Wednesday, September 21, 2016

Ryna-12



phenylephrine tannate, pyrilamine tannate

Dosage Form: tablet, suspension
Ryna®-12

Tablets

Ryna-12 S®

Suspension

 

IN-0673-03        Rev. 3/09

Description


RYNA®-12 is an antihistamine/nasal decongestant combination available for oral administration as Tablets and as Suspension. Each tablet contains:


Phenylephrine Tannate 25 mg

Pyrilamine Tannate        60 mg

Other ingredients: corn starch, dibasic calcium phosphate, magnesium stearate, methylcellulose, polygalacturonic acid, talc.


Each 5 mL (one teaspoonful) of the pink-colored, natural strawberry-artificial currant flavored Suspension contains:

Phenylephrine Tannate 5 mg

Pyrilamine Tannate        30 mg


Other ingredients: benzoic acid, FD&C Red No. 3, flavors (natural and artificial), glycerin, kaolin, magnesium aluminum silicate, methylparaben, pectin, purified water, saccharin sodium, sucrose.



Clinical Pharmacology


RYNA®-12 combines the sympathomimetic decongestant effect of phenylephrine with the antihistaminic action of pyrilamine.



Indications and Usage


RYNA®-12 is indicated for symptomatic relief of the coryza and nasal congestion associated with the common cold, sinusitis, allergic rhinitis and other upper respiratory tract conditions. Appropriate therapy should be provided for the primary disease.



Contraindications


RYNA®-12 is contraindicated for newborns, nursing mothers and patients sensitive to any of the ingredients or related compounds.



Warnings


Use with caution in patients with hypertension, cardiovascular disease, hyperthyroidism, diabetes, narrow angle glaucoma or prostatic hypertrophy. Use with caution or avoid use in patients taking monoamine oxidase (MAO) inhibitors, or within 14 days of stopping such treatment. These products contain an antihistamine which may cause drowsiness and may have additive central nervous system (CNS) effects with alcohol or other CNS depressants (e.g., hypnotics, sedatives, tranquilizers).



Precautions



General: Antihistamines are more likely to cause dizziness, sedation and hypotension in elderly patients. Antihistamines may cause excitation, particularly in children, but their combination with sympathomimetics may cause either mild stimulation or mild sedation.



Information for patients: Caution patients against drinking alcoholic beverages or engaging in potentially hazardous activities requiring alertness, such as driving a car or operating machinery while using these products. Patients should be warned not to use these products if they are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If patients are uncertain whether a prescription drug contains an MAOI, they should be instructed to consult a health professional before taking such a product.



Drug interactions: MAO inhibitors may prolong and intensify the anticholinergic effects of antihistamines and the overall effects of sympathomimetic agents.



Carcinogenesis, mutagenesis, impairment of fertility: No long-term animal studies have been performed with RYNA®-12.



Pregnancy: Teratogenic effects: Pregnancy Category C. Animal reproduction studies have not been conducted with RYNA®-12. It is also not known whether RYNA®-12 can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. RYNA®-12 should be given to a pregnant woman only if clearly needed.



Nursing mothers: RYNA®-12 should not be administered to a nursing woman.



Adverse Reactions


To report SUSPECTED ADVERSE REACTIONS, contact Meda Pharmaceuticals Inc. at 1-800-526-3840 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.


Adverse effects associated with RYNA®-12 at recommended doses have been minimal. The most common have been drowsiness, sedation, dryness of mucous membranes, and gastrointestinal effects. Serious side effects with oral antihistamines or sympathomimetics have been rare.



Overdosage


Signs & symptoms: May vary from CNS depression to stimulation (restlessness to convulsions). Antihistamine overdosage in young children may lead to convulsions and death. Atropine-like signs and symptoms may be prominent.


Treatment: Induce vomiting if it has not occurred spontaneously. Precautions must be taken against aspiration especially in infants, children and comatose patients. If gastric lavage is indicated, isotonic or half-isotonic saline solution is preferred. Stimulants should not be used. If hypotension is a problem, vasopressor agents may be considered.



Dosage and Administration


Administer the recommended dose every 12 hours.


RYNA®-12 Tablets: Adults — 1 or 2 tablets.


Children 6 to 11 years — 1/2 or 1 tablet. Ryna-12 S ® Suspension: Children over six years of age — 5 to 10 mL (1 to 2 teaspoonfuls); Children two to six years of age — 2.5 to 5 mL (1/2 to 1 teaspoonful); Children under two years of age — Titrate dose individually.



How Supplied


RYNA®-12 Tablets (phenylephrine tannate 25 mg, and pyrilamine tannate 60 mg): buff-colored, capsule-shaped, scored on one side and imprinted WALLACE 673 on the other side. The tablets are available in bottles of 100 (NDC 0037-0673-10).


Ryna-12 S® Suspension (phenylephrine tannate 5 mg, and pyrilamine tannate 30 mg per 5 mL) in 4 fl oz unit of use container with a 10 mL graduated oral syringe and fitment (NDC 0037-0655-04, labeled Ryna-12 S®).



