis. Cardiovascular monitoring should commence immediately and should include continuous electrocardiographic monitoring to detect possible arrhythmias. If antiarrhythmic therapy is administered, disopyramide, procainamide and quinidine carry a theoretical hazard of additive QT-prolonging effects when administered in patients with acute overdosage of quetiapine fumarate. Similarly it is reasonable to expect that the alpha-adrenergic-blocking properties of bretylium might be additive to those of quetiapine, resulting in problematic hypotension. There is no specific antidote to quetiapine fumarate. Therefore, appropriate supportive measures should be instituted. The possibility of multiple drug involvement should be considered. Hypotension and circulatory collapse should be treated with appropriate measures such as intravenous fluids and/or sympathomimetic agents (epinephrine and dopamine should not be used, since beta stimulation may worsen hypotension in the setting of quetiapine-induced alpha blockade). In cases of severe extrapyramidal symptoms, anticholinergic medication should be administered. Close medical supervision and monitoring should continue until the patient recovers.
How Supplied / Storage and Handling
openFDA Drug Labeling16 HOW SUPPLIED/STORAGE AND HANDLING Quetiapine tablets, USP 25 mg Peach coloured, film coated, round shape, biconvex tablets, debossed with "262 ” on one side and plain on other side. Bottles of 10 tablets NDC 76420-512-10 (repackaged from NDC 67877-242-XX) Bottles of 20 tablets NDC 76420-512-20 (repackaged from NDC 67877-242-XX) Bottles of 30 tablets NDC 76420-512-30 (repackaged from NDC 67877-242-XX) Bottles of 60 tablets NDC 76420-512-60 (repackaged from NDC 67877-242-XX) Bottles of 90 tablets NDC 76420-512-90 (repackaged from NDC 67877-242-XX) Bottles of 100 tablets NDC 76420-512-01 (relabeled from NDC 67877-242-01) Quetiapine tablets, USP 50 mg White coloured, film coated, round shape, biconvex tablets, debossed with"337" on one side and plain on other side. Bottles of 10 tablets NDC 76420-513-10 (repackaged from NDC 67877-249-XX) Bottles of 20 tablets NDC 76420-513-20 (repackaged from NDC 67877-249-XX) Bottles of 30 tablets NDC 76420-513-30 (repackaged from NDC 67877-249-XX) Bottles of 60 tablets NDC 76420-513-60 (repackaged from NDC 67877-249-XX) Bottles of 90 tablets NDC 76420-513-90 (repackaged from NDC 67877-249-XX) Bottles of 100 tablets NDC 76420-513-01 (relabeled from NDC 67877-249-01) Quetiapine tablets, USP 100 mg Yellow coloured, film coated, round shape, biconvex tablets, debossed with "261" on one side and plain on other side. Bottles of 10 tablets NDC 76420-514-10 (repackaged from NDC 67877-250-XX) Bottles of 20 tablets NDC 76420-514-20 (repackaged from NDC 67877-250-XX) Bottles of 30 tablets NDC 76420-514-30 (repackaged from NDC 67877-250-XX) Bottles of 60 tablets NDC 76420-514-60 (repackaged from NDC 67877-250-XX) Bottles of 90 tablets NDC 76420-514-90 (repackaged from NDC 67877-250-XX) Bottles of 100 tablets NDC 76420-514-01 (relabeled from NDC 67877-250-01) Quetiapine tablets, USP 150 mg Off white to light yellow coloured, film coated, round shape, biconvex tablets, debossed with "353" on one side and plain on other side. Bottles of 10 tablets NDC 76420-516-10 (repackaged from NDC 67877-245-XX) Bottles of 20 