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Safety Profile

Demonstrated Safety in Clinical Trials in More Than 1,800 Patients

Drug-drug interactions

  • Cleviprex® does not have the potential for blocking or inducing any cytochrome P450 enzyme
  • The potential of Cleviprex to interact with other drugs is low


Adverse reactions

  • The most common adverse reactions (>2%) with Cleviprex are headache, nausea, and vomiting


Special populations

  • No adjustment of initial dosage necessary in patients with renal or hepatic dysfunction
  • In geriatric patients, doses should be titrated cautiously, starting at the low end of the dosing range. In clinical trials, no overall differences in safety or effectiveness were observed between these and younger patients with Cleviprex


Additional considerations

  • Cleviprex is photosensitive and storage in cartons protects against photodegradation. Protection from light during administration is not required
  • Store vials refrigerated at 2°C-8°C (36°F-46°F). Do not freeze
  • Cleviprex should not be administered in the same line as other medications

 

IMPORTANT SAFETY INFORMATION

Cleviprex is intended for intravenous use. Titrate drug depending on the response of the individual patient to achieve the desired blood pressure reduction. Monitor blood pressure and heart rate continually during infusion, and then until vital signs are stable. Patients who receive prolonged Cleviprex infusions and are not transitioned to other antihypertensive therapies should be monitored for the possibility of rebound hypertension for at least 8 hours after the infusion is stopped.

Cleviprex is contraindicated in patients with allergies to soybeans, soy products, eggs, or egg products; defective lipid metabolism such as pathologic hyperlipemia, lipoid nephrosis, or acute pancreatitis if it is accompanied by hyperlipidemia; and in patients with severe aortic stenosis.

Hypotension and reflex tachycardia are potential consequences of rapid upward titration of Cleviprex. Dihydropyridine calcium channel blockers can produce negative inotropic effects and exacerbate heart failure. Monitor heart failure patients carefully. Cleviprex gives no protection against the effects of abrupt beta-blocker withdrawal.

Most common adverse reactions (> 2%) are headache, nausea, and vomiting.

Cleviprex should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Maintain aseptic technique while handling Cleviprex. Cleviprex contains phospholipids and can support microbial growth. Do not use if contamination is suspected. Once the stopper is punctured, use and discard within 4 hours.

Please see full Prescribing Information.

Reference

Cleviprex™ (clevidipine butyrate) injectable emulsion [prescribing information]. Parsippany, NJ: The Medicines Company; August 1, 2008.