Storage: RYNA®-12 Tablets — Store at controlled room temperature 20°-25°C (68°-77°F).


Ryna-12 S® Suspension — Store at controlled room temperature 20°-25°C (68°-77°F).


U.S. Patent 6,287,597

Produced under license from

JFC Technologies

Bound Brook, NJ, U.S.A.

U.S. Patents 5,599,846; 5,663,415


To report SUSPECTED ADVERSE REACTIONS, contact Meda Pharmaceuticals Inc. at 1-800-526-3840 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.


MEDA

PHARMACEUTICALS®

Meda Pharmaceuticals Inc.

Somerset, New Jersey 08873-4120


Printed in U.S.A.        Rev. 3/09



Package Label - Principal Display Panel – 4 fl. oz. Bottle, Ryna-12 S Suspension


NDC 0037-0655-04

4 fl oz (118 mL)

Ryna-12 S®

SUSPENSION

Each 5 mL (teaspoonful)

contains:

Phenylephrine Tannate    5 mg

Pyrilamine Tannate           30 mg

U.S. Patent 6,287,597

Rx Only

SHAKE WELL

LB-065504-04           Rev. 10/03

Usual Dosage:

See full prescribing information on bottom of tray.

See enclosed patient instructions for use of fitment and syringe.

Store at controlled room temperature 20°-25°C (68°-77°F).

Produced under license from

JFC Technologies

Bound Brook, NJ, U.S.A.

U.S. Patents 5,599,846; 5,663,415

MedPointe Pharmaceuticals

MedPointe Healthcare Inc.

Somerset, New Jersey 08873




Package Label - Principal Display Panel – 4 fl oz Carton, Ryna-12 S Suspension


NDC 0037-0655-04

4 fl oz (118 mL)

Ryna-12 S®

SUSPENSION

Each 5 mL (teaspoonful) contains:

Phenylephrine Tannate    5 mg

Pyrilamine Tannate           30 mg

U.S. Patent 6,287,597

Rx Only

See enclosed patient instructions for use

of fitment and syringe.

SHAKE WELL




Package Label - Principal Display Panel – 100-ct Bottle, Ryna-12 Tablets


NDC 0037-0673-10

100 Tablets

RYNA®-12

Each tablet contains:

Phenylephrine Tannate    25 mg

Pyrilamine Tannate           60 mg

U.S. Patent 6,287,597

Rx Only

LB-067310-02           Rev. 10/03

USUAL DOSE: See package insert.

Store at controlled room tempera-

ture 20°-25°C (68°-77°F).

Protect from moisture.

Dispense in a tight container.

Produced under license from

JFC Technologies

Bound Brook, NJ, U.S.A.

U.S. Patents 5,599,846; 5,663,415

MedPointe Pharmaceuticals

MedPointe Healthcare Inc.

Somerset, New Jersey 08873










RYNA  -12 S
phenylephrine tannate and pyrilamine tannate  suspension










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)0037-0655
Route of AdministrationORALDEA Schedule    

















Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
PHENYLEPHRINE (PHENYLEPHRINE)PHENYLEPHRINE1.7 mg  in 5 mL
TANNIC ACID (TANNIC ACID)TANNIC ACID3.3 mg  in 5 mL
PYRILAMINE (PYRILAMINE)PYRILAMINE14 mg  in 5 mL
TANNIC ACID (TANNIC ACID)TANNIC ACID16 mg  in 5 mL





Inactive Ingredients
Ingredient NameStrength
No Inactive Ingredients Found


















Product Characteristics
ColorPINKScore    
ShapeSize
FlavorSTRAWBERRY (STRAWBERRY CURRANT)Imprint Code
Contains      














Packaging
#NDCPackage DescriptionMultilevel Packaging
10037-0655-041 BOTTLE In 1 CARTONcontains a BOTTLE
1118 mL In 1 BOTTLEThis package is contained within the CARTON (0037-0655-04)










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
UNAPPROVED DRUG OTHER09/01/1999







RYNA  -12
phenylephrine tannate and pyrilamine tannate  tablet










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)0037-0673
Route of AdministrationORALDEA Schedule    

















Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
PHENYLEPHRINE (PHENYLEPHRINE)PHENYLEPHRINE8 mg
TANNIC ACID (TANNIC ACID)TANNIC ACID17 mg
PYRILAMINE (PYRILAMINE)PYRILAMINE27 mg
TANNIC ACID (TANNIC ACID)TANNIC ACID33 mg





Inactive Ingredients
Ingredient NameStrength
No Inactive Ingredients Found


















Product Characteristics
ColorBROWN (BUFF)Score2 pieces
ShapeCAPSULESize6mm
FlavorImprint CodeWALLACE;673
Contains      










Packaging
#NDCPackage DescriptionMultilevel Packaging
10037-0673-10100 TABLET In 1 BOTTLENone










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
UNAPPROVED DRUG OTHER09/01/2002


Labeler - Meda Pharmaceuticals Inc. (051229602)
Revised: 12/2009Meda Pharmaceuticals Inc.

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