tablets NDC 76420-516-20 (repackaged from NDC 67877-245-XX) Bottles of 30 tablets NDC 76420-516-30 (repackaged from NDC 67877-245-XX) Bottles of 60 tablets NDC 76420-516-60 (repackaged from NDC 67877-245-XX) Bottles of 90 tablets NDC 76420-516-90 (repackaged from NDC 67877-245-XX) Bottles of 100 tablets NDC 76420-516-01 (relabeled from NDC 67877-245-01) Quetiapine tablets, USP 200 mg White coloured, film coated, round shape, biconvex tablets, debossed with "260" on one side and plain on other side. Bottles of 10 tablets NDC 76420-518-10 (repackaged from NDC 67877-246-XX) Bottles of 20 tablets NDC 76420-518-20 (repackaged from NDC 67877-246-XX) Bottles of 30 tablets NDC 76420-518-30 (repackaged from NDC 67877-246-XX) Bottles of 60 tablets NDC 76420-518-60 (repackaged from NDC 67877-246-XX) Bottles of 90 tablets NDC 76420-518-90 (repackaged from NDC 67877-246-XX) Bottles of 100 tablets NDC 76420-518-01 (relabeled from NDC 67877-246-01) Quetiapine tablets, USP 300 mg White coloured, film coated, capsule shaped, biconvex tablets, debossed with "259" on one side and plain on other side. Bottles of 10 tablets NDC 76420-519-10 (repackaged from NDC 67877-247-XX) Bottles of 20 tablets NDC 76420-519-20 (repackaged from NDC 67877-247-XX) Bottles of 30 tablets NDC 76420-519-30 (repackaged from NDC 67877-247-XX) Bottles of 60 tablets NDC 76420-519-60 (repackaged from NDC 67877-247-XX) Bottles of 90 tablets NDC 76420-519-90 (repackaged from NDC 67877-247-XX) Carton pack of 100 tablets (10 x 10's blister pack) NDC 76420-519-01 (relabeled from NDC 67877-247-38) Quetiapine tablets, USP 400 mg Yellow coloured, film coated, capsule shaped, biconvex tablets, debossed with "336" on one side and plain on other side. Bottles of 10 tablets NDC 76420-522-10 (repackaged from NDC 67877-248-XX) Bottles of 20 tablets NDC 76420-522-20 (repackaged from NDC 67877-248-XX) Bottles of 30 tablets NDC 76420-522-30 (repackaged from NDC …
Adverse event reports
Source: openFDA FAERSAttributed to this product's most-reported active ingredient: QUETIAPINE FUMARATE. Combination products with more than six active ingredients are not attributed, because a report count summed across a long ingredient list measures the list, not the medicine.
Recalls
Source: FDA Enforcement| Classification | Reported | Firm | Reason | Status |
|---|---|---|---|---|
| Class II | December 5, 2018 | Ascend Laboratories LLC | Presence of Foreign Substance; metal shard found in tablet | Terminated |
Packaging and NDCs
Source: NDC Directory| Package NDC | Product NDC | Labeler | Description | Marketing start |
|---|---|---|---|---|
| 76420-512-01 | 76420-512 | ASCLEMED USA INC. | 100 TABLET, FILM COATED in 1 BOTTLE (76420-512-01) | October 21, 2025 |
| 76420-512-10 | 76420-512 | ASCLEMED USA INC. | 10 TABLET, FILM COATED in 1 BOTTLE (76420-512-10) | October 21, 2025 |
| 76420-512-20 | 76420-512 | ASCLEMED USA INC. | 20 TABLET, FILM COATED in 1 BOTTLE (76420-512-20) | October 21, 2025 |
| 76420-512-30 | 76420-512 | ASCLEMED USA INC. | 30 TABLET, FILM COATED in 1 BOTTLE (76420-512-30) | October 21, 2025 |
| 76420-512-60 | 76420-512 | ASCLEMED USA INC. | 60 TABLET, FILM COATED in 1 BOTTLE (76420-512-60) | October 21, 2025 |
| 76420-512-90 | 76420-512 | ASCLEMED USA INC. | 90 TABLET, FILM COATED in 1 BOTTLE (76420-512-90) | October 21, 2025 |
