3 Chemical and Physical Properties Expand this section. [Ref], Very common (10% or more): Heat sensation (up to 25%), weakness (up to 12%), Common (1% to 10%): Asthenia, fatigue, feeling unwell, Uncommon (0.1% to 1%): Chills, malaise, pain, unspecific pain, Frequency not reported: Abnormal lab test, fever, inflammation, jitteriness, tinnitus[Ref], Very common (10% or more): Flushing (up to 25%), Common (1% to 10%): Congestive heart failure, edema/peripheral edema, myocardial infarction, palpitations, transient hypotension, vasodilation, Uncommon (0.1% to 1%): Angina pectoris/chest pain (excluding unstable), erythromelalgia, hypotension, postural hypotension, syncope, tachycardia, Rare (0.01% to 0.1%): Cardiovascular disorder, substernal chest pain, Frequency not reported: Arrhythmia, atrial fibrillation, bradycardia, cardiac arrest, conduction disturbances, extrasystole, hot flashes, increased angina, myocardial ischemia, nonspecific chest pain, phlebitis, ventricular arrhythmias[Ref], Very common (10% or more): Heartburn (up to 11%), nausea (up to 11%), Common (1% to 10%): Constipation, cramps, diarrhea, flatulence, Uncommon (0.1% to 1%): Abdominal/gastrointestinal (GI) pain, dyspepsia, dry mouth, gum hyperplasia, Rare (0.01% to 0.1%): Gingival hyperplasia, Frequency not reported: Bezoar, dysphagia, eructation, esophagitis, gastroesophageal reflux, gastroesophageal sphincter insufficiency, GI bleeding, GI disorder, GI hemorrhage, GI irritation, GI obstruction, GI ulceration, gum disorder, gum hemorrhage, melena, tablet adherence to GI wall, vomiting[Ref], Common (1% to 10%): Dyspnea, chest congestion, cough, nasal congestion, shortness of breath, sore throat, wheezing, Uncommon (0.1% to 1%): Larynx edema, nosebleed, Frequency not reported: Epistaxis, increased cough, pharyngitis, pulmonary edema, rales, respiratory disorder, rhinitis, rigors, sinusitis, stridor, upper respiratory tract infection[Ref], Common (1% to 10%): Mood changes, nervousness, Uncommon (0.1% to 1%): Anxiety reactions, insomnia, sleep disorders, Frequency not reported: Anxiety, confusion, decreased libido, depression, paroniria/paranoid syndrome, sleep disturbances[Ref], Frequency not reported: Arthralgia, arthritis with antinuclear antibody positive tests, back pain, joint disorder, joint stiffness, leg cramps, leg pain, myalgia, myasthenia, neck pain, worsening of myasthenia gravis[Ref], Uncommon (0.1% to 1%): Dysuria, erectile dysfunction, polyuria, Frequency not reported: Breast engorgement, breast pain, hematuria, impotence, nocturia, pelvic pain, sexual difficulties, urinary frequency, urogenital disorder[Ref], Uncommon (0.1% to 1%): Allergic reaction, allergic edema, angioedema/oropharyngeal edema, Frequency not reported: Anaphylactic/anaphylactoid reaction, systemic allergic reactions[Ref], Uncommon (0.1% to 1%): Erythema, face edema, Rare (0.01% to 0.1%): Pruritus, rash, urticaria, Frequency not reported: Cellulitis, cutaneous angiectases, dermatitis, exfoliative dermatitis, palpable purpura, pemphigoid reaction, petechial rash, photosensitivity allergic reaction, sweating/increased sweating, telangiectasia, toxic epidermal necrolysis, Postmarketing reports: Acute generalized exanthematous pustulosis, alopecia, bullous skin adverse events, erythema multiforme, Stevens-Johnson syndrome[Ref], Uncommon (0.1% to 1%): Abnormal liver function tests, transient liver enzyme increase, Frequency not reported: Allergic hepatitis, gamma glutamyltransferase increased, intra-hepatic cholestasis, jaundice[Ref], Uncommon (0.1% to 1%): Visual disturbances, Frequency not reported: Abnormal lacrimation, abnormal vision, amblyopia, blurred vision, conjunctivitis, diplopia, eye disorder, eye hemorrhage, eye pain, periorbital edema, transient blindness (at Cmax), transient unilateral vision loss[Ref], Frequency not reported: Anemia, agranulocytosis, eosinophilia, leukopenia, lymphadenopathy, purpura, thrombocytopenia[Ref], Frequency not reported: Gout, hyperglycemia, weight gain/loss[Ref], Frequency not reported: Kidney calculus[Ref], Frequency not reported: Gynecomastia[Ref]. Last updated on Jan 25, 2020. