Erythromycin Pledgets

Pronunciation

Dosage Form: pledgets, topical solution

Erythromycin Pledgets USP, 2%

Rx only

For Dermatologic Use Only

Not for Ophthalmic Use

Erythromycin Pledgets Description

Erythromycin Pledgets USP, 2% contain erythromycin, USP for topical dermatologic use. Erythromycin is a macrolide antibiotic produced from a strain of Saccaropolyspora erythraea (formerly Streptomyces erythreus). It is a base and readily forms salts with acids. Chemically, erythromycin is C37H67NO13. It has the following structural formula:

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Molecular weight of 733.94

The chemical name for erythromycin is (3R*,4S*,5S*,6R*,7R*,9R*,11R*, 12R*,13S*,14R*)-4-[(2,6-Dideoxy-3-C-methyl-3-O-methyl-α-L-ribo - hexopyranosyl)oxy] - 14 - ethyl - 7,12,13 - trihydroxy - 3,5,7,9,11,13 - hexamethyl - 6 - [[3,4,6 - trideoxy - 3 - (dimethylamino) - β - D - xylo-hexopyranosyl]oxy] oxacyclotetradecane-2,10-dione.

Erythromycin is a white or slightly yellow, crystalline powder, slightly soluble in water, soluble in alcohol, in chloroform, and in ether. It is odorless or practically odorless. It has a pH range between 8.0 and 10.5 in a methanol and water solution prepared by diluting 1 volume of a methanol solution, containing 40 mg per mL, with 19 volumes of water.

Each mL of expressible liquid contains 20 mg erythromycin in a base of alcohol (68.5%) (denatured with tert-butyl alcohol and denatonium benzoate), propylene glycol and citric acid to adjust pH. Each pledget is filled to contain 0.8 mL of erythromycin topical solution.

Erythromycin Pledgets - Clinical Pharmacology

The exact mechanism by which erythromycin reduces lesions of acne vulgaris is not fully known: however, the effect appears to be due in part to the antibacterial activity of the drug.

MICROBIOLOGY

Erythromycin acts by inhibition of protein synthesis in susceptible organisms by reversibly binding to 50 S ribosomal subunits, thereby inhibiting translocation of aminoacyl transfer-RNA and inhibiting polypeptide synthesis. Antagonism has been demonstrated in vitro between erythromycin, and lincomycin, chloramphenicol, and clindamycin.

Indications and Usage for Erythromycin Pledgets

Erythromycin Pledgets USP, 2% are indicated for the topical treatment of acne vulgaris.

Contraindications

Erythromycin Pledgets USP, 2% are contraindicated in those individuals who have shown hypersensitivity to any of its components.

Warnings

Pseudomembranous colitis has been reported with nearly all antibacterial agents, including erythromycin, and may range in severity from mild to life-threatening. Therefore, it is important to consider this diagnosis in patients who present with diarrhea subsequent to the administration of antibacterial agents.

Treatment with antibacterial agents alters the normal flora of the colon and may permit overgrowth of clostridia. Studies indicate that a toxin produced by Clostridium difficile is one primary cause of "antibiotic-associated colitis". After the diagnosis of pseudomembranous colitis has been established, therapeutic measures should be initiated. Mild cases of pseudomembranous colitis usually respond to drug discontinuation alone. In moderate to severe cases, consideration should be given to management with fluids and electrolytes, protein supplementation and treatment with an antibacterial drug clinically effective against C. difficile colitis.

Precautions

General

For topical use only; not for ophthalmic use. Concomitant topical acne therapy should be used with caution because a possible cumulative irritancy effect may occur, especially with the use of peeling, desquamating, or abrasive agents.

The use of antibiotic agents may be associated with the overgrowth of antibiotic-resistant organisms. If this occurs, discontinue use and take appropriate measures.

Avoid contact with eyes and all mucous membranes.