| 76420-513-01 | 76420-513 | ASCLEMED USA INC. | 100 TABLET, FILM COATED in 1 BOTTLE (76420-513-01) | October 21, 2025 |
| 76420-513-10 | 76420-513 | ASCLEMED USA INC. | 10 TABLET, FILM COATED in 1 BOTTLE (76420-513-10) | October 21, 2025 |
| 76420-513-20 | 76420-513 | ASCLEMED USA INC. | 20 TABLET, FILM COATED in 1 BOTTLE (76420-513-20) | October 21, 2025 |
| 76420-513-30 | 76420-513 | ASCLEMED USA INC. | 30 TABLET, FILM COATED in 1 BOTTLE (76420-513-30) | October 21, 2025 |
| 76420-513-60 | 76420-513 | ASCLEMED USA INC. | 60 TABLET, FILM COATED in 1 BOTTLE (76420-513-60) | October 21, 2025 |
| 76420-513-90 | 76420-513 | ASCLEMED USA INC. | 90 TABLET, FILM COATED in 1 BOTTLE (76420-513-90) | October 21, 2025 |
| 76420-514-01 | 76420-514 | ASCLEMED USA INC. | 100 TABLET, FILM COATED in 1 BOTTLE (76420-514-01) | October 21, 2025 |
| 76420-514-10 | 76420-514 | ASCLEMED USA INC. | 10 TABLET, FILM COATED in 1 BOTTLE (76420-514-10) | October 21, 2025 |
| 76420-514-20 | 76420-514 | ASCLEMED USA INC. | 20 TABLET, FILM COATED in 1 BOTTLE (76420-514-20) | October 21, 2025 |
| 76420-514-30 | 76420-514 | ASCLEMED USA INC. | 30 TABLET, FILM COATED in 1 BOTTLE (76420-514-30) | October 21, 2025 |
| 76420-514-60 | 76420-514 | ASCLEMED USA INC. | 60 TABLET, FILM COATED in 1 BOTTLE (76420-514-60) | October 21, 2025 |
| 76420-514-90 | 76420-514 | ASCLEMED USA INC. | 90 TABLET, FILM COATED in 1 BOTTLE (76420-514-90) | October 21, 2025 |
| 76420-516-01 | 76420-516 | ASCLEMED USA INC. | 100 TABLET, FILM COATED in 1 BOTTLE (76420-516-01) | October 21, 2025 |
| 76420-516-10 | 76420-516 | ASCLEMED USA INC. | 10 TABLET, FILM COATED in 1 BOTTLE (76420-516-10) | October 21, 2025 |
| 76420-516-20 | 76420-516 | ASCLEMED USA INC. | 20 TABLET, FILM COATED in 1 BOTTLE (76420-516-20) | October 21, 2025 |
| 76420-516-30 | 76420-516 | ASCLEMED USA INC. | 30 TABLET, FILM COATED in 1 BOTTLE (76420-516-30) | October 21, 2025 |
| 76420-516-60 | 76420-516 | ASCLEMED USA INC. | 60 TABLET, FILM COATED in 1 BOTTLE (76420-516-60) | October 21, 2025 |
| 76420-516-90 | 76420-516 | ASCLEMED USA INC. | 90 TABLET, FILM COATED in 1 BOTTLE (76420-516-90) | October 21, 2025 |
| 76420-518-01 | 76420-518 | ASCLEMED USA INC. | 100 TABLET, FILM COATED in 1 BOTTLE (76420-518-01) | October 21, 2025 |
| 76420-518-10 | 76420-518 | ASCLEMED USA INC. | 10 TABLET, FILM COATED in 1 BOTTLE (76420-518-10) | October 21, 2025 |
| 76420-518-20 | 76420-518 | ASCLEMED USA INC. | 20 TABLET, FILM COATED in 1 BOTTLE (76420-518-20) | October 21, 2025 |
| 76420-518-30 | 76420-518 | ASCLEMED USA INC. | 30 TABLET, FILM COATED in 1 BOTTLE (76420-518-30) | October 21, 2025 |
| 76420-518-60 | 76420-518 | ASCLEMED USA INC. | 60 TABLET, FILM COATED in 1 BOTTLE (76420-518-60) | October 21, 2025 |
| 76420-518-90 | 76420-518 | ASCLEMED USA INC. | 90 TABLET, FILM COATED in 1 BOTTLE (76420-518-90) | October 21, 2025 |
| 76420-519-01 | 76420-519 | ASCLEMED USA INC. | 10 BLISTER PACK in 1 CARTON (76420-519-01) / 10 TABLET, FILM COATED in 1 BLISTER PACK | October 21, 2025 |
| 76420-519-10 | 76420-519 | ASCLEMED USA INC. | 10 TABLET, FILM COATED in 1 BOTTLE (76420-519-10) | October 21, 2025 |
| 76420-519-20 | 76420-519 | ASCLEMED USA INC. | 20 TABLET, FILM COATED in 1 BOTTLE (76420-519-20) | October 21, 2025 |
