Label: POLYETHYLENE GLYCOL 3350 powder, for solution

  • Category: HUMAN PRESCRIPTION DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: Abbreviated New Drug Application

Drug Label Information

Updated August 10, 2011

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  • DESCRIPTION

    A white powder for reconstitution. Polyethylene Glycol 3350 NF (Polyethylene Glycol 3350

    Powder For Oral Solution) is a synthetic polyglycol having an average molecular weight of

    3350. The actual molecular weight is not less than 90.0 percent and not greater than 110.0

    percent of the nominal value. The chemical formula is HO(C2H4O)nH in which n represents

    the average number of oxyethylene groups. Below 55°C it is a free flowing white powder

    freely soluble in water. Polyethylene Glycol 3350 NF is an osmotic agent for the treatment

    of constipation.

  • CLINICAL PHARMACOLOGY

    Pharmacology: Polyethylene Glycol 3350 NF is an osmotic agent which causes water to be

    retained with the stool. Essentially, complete recovery of Polyethylene Glycol 3350 NF was

    shown in normal subjects without constipation. Attempts at recovery of Polyethylene Glycol

    3350 NF in constipated patients resulted in incomplete and highly variable recovery. In vitro

    study showed indirectly that Polyethylene Glycol 3350 NF was not fermented into hydrogen

    or methane by the colonic microflora in human feces. Polyethylene Glycol 3350 NF appears

    to have no effect on the active absorption or secretion of glucose or electrolytes. There is no

    evidence of tachyphylaxis.

    CLINICAL TRIALS

    In one study, patients with less than 3 bowel movements per week were randomized to

    Polyethylene Glycol 3350 NF, 17 grams, or placebo for 14 days. An increase in bowel

    movement frequency was observed for both treatment groups during the first week of

    treatment. Polyethylene Glycol 3350 NF was statistically superior to placebo during the

    second week of treatment. In another study, patients with 3 bowel movements or less per

    week and/or less than 300 grams of stool per week were randomized to 2 dose levels of

    Polyethylene Glycol 3350 NF or placebo for 10 days each. Success was defined by an

    increase in both bowel movement frequency and daily stool weight. For both parameters,

    superiority of the 17 gram dose of Polyethylene Glycol 3350 NF over placebo was

    demonstrated.

  • INDICATIONS AND USAGE

    For the treatment of occasional constipation. This product should be used for 2 weeks or

    less or as directed by a physician.

  • CONTRAINDICATIONS

    Polyethylene Glycol 3350 NF is contraindicated in patients with known or suspected bowel

    obstruction and patients known to be allergic to polyethylene glycol.

  • WARNINGS

    Patients with symptoms suggestive of bowel obstruction (nausea, vomiting, abdominal

    pain or distention) should be evaluated to rule out this condition before initiating

    Polyethylene Glycol 3350 NF therapy.

  • PRECAUTIONS

    General

    Patients presenting with complaints of constipation should have a thorough

    medical history and physical examination to detect associated metabolic, endocrine and

    neurogenic conditions and medications. A diagnostic evaluation should include a structural

    examination of the colon. Patients should be educated about good defecatory and eating

    habits (such as high fiber diets) and lifestyle changes (adequate dietary fiber and fluid

    intake, regular exercise) which may produce more regular bowel habits.

    Polyethylene Glycol 3350 NF should be administered after being dissolved in approximately

    4 to 8 ounces of water, juice, soda, coffee or tea.

    Information for patients

    Polyethylene Glycol 3350 NF softens the stool and increases the

    frequency of bowel movements by retaining water in the stool. It should always be taken by

    mouth after being dissolved in 4 to 8 ounces of water, juice, soda, coffee, or tea. Should

    unusual cramps, bloating, or diarrhea occur, consult your physician.

    Two to 4 days may be required to produce a bowel movement. This product should be used

    for 2 weeks or less or as directed by your physician. Prolonged, frequent or excessive use of

    Polyethylene Glycol 3350 NF may result in electrolyte imbalance and dependence on laxatives.

    Laboratory tests

    No clinically significant effects on laboratory tests have been demonstrated.

    Interactions

    Drug interactions

    No specific drug interactions have been demonstrated.

    Carcinogenesis, mutagenesis, impairment of fertility

    Long term carcinogenicity studies,

    genetic toxicity studies or reproductive toxicity studies in animals have not been performed

    with Polyethylene Glycol 3350 NF.

    Pregnancy

    Category C. Animal reproductive studies have not been performed with Polyethylene Glycol 3350 NF.

    It is also not known whether Polyethylene Glycol 3350 NF can cause fetal harm when

    administered to a pregnant woman, or can affect reproductive capacity. Polyethylene Glycol

    3350 NF should only be administered to a pregnant woman if clearly needed.

    Pediatric use

    Safety and effectiveness in pediatric patients has not been established.

    Geriatric use

    There is no evidence for special considerations when Polyethylene Glycol

    3350 NF is administered to elderly patients. In geriatric nursing home patients a higher

    incidence of diarrhea occurred at the recommended 17 g dose. If diarrhea occurs

    Polyethylene Glycol 3350 NF should be discontinued.

  • ADVERSE REACTIONS

    Nausea, abdominal bloating, cramping and flatulence may occur. High doses may produce

    diarrhea and excessive stool frequency, particularly in elderly nursing home patients.