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Uraemic pruritus develops in upwards of 60-70% of dialysis patients . A peptidergic, long-acting κ opioid receptor agonist which is designed to have reduced side-effects as compared with traditional µ opioid receptor agonists such as morphine. O 0. Although not all of these side effects may occur, if they do occur they may need medical attention. , Difelikefalin acts as an analgesic by activating KORs on peripheral nerve terminals and KORs expressed by certain immune system cells.
Oct 17: following a successful end of PII meeting with the FDA, Cara has established key elements of the pivotal PIII trial programme to support a New Drug Application (NDA) for CR845 for treatment of moderate-to-severe chronic kidney disease-associated pruritus in haemodialysis patients. Use gov.uk for the government response, and nhs.uk for health information. 1. Other side effects include: acute myocardial infarction, muscle cramps, tremor, cough, dyspnea, hypotension, and wheezing. In Addition To Use As An Analgesic, Difelikefalin Is Also Being Investigated For The Treatment Of Pruritus (Itching).  Activation of KORs on peripheral nerve terminals results in the inhibition of ion channels responsible for afferent nerve activity, causing reduced transmission of pain signals, while activation of KORs expressed by immune system cells results in reduced release of proinflammatory, nerve-sensitizing mediators (e.g., prostaglandins). Jun 17: A 52-week PIII open label extension study (NCT03281538) is currently enrolling up to 240 hemodialysis patients with CKD-associated pruritus who have previously completed one of the company’s PII/III studies .
Adalat (nifedipine)." Find our resources or medicines guidance summaries. Medically reviewed by Drugs.com. Cerner Multum, Inc. "Australian Product Information." You may report them to the FDA.
Available for Android and iOS devices. O 0.
Difelikefalin (INN) (developmental code names CR845, FE-202845), also known as D-Phe-D-Phe-D-Leu-D-Lys-[γ-(4-N-piperidinyl)amino carboxylic acid] (as the acetate salt), is an analgesic opioid peptide acting as a peripherally specific, highly selective agonist of the κ-opioid receptor (KOR). Check with your doctor immediately if any of the following side effects occur while taking nifedipine: Some side effects of nifedipine may occur that usually do not need medical attention. Find AMR networks and contacts at regional, STP and CCG level. Jan 18: Pivotal PIII KALM-1 trial of difelikefalin injection for treatment of moderate-to-severe chronic kidney disease-associated pruritus (CKD-aP) in haemodialysis patients starts (NCT03422653).
Commonly reported side effects of nifedipine include: dizziness, peripheral edema, lower extremity edema, flushing, and flushing sensation.
Oct 17: company reports positive top-line results from the PII phase of NCT02858726, with 174 patients treated. The most frequently (≥5%) reported TEAEs across all difelikefalin combined doses were diarrhea, dizziness, nausea, somnolence, and fall, and serious adverse events and discontinuations due to TEAEs were most prevalent in the 1.5 μg/kg group.