| 76420-519-30 | 76420-519 | ASCLEMED USA INC. | 30 TABLET, FILM COATED in 1 BOTTLE (76420-519-30) | October 21, 2025 |
| 76420-519-60 | 76420-519 | ASCLEMED USA INC. | 60 TABLET, FILM COATED in 1 BOTTLE (76420-519-60) | October 21, 2025 |
| 76420-519-90 | 76420-519 | ASCLEMED USA INC. | 90 TABLET, FILM COATED in 1 BOTTLE (76420-519-90) | October 21, 2025 |
| 76420-522-01 | 76420-522 | ASCLEMED USA INC. | 100 TABLET, FILM COATED in 1 BOTTLE (76420-522-01) | October 21, 2025 |
| 76420-522-10 | 76420-522 | ASCLEMED USA INC. | 10 TABLET, FILM COATED in 1 BOTTLE (76420-522-10) | October 21, 2025 |
| 76420-522-20 | 76420-522 | ASCLEMED USA INC. | 20 TABLET, FILM COATED in 1 BOTTLE (76420-522-20) | October 21, 2025 |
| 76420-522-30 | 76420-522 | ASCLEMED USA INC. | 30 TABLET, FILM COATED in 1 BOTTLE (76420-522-30) | October 21, 2025 |
| 76420-522-60 | 76420-522 | ASCLEMED USA INC. | 60 TABLET, FILM COATED in 1 BOTTLE (76420-522-60) | October 21, 2025 |
| 76420-522-90 | 76420-522 | ASCLEMED USA INC. | 90 TABLET, FILM COATED in 1 BOTTLE (76420-522-90) | October 21, 2025 |
| 16729-145-01 | 16729-145 | Accord Healthcare Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (16729-145-01) | March 28, 2012 |
| 16729-145-17 | 16729-145 | Accord Healthcare Inc. | 1000 TABLET, FILM COATED in 1 BOTTLE (16729-145-17) | March 28, 2012 |
| 16729-145-22 | 16729-145 | Accord Healthcare Inc. | 5000 TABLET, FILM COATED in 1 CONTAINER (16729-145-22) | December 16, 2015 |
| 16729-146-01 | 16729-146 | Accord Healthcare Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (16729-146-01) | March 28, 2012 |
| 16729-146-17 | 16729-146 | Accord Healthcare Inc. | 1000 TABLET, FILM COATED in 1 BOTTLE (16729-146-17) | March 28, 2012 |
| 16729-146-22 | 16729-146 | Accord Healthcare Inc. | 5000 TABLET, FILM COATED in 1 CONTAINER (16729-146-22) | December 16, 2015 |
| 16729-147-01 | 16729-147 | Accord Healthcare Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (16729-147-01) | March 28, 2012 |
| 16729-147-17 | 16729-147 | Accord Healthcare Inc. | 1000 TABLET, FILM COATED in 1 BOTTLE (16729-147-17) | March 28, 2012 |
| 16729-147-22 | 16729-147 | Accord Healthcare Inc. | 5000 TABLET, FILM COATED in 1 CONTAINER (16729-147-22) | December 16, 2015 |
| 16729-148-01 | 16729-148 | Accord Healthcare Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (16729-148-01) | July 21, 2015 |
| 16729-148-17 | 16729-148 | Accord Healthcare Inc. | 1000 TABLET, FILM COATED in 1 BOTTLE (16729-148-17) | March 28, 2012 |
| 16729-148-21 | 16729-148 | Accord Healthcare Inc. | 4000 TABLET, FILM COATED in 1 CONTAINER (16729-148-21) | December 16, 2015 |
| 16729-149-01 | 16729-149 | Accord Healthcare Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (16729-149-01) | November 2, 2015 |
| 16729-149-10 | 16729-149 | Accord Healthcare Inc. | 30 TABLET, FILM COATED in 1 BOTTLE (16729-149-10) | March 28, 2012 |
| 16729-149-12 | 16729-149 | Accord Healthcare Inc. | 60 TABLET, FILM COATED in 1 BOTTLE (16729-149-12) | March 28, 2012 |
| 16729-149-17 | 16729-149 | Accord Healthcare Inc. | 1000 TABLET, FILM COATED in 1 BOTTLE (16729-149-17) | March 28, 2012 |
| 16729-149-18 | 16729-149 | Accord Healthcare Inc. | 2000 TABLET, FILM COATED in 1 CONTAINER (16729-149-18) | December 16, 2015 |
| 16729-150-01 | 16729-150 | Accord Healthcare Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (16729-150-01) | July 21, 2015 |