Information for Patients

Patients using Erythromycin Pledgets USP, 2% should receive the following information and instructions:

  1. This medication is to be used as directed by the physician. It is for external use only. Avoid contact with the eyes, nose, mouth, and all mucous membranes.
  2. This medication should not be used for any disorder other than that for which it was prescribed.
  3. Patients should not use any other topical acne medication unless otherwise directed by their physician.
  4. Patients should report to their physician any signs of local adverse reactions.

Carcinogenesis, mutagenesis, and impairment of fertility

No animal studies have been performed to evaluate the carcinogenic and mutagenic potential or effects on fertility of topical erythromycin. However, long-term (2-year) oral studies in rats with erythromycin ethylsuccinate and erythromycin base did not provide evidence of tumorigenicity. There was no apparent effect on male or female fertility in rats fed erythromycin (base) at levels up to 0.25% of diet.

Pregnancy

Teratogenic effects

Pregnancy category B

There was no evidence of teratogenicity or any other adverse effect on reproduction in female rats fed erythromycin base (up to 0.25% diet) prior to and during mating, during gestation and through weaning of two successive litters.

There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should be used in pregnancy only if clearly needed. Erythromycin has been reported to cross the placental barrier in humans, but fetal plasma levels are generally low.

Nursing women

It is not known whether erythromycin is excreted in human milk after topical application. However, erythromycin is excreted in human milk following oral and parenteral erythromycin administration. Therefore, caution should be exercised when erythromycin is administered to a nursing women.

Pediatric use

Safety and effectiveness of this product in pediatric patients have not been established.

Adverse Reactions

The following local adverse reactions have been reported occasionally: peeling, dryness, itching, erythema, and oiliness. Irritation of the eyes and tenderness of the skin have also been reported with topical use of erythromycin. Generalized urticarial reactions, possibly related to the use of erythromycin, which required systemic steroid therapy have been reported.

Erythromycin Pledgets Dosage and Administration

The Erythromycin Pledgets USP, 2% should be rubbed over the affected area twice a day (morning and evening) after skin is thoroughly washed with warm water and soap and patted dry. Acne lesions on the face, neck, shoulder, chest, and back may be treated in this manner. Additional pledgets may be used, if needed. Each pledget should be used once and discarded. Wash hands after application. Close jar tightly after each use. Drying and peeling may be controlled by reducing the frequency of applications.

How is Erythromycin Pledgets Supplied

Erythromycin Pledgets USP, 2% are available in a plastic jar containing 60

pledgets - NDC 61748-202-60.

Each pledget is filled to contain 0.8 mL of erythromycin topical solution, 2%.

Keep jar tightly closed.

Store at 20° - 25°C (68° - 77°F) [See USP Controlled Room Temperature].

Manufactured by:
PharmaPac, LLC
DeKalb, MS 39328

Marketed by:
VersaPharm Incorporated
Marietta, GA 30062-2260
IVP20260-00
Issued: 02-09-2009

PRINCIPAL DISPLAY PANEL - 60 Pledget Jar Label

NDC 61748-202-60

ERYTHROMYCIN

PLEDGETS USP, 2%

For External Use.

Avoid contact with eyes.

Rx Only

60 Pledgets

ERYTHROMYCIN 
erythromycin solution
Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:61748-202
Route of Administration TOPICAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
Erythromycin (Erythromycin) Erythromycin 20 mg  in 1 mL
Inactive Ingredients
Ingredient Name Strength
alcohol  
tert-butyl alcohol  
denatonium benzoate  
propylene glycol  
citric acid monohydrate  
Packaging
# Item Code Package Description
1 NDC:61748-202-60 60 PACKET (PACKET) in 1 JAR
1 0.8 mL in 1 PACKET
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA090215 08/01/2010
Labeler - VersaPharm Incorporated (956741896)
Establishment
Name Address ID/FEI Operations
VersaPharm Incorporated 961637720 ANALYSIS
Establishment
Name Address ID/FEI Operations
PharmaPac LLC 140807475 MANUFACTURE
Revised: 02/2009
 
VersaPharm Incorporated
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