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10.3Approvable Letter The approvable letter includes draft labeling and requests for a literature update and a regulatory status update. 11.0 CONCLUSIONS information on tramadol AND RECOMMENDATIONS I believe that Pharmacia and Upjohn have submitted sufficient data to support the conclusion that Xanax XR is effective and acceptably safe in the treatment of panic disorder. I recommend that we issue die attached approvable letter with our labeling proposal and the above noted requests for updates, in anticipation of final approval. PRODUCT NAME: Xanax XR (Alprazolam Extended-release Tablets) 0.5 mg, 1 mg, 2 mg, and 3 mg In response to a consult from the Division of Neuropharmacological Drug adderall online pharmacy Products TFD-120), the Division of Medication Errors and Technical Support (DMETS) conducted a review of the proposed proprietary name "Xanax XR" to determine the potential for confusion with approved proprietary and established names as well as adderall online pharmacy pending names.

DMETS RECOMMENDATION: DMETS has no objections to the use of the proprietary name, Xanax XR. However, DMETS recommends implementing the labeling revisions outlined in Section HI of this review, in order to minimize potential errors with the use of this product. This name, along with its associated labels and labeling, must be re-evaluated approximately 90 days prior to the expected approval of the NDA. A re-review of the name prior to NDA approval will rule out any objections based upon approvals of other proprietary or established names from the signature date of this 75 clonazepam diazepam 0.737836 document. Carol Holquist, RPh Deputy Director, Division of Medication Errors and Technical Support Office of Drug Safety Phone: (301) 827-3242 Fax: (301)443-5161 Jerry Phillips, RPh Associate Director Office of Drug Safety Center for Drug Evaluation and Research Food and Drug Administration Division of Medication Errors and Technical Support (DMETS) Office of Drug Safety HFD-420; Rm.

15B32 Center for Drug Evaluation and Research PROPRIETARY NAME REVIEW NAME OF DRUG: Xanax XR (Alprazolam Extended-release Tablets) 0.5 mg, 1 mg, 2 mg, and 3 mg This consult was written in response to a request from the Division of Neuropharmacological Drug Products (HFD-120), for assessment of the tradename "Xanax XR," regarding potential name confusion with other proprietary drug names.

The container labels, carton labeling and package insert labeling for Xanax XR were reviewed for possible interventions in minimizing medication errors. PRODUCT INFORMATION Pharmacia and Upjohn currently markets Xanax in an immediate release tablet formulation in 0.

Xanax XR contains the same active ingredient as Xanax (alprazolam) but is formulated as an extended-release tablet. Xanax XR is a triazolo analog of the adderall online pharmacy 1,4 benzodiazepine class of central nervous system-active compounds. is an extended-release tablet for oral administration, available as 0.5 mg, 1 mg, 2 mg, and 3 mg tablets. The tablet should not be crushed or chewed adderall online pharmacy during administration. Although the immediate release Xanax product is indicated for the treatment of anxiety and/or panic disorders, Xanax; XR is only indicated for the treatment of panic disorders, \yith or without agoraphobia.

The recommended dosing interval for Xanax XR is once daily. The dose of Xanax XR must be individualized for maximum benefit. Most patients will be managed with " ~ - - -- •- , •• Xanax XR will be supplied in bottles of 60, ^- tablets. RISK ASSESSMENT: The standard DMETS proprietary name review was not conducted for this consult because the proprietary name "Xanax" has been utilized in the U.S.

A search was conducted of several standard published drug product reference texts' '1 as well as several FDA databases2 for existing dmg names which sound alike or look alike to Xanax XR to a degree where potential confusion between drug names could occur under the usual clinical practice settings.

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