| 16729-150-16 | 16729-150 | Accord Healthcare Inc. | 500 TABLET, FILM COATED in 1 BOTTLE (16729-150-16) | March 28, 2012 |
| 16729-150-18 | 16729-150 | Accord Healthcare Inc. | 2000 TABLET, FILM COATED in 1 CONTAINER (16729-150-18) | December 16, 2015 |
| 71610-702-15 | 71610-702 | Aphena Pharma Solutions - Tennessee, LLC | 15 TABLET, FILM COATED in 1 BOTTLE (71610-702-15) | April 18, 2023 |
| 71610-702-30 | 71610-702 | Aphena Pharma Solutions - Tennessee, LLC | 30 TABLET, FILM COATED in 1 BOTTLE (71610-702-30) | April 18, 2023 |
| 67877-242-01 | 67877-242 | Ascend Laboratories, LLC | 100 TABLET, FILM COATED in 1 BOTTLE (67877-242-01) | March 1, 2013 |
| 67877-242-10 | 67877-242 | Ascend Laboratories, LLC | 1000 TABLET, FILM COATED in 1 BOTTLE (67877-242-10) | March 1, 2013 |
| 67877-242-33 | 67877-242 | Ascend Laboratories, LLC | 1 BLISTER PACK in 1 CARTON (67877-242-33) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-242-38 | 67877-242 | Ascend Laboratories, LLC | 10 BLISTER PACK in 1 CARTON (67877-242-38) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-245-01 | 67877-245 | Ascend Laboratories, LLC | 100 TABLET, FILM COATED in 1 BOTTLE (67877-245-01) | March 1, 2013 |
| 67877-245-33 | 67877-245 | Ascend Laboratories, LLC | 1 BLISTER PACK in 1 CARTON (67877-245-33) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-245-38 | 67877-245 | Ascend Laboratories, LLC | 10 BLISTER PACK in 1 CARTON (67877-245-38) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-246-01 | 67877-246 | Ascend Laboratories, LLC | 100 TABLET, FILM COATED in 1 BOTTLE (67877-246-01) | March 1, 2013 |
| 67877-246-10 | 67877-246 | Ascend Laboratories, LLC | 1000 TABLET, FILM COATED in 1 BOTTLE (67877-246-10) | March 1, 2013 |
| 67877-246-33 | 67877-246 | Ascend Laboratories, LLC | 1 BLISTER PACK in 1 CARTON (67877-246-33) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-246-38 | 67877-246 | Ascend Laboratories, LLC | 10 BLISTER PACK in 1 CARTON (67877-246-38) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-247-10 | 67877-247 | Ascend Laboratories, LLC | 1000 TABLET, FILM COATED in 1 BOTTLE (67877-247-10) | March 1, 2013 |
| 67877-247-33 | 67877-247 | Ascend Laboratories, LLC | 1 BLISTER PACK in 1 CARTON (67877-247-33) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-247-38 | 67877-247 | Ascend Laboratories, LLC | 10 BLISTER PACK in 1 CARTON (67877-247-38) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-247-60 | 67877-247 | Ascend Laboratories, LLC | 60 TABLET, FILM COATED in 1 BOTTLE (67877-247-60) | March 1, 2013 |
| 67877-248-01 | 67877-248 | Ascend Laboratories, LLC | 100 TABLET, FILM COATED in 1 BOTTLE (67877-248-01) | March 1, 2013 |
| 67877-248-10 | 67877-248 | Ascend Laboratories, LLC | 1000 TABLET, FILM COATED in 1 BOTTLE (67877-248-10) | March 1, 2013 |
| 67877-248-33 | 67877-248 | Ascend Laboratories, LLC | 1 BLISTER PACK in 1 CARTON (67877-248-33) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-248-38 | 67877-248 | Ascend Laboratories, LLC | 10 BLISTER PACK in 1 CARTON (67877-248-38) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-249-01 | 67877-249 | Ascend Laboratories, LLC | 100 TABLET, FILM COATED in 1 BOTTLE (67877-249-01) | March 1, 2013 |
| 67877-249-10 | 67877-249 | Ascend Laboratories, LLC | 1000 TABLET, FILM COATED in 1 BOTTLE (67877-249-10) | March 1, 2013 |