    Patients taking other medications containing polyethylene glycol have occasionally

    developed urticaria suggestive of an allergic reaction.

  • DRUG ABUSE AND DEPENDENCE

    Overdosage

    There have been no reports of accidental overdosage. In the event of overdosage, diarrhea

    would be the expected major event. If an overdose of drug occurred without concomitant

    ingestion of fluid, dehydration due to diarrhea may result. Medication should be terminated

    and free water administered. The oral LD50 is > 50 gm/kg in mice, rats and rabbits.

  • DOSAGE AND ADMINISTRATION

    The usual dose is 17 grams (about 1 heaping tablespoon) of powder per day (or as directed

    by physician) in 4 to 8 ounces of water, juice, soda, coffee, or tea. Each bottle of

    Polyethylene Glycol 3350 NF is supplied with a dosing cup marked to contain 17 grams of

    laxative powder when filled to the indicated line. Two to 4 days (48 to 96 hours) may be

    required to produce a bowel movement.

  • HOW SUPPLIED

    In powdered form, for oral administration after dissolution in water, juice, soda, coffee, or

    tea. Polyethylene Glycol 3350 NF (Polyethylene Glycol 3350 Powder for Oral Solution) is

    available in two package sizes: a 500 cc container of 255 grams of laxative powder and a

    950 cc container of 527 grams of laxative powder.

    NDC 0722-6920-01 Polyethylene Glycol 3350 NF 255g

    NDC 0722-6921-01 Polyethylene Glycol 3350 NF 527g

    The dosing cup supplied with each bottle is marked with a measuring line and may be used to

    measure a single Polyethylene Glycol 3350 NF dose of 17 grams (about 1 heaping tablespoonful).

    Rx only

    Keep this and all medications out of the reach of children.

    STORAGE

    Store at 20°- 25°C (68°- 77°F); excursions permitted to 15° - 30°C (59° - 86°F).

    [See USP Controlled Room Temperature]

    Manufactured by:

    Nexgen Pharma, Inc.

    Irvine, CA 92614

    Distributed by:

    Breckenridge Pharmaceutical, Inc.

    Boca Raton, FL 33487

    6920, 6921 Rev 11/08

  • PATIENT INFORMATION


    PATIENT INFORMATION

    Polyethylene Glycol 3350 NF (Polyethylene Glycol 3350 Powder for Oral Solution) is a

    prescription only laxative which has been prescribed by your physician to treat constipation.

    This product should only be used by the person for whom it was prescribed.

    How to take

    The dose is 17 grams each day or as directed by physician. It should always be taken by mouth.

    Measure the dose using the dosing cup (or use one heaping tablespoon of powder), stir and

    dissolve in a glass (4 to 8 oz) of water, juice, soda, coffee, or tea. Taking more than the

    prescribed dose may cause loss of fluid due to severe diarrhea.

    How will it work

    Polyethylene Glycol 3350 NF softens the stool and increases the frequency of bowel

    movements by retaining water in the stool. Your first bowel movement will usually happen in

    two to four days, although results may vary for individual patients.

    How long should I take it

    Polyethylene Glycol 3350 NF achieves its best results when used between one and two weeks.

    You may discontinue taking the drug after you had several satisfactory bowel movements.

    Should unusual cramps, bloating, or diarrhea occur, consult your physician. Polyethylene

    Glycol 3350 NF is intended for up to a two week course of therapy. You should not use for a

    longer time unless directed by your physician.

    Next Steps

    After successfully completing Polyethylene Glycol 3350 NF therapy (usually between one and

    two weeks), please discuss with your physician lifestyle changes which may produce more

    regular bowel habits (adequate dietary and fluid intake, regular exercise).

    Who should NOT take Polyethylene Glycol 3350 NF

    Polyethylene Glycol 3350 NF should not be used by children. It should not be used by pregnant

    women unless prescribed by a physician.

    Side Effects/Drug Reactions

    Occasionally, Polyethylene Glycol 3350 NF may cause nausea, stomach fullness, cramping,

    diarrhea and/or gas. Do not take if you have symptoms such as nausea, vomiting, abdominal

    pain or distention, which may be due to bowel obstruction. On rare occasions hives and skin

    rashes have been reported which are suggestive of an allergic reaction. If you get an allergic

    reaction you should discontinue the medication and call your physician. If you are allergic to

    polyethylene glycol, do not use this drug.

  • PRINCIPAL DISPLAY PANEL

    255 gram Principal Display Panel
  • INGREDIENTS AND APPEARANCE
    POLYETHYLENE GLYCOL 3350 
    polyethylene glycol 3350 powder, for solution
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:0722-6920
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    POLYETHYLENE GLYCOL 3350 (UNII: G2M7P15E5P) (POLYETHYLENE GLYCOL 3350 - UNII:G2M7P15E5P) POLYETHYLENE GLYCOL 335017 g
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:0722-6920-01255 in 1 BOTTLE, PLASTIC
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    ANDAANDA07770609/27/2006
    Labeler - Nexgen Pharma, Inc. (048488621)
    Registrant - Nexgen Pharma, Inc. (048488621)
    Establishment
    NameAddressID/FEIBusiness Operations
    Nexgen Pharma, Inc.160356114MANUFACTURE(0722-6920)