Jynarque rems status form 2025

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Prescribers first enroll in the JYNARQUE REMS Program, order baseline hepatic tests, and counsel their patients ingly. Patients then enroll in the JYNARQUE REMS Program, where they are monitored at 2 weeks and 4 weeks after treatment initiation, then monthly for 18 months, and every 3 months thereafter.
The branded and generic drug products subject to this REMS include all the following: Oral dosage forms containing: codeine and codeine analogs, hydrocodone, hydromorphone, levorphanol, meperidine, morphine, oxycodone, oxymorphone, pentazocine, tapentadol, tramadol. Intranasal butorphanol.
Otsuka received Health Canadas approval for JYNARQUE in February 2015, and it was granted orphan drug designation by the European Commission (EC) in August 2013.
Because of the risk of serious liver problems, JYNARQUE is only available through a restricted distribution program called the JYNARQUE Risk Evaluation and Mitigation Strategy (REMS) Program.
JYNARQUE is available exclusively through 3 REMS-certified specialty pharmacies. Specialty pharmacies are different from traditional pharmacies. Unlike other medications that are picked up in traditional pharmacies, JYNARQUE will be delivered directly to your door by a specialty pharmacy.
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Due to the risks of liver injury, JYNARQUE (tolvaptan) is available only through a REMS Program.

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