| 67877-249-33 | 67877-249 | Ascend Laboratories, LLC | 1 BLISTER PACK in 1 CARTON (67877-249-33) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-249-38 | 67877-249 | Ascend Laboratories, LLC | 10 BLISTER PACK in 1 CARTON (67877-249-38) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-250-01 | 67877-250 | Ascend Laboratories, LLC | 100 TABLET, FILM COATED in 1 BOTTLE (67877-250-01) | March 1, 2013 |
| 67877-250-10 | 67877-250 | Ascend Laboratories, LLC | 1000 TABLET, FILM COATED in 1 BOTTLE (67877-250-10) | March 1, 2013 |
| 67877-250-33 | 67877-250 | Ascend Laboratories, LLC | 1 BLISTER PACK in 1 CARTON (67877-250-33) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67877-250-38 | 67877-250 | Ascend Laboratories, LLC | 10 BLISTER PACK in 1 CARTON (67877-250-38) / 10 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 63629-7116-1 | 63629-7116 | Bryant Ranch Prepack | 30 TABLET, FILM COATED in 1 BOTTLE (63629-7116-1) | October 17, 2016 |
| 63629-7116-2 | 63629-7116 | Bryant Ranch Prepack | 28 TABLET, FILM COATED in 1 BOTTLE (63629-7116-2) | August 8, 2024 |
| 63629-7116-3 | 63629-7116 | Bryant Ranch Prepack | 60 TABLET, FILM COATED in 1 BOTTLE (63629-7116-3) | September 19, 2017 |
| 63629-7116-4 | 63629-7116 | Bryant Ranch Prepack | 180 TABLET, FILM COATED in 1 BOTTLE (63629-7116-4) | December 18, 2017 |
| 63629-7116-5 | 63629-7116 | Bryant Ranch Prepack | 90 TABLET, FILM COATED in 1 BOTTLE (63629-7116-5) | August 8, 2024 |
| 71335-1462-1 | 71335-1462 | Bryant Ranch Prepack | 100 TABLET, FILM COATED in 1 BOTTLE (71335-1462-1) | June 27, 2025 |
| 71335-1462-2 | 71335-1462 | Bryant Ranch Prepack | 30 TABLET, FILM COATED in 1 BOTTLE (71335-1462-2) | January 9, 2020 |
| 71335-1462-3 | 71335-1462 | Bryant Ranch Prepack | 120 TABLET, FILM COATED in 1 BOTTLE (71335-1462-3) | June 27, 2025 |
| 71335-1462-4 | 71335-1462 | Bryant Ranch Prepack | 60 TABLET, FILM COATED in 1 BOTTLE (71335-1462-4) | November 10, 2021 |
| 71335-1462-5 | 71335-1462 | Bryant Ranch Prepack | 90 TABLET, FILM COATED in 1 BOTTLE (71335-1462-5) | June 30, 2020 |
| 71335-1462-6 | 71335-1462 | Bryant Ranch Prepack | 15 TABLET, FILM COATED in 1 BOTTLE (71335-1462-6) | February 14, 2020 |
| 55154-3359-0 | 55154-3359 | Cardinal Health 107, LLC | 10 BLISTER PACK in 1 BAG (55154-3359-0) / 1 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 55154-7881-0 | 55154-7881 | Cardinal Health 107, LLC | 10 BLISTER PACK in 1 BAG (55154-7881-0) / 1 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 55154-7894-0 | 55154-7894 | Cardinal Health 107, LLC | 10 BLISTER PACK in 1 BAG (55154-7894-0) / 1 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 55154-8092-0 | 55154-8092 | Cardinal Health 107, LLC | 10 BLISTER PACK in 1 BAG (55154-8092-0) / 1 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 67046-0487-3 | 67046-0487 | Coupler LLC | 30 TABLET, FILM COATED in 1 BLISTER PACK (67046-0487-3) | July 7, 2026 |