Nov 19: PIII KALM-1 RCT (n=378) is published; it found that more patients given difelikefalin had a reduction of at least 3 points in the 24-hour Worst Itching Intensity Numerical Rating Scale vs placebo (49.1% vs 27.9%, p<0.001 . Subscribe to Drugs.com newsletters for the latest medication news, alerts, new drug approvals and more. Along with its needed effects, nifedipine may cause some unwanted effects. 3.  In addition to use as an analgesic, difelikefalin is also being investigated for the treatment of pruritus (itching). Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. These side effects may go away during treatment as your body adjusts to the medicine. Other side effects include:acute myocardial infarction, muscle cramps, tremor, cough, dyspnea, hypotension, and wheezing. Primary outcome data collection is expected to be completed in Dec 19 [9,10].
Results from the trial will be used to support a NDA . Difelikefalin has been used in trials studying the treatment of Acute Pain and Postoperative Pain. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Jun 16: PII/PIII trial (NCT02858726) initiated - phase A will assess the effect of three doses of CR845 vs. placebo, given by IV injection after dialysis sessions and the primary outcome will be intensity of itch after 8 weeks . Applies to nifedipine: oral capsule liquid filled, oral tablet extended release. Find all our resources on COVID-19 here and filter by your area of interest. Cerner Multum, Inc. "UK Summary of Product Characteristics." We comply with the HONcode standard for trustworthy health information -, Drug class: calcium channel blocking agents, fast, irregular, pounding, or racing heartbeat or pulse, shakiness in the legs, arms, hands, or feet, trembling or shaking of the hands or feet, coughing that sometimes produces a pink frothy sputum, difficult, fast, or noisy breathing, sometimes with wheezing, pain or discomfort in the arms, jaw, back, or neck, dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position, increased urge to urinate during the night, large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue, small clicking, bubbling, or rattling sounds in the lung when listening with a stethoscope, sores, ulcers, or white spots on the lips or in the mouth, unsteadiness, trembling, or other problems with muscle control or coordination, vomiting of blood or material that looks like coffee grounds, redness of the face, neck, arms, and occasionally, upper chest, difficulty having a bowel movement (stool), excess air or gas in stomach or intestines, feeling of constant movement of self or surroundings, loss in sexual ability, desire, drive, or performance, increased sensitivity of the skin to sunlight, itching, pain, redness, swelling, tenderness, or warmth on the skin, redness or other discoloration of the skin, swelling of the breasts or breast soreness in both females and males. "Product Information. In addition to use as an analgesic, difelikefalin is also being investigated for the treatment of pruritus (itching).  Difelikefalin has completed phase II clinical trials for postoperative pain and has demonstrated significant and "robust" clinical efficacy, along with being safe and well tolerated.  It is under development by Cara Therapeutics as an intravenous agent for the treatment of postoperative pain.  It has also completed a phase III clinical trial for uremic pruritus in hemodialysis patients. Some side effects may not be reported. Contents. See below for a comprehensive list of adverse effects. The trial met its primary endpoint with a 68% reduction in worst itching score vs. placebo (p<0.0019) at eight weeks .
Commonly reported side effects of nifedipine include: dizziness, peripheral edema, lower extremity edema, flushing, and flushing sensation. See below for a comprehensive list of adverse effects. The PIII trial will use a dose of 0.5 mg/kg, given IV, which met all efficacy endpoints in the multi-dose PII stage of the NCT02858726 study, and is also being studied in the open-label extension study (NCT03281538). [Ref], Very common (10% or more): Dizziness (up to 27%), giddiness (up to 27%), lightheadedness (up to 27%), headache (up to 23%), Uncommon (0.1% to 1%): Migraine, syncope, vertigo, Rare (0.01% to 0.1%): Paresthesia, dysesthesia, Frequency not reported: Ataxia, cerebral ischemia, balance difficulty, hypertonia, hypoesthesia, shakiness, somnolence, Postmarketing reports: Taste perversion[Ref], Syncope typically occurred with initial doses and/or dose titrations.
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