| 0904-6638-61 | 0904-6638 | Major Pharmaceuticals | 100 BLISTER PACK in 1 CARTON (0904-6638-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 0904-6639-61 | 0904-6639 | Major Pharmaceuticals | 100 BLISTER PACK in 1 CARTON (0904-6639-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 0904-6640-61 | 0904-6640 | Major Pharmaceuticals | 100 BLISTER PACK in 1 CARTON (0904-6640-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 0904-6641-61 | 0904-6641 | Major Pharmaceuticals | 100 BLISTER PACK in 1 CARTON (0904-6641-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 0904-6642-61 | 0904-6642 | Major Pharmaceuticals | 100 BLISTER PACK in 1 CARTON (0904-6642-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 0904-6643-61 | 0904-6643 | Major Pharmaceuticals | 100 BLISTER PACK in 1 CARTON (0904-6643-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK | March 1, 2013 |
| 72789-266-07 | 72789-266 | PD-Rx Pharmaceuticals, Inc. | 7 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (72789-266-07) | August 16, 2022 |
| 71205-026-03 | 71205-026 | Proficient Rx LP | 3 TABLET, FILM COATED in 1 BOTTLE (71205-026-03) | May 1, 2018 |
| 71205-026-30 | 71205-026 | Proficient Rx LP | 30 TABLET, FILM COATED in 1 BOTTLE (71205-026-30) | May 1, 2018 |
| 71205-026-60 | 71205-026 | Proficient Rx LP | 60 TABLET, FILM COATED in 1 BOTTLE (71205-026-60) | May 1, 2018 |
| 71205-026-90 | 71205-026 | Proficient Rx LP | 90 TABLET, FILM COATED in 1 BOTTLE (71205-026-90) | May 1, 2018 |
| 71205-401-30 | 71205-401 | Proficient Rx LP | 30 TABLET, FILM COATED in 1 BOTTLE (71205-401-30) | February 13, 2020 |
| 71205-401-60 | 71205-401 | Proficient Rx LP | 60 TABLET, FILM COATED in 1 BOTTLE (71205-401-60) | February 13, 2020 |
| 71205-401-90 | 71205-401 | Proficient Rx LP | 90 TABLET, FILM COATED in 1 BOTTLE (71205-401-90) | February 13, 2020 |
| 71205-402-30 | 71205-402 | Proficient Rx LP | 30 TABLET, FILM COATED in 1 BOTTLE (71205-402-30) | February 13, 2020 |
| 71205-402-60 | 71205-402 | Proficient Rx LP | 60 TABLET, FILM COATED in 1 BOTTLE (71205-402-60) | February 13, 2020 |
| 71205-402-90 | 71205-402 | Proficient Rx LP | 90 TABLET, FILM COATED in 1 BOTTLE (71205-402-90) | February 13, 2020 |
| 70518-4451-0 | 70518-4451 | REMEDYREPACK INC. | 30 TABLET, FILM COATED in 1 BLISTER PACK (70518-4451-0) | August 20, 2025 |
| 0093-2063-01 | 0093-2063 | Teva Pharmaceuticals USA, Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (0093-2063-01) | March 12, 2014 |
| 0093-8162-01 | 0093-8162 | Teva Pharmaceuticals USA, Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (0093-8162-01) | March 27, 2012 |
| 0093-8163-01 | 0093-8163 | Teva Pharmaceuticals USA, Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (0093-8163-01) | March 27, 2012 |
| 0093-8164-01 | 0093-8164 | Teva Pharmaceuticals USA, Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (0093-8164-01) | March 27, 2012 |
| 0093-8165-01 | 0093-8165 | Teva Pharmaceuticals USA, Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (0093-8165-01) | March 27, 2012 |
| 0093-8166-01 | 0093-8166 | Teva Pharmaceuticals USA, Inc. | 100 TABLET, FILM COATED in 1 BOTTLE (0093-8166-01) | March 27, 2012 |
| 76420-512 | 76420-512 | ASCLEMED USA INC. | — | March 1, 2013 |
| 76420-513 | 76420-513 | ASCLEMED USA INC. | — | March 1, 2013 |
| 76420-514 | 76420-514 | ASCLEMED USA INC. | — | March 1, 2013 |
| 76420-516 | 76420-516 | ASCLEMED USA INC. | — | March 1, 2013 |
| 76420-518 | 76420-518 | ASCLEMED USA INC. | — | March 1, 2013 |
| 76420-519 | 76420-519 | ASCLEMED USA INC. | — | March 1, 2013 |
| 76420-522 | 76420-522 | ASCLEMED USA INC. | — | March 1, 2013 |
| 16729-145 | 16729-145 | Accord Healthcare Inc. | — | December 16, 2015 |
| 16729-146 | 16729-146 | Accord Healthcare Inc. | — | December 16, 2015 |
| 16729-147 | 16729-147 | Accord Healthcare Inc. | — | March 28, 2012 |
| 16729-148 | 16729-148 | Accord Healthcare Inc. | — | March 28, 2012 |
| 16729-149 | 16729-149 | Accord Healthcare Inc. | — | March 28, 2012 |
| 16729-150 | 16729-150 | Accord Healthcare Inc. | — | March 28, 2012 |
| 71610-702 | 71610-702 | Aphena Pharma Solutions - Tennessee, LLC | — | May 25, 2022 |
| 67877-242 | 67877-242 | Ascend Laboratories, LLC | — | March 1, 2013 |
| 67877-245 | 67877-245 | Ascend Laboratories, LLC | — | March 1, 2013 |
| 67877-246 | 67877-246 | Ascend Laboratories, LLC | — | March 1, 2013 |
| 67877-247 | 67877-247 | Ascend Laboratories, LLC | — | March 1, 2013 |
| 67877-248 | 67877-248 | Ascend Laboratories, LLC | — | March 1, 2013 |
| 67877-249 | 67877-249 | Ascend Laboratories, LLC | — | March 1, 2013 |
| 67877-250 | 67877-250 | Ascend Laboratories, LLC | — | March 1, 2013 |
| 63629-7116 | 63629-7116 | Bryant Ranch Prepack | — | March 28, 2012 |
| 71335-1462 | 71335-1462 | Bryant Ranch Prepack | — | March 1, 2013 |
| 55154-3359 | 55154-3359 | Cardinal Health 107, LLC | — | March 1, 2013 |
| 55154-7881 | 55154-7881 | Cardinal Health 107, LLC | — | March 1, 2013 |
| 55154-7894 | 55154-7894 | Cardinal Health 107, LLC | — | March 1, 2013 |
| 55154-8092 | 55154-8092 | Cardinal Health 107, LLC | — | March 1, 2013 |
| 67046-0487 | 67046-0487 | Coupler LLC | — | July 7, 2026 |
| 0904-6638 | 0904-6638 | Major Pharmaceuticals | — | March 1, 2013 |
| 0904-6639 | 0904-6639 | Major Pharmaceuticals | — | March 1, 2013 |
| 0904-6640 | 0904-6640 | Major Pharmaceuticals | — | March 1, 2013 |
| 0904-6641 | 0904-6641 | Major Pharmaceuticals | — | March 1, 2013 |
| 0904-6642 | 0904-6642 | Major Pharmaceuticals | — | March 1, 2013 |
| 0904-6643 | 0904-6643 | Major Pharmaceuticals | — | March 1, 2013 |
| 72789-266 | 72789-266 | PD-Rx Pharmaceuticals, Inc. | — | March 1, 2013 |
| 71205-026 | 71205-026 | Proficient Rx LP | — | March 27, 2012 |
| 71205-401 | 71205-401 | Proficient Rx LP | — | March 28, 2012 |
| 71205-402 | 71205-402 | Proficient Rx LP | — | March 27, 2012 |
| 70518-4451 | 70518-4451 | REMEDYREPACK INC. | — | August 20, 2025 |
| 0093-2063 | 0093-2063 | Teva Pharmaceuticals USA, Inc. | — | March 12, 2014 |
| 0093-8162 | 0093-8162 | Teva Pharmaceuticals USA, Inc. | — | March 27, 2012 |
| 0093-8163 | 0093-8163 | Teva Pharmaceuticals USA, Inc. | — | March 27, 2012 |
| 0093-8164 | 0093-8164 | Teva Pharmaceuticals USA, Inc. | — | March 27, 2012 |
| 0093-8165 | 0093-8165 | Teva Pharmaceuticals USA, Inc. | — | March 27, 2012 |
| 0093-8166 | 0093-8166 | Teva Pharmaceuticals USA, Inc. | — | March 27, 2012 |
Sources for this page
| Dataset | Agency | Used for |
|---|---|---|
| NDC Directory | FDA | Identity, ingredients, strengths, forms, routes, labelers, packages |
| Drugs@FDA | FDA | Application, sponsor, submissions, review documents, marketing status |
| Orange Book | FDA | Therapeutic equivalence codes, reference drug flags, patents, exclusivity |
| Drug Labeling | FDA / NLM | Prescribing information reproduced above |
| FAERS | FDA | Adverse event report counts |
| Enforcement | FDA | Recall records |
Generated September 25, 2026 · 13 sections on this page.