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Prescribing Information
Pfizer Other Medical Information — General gluten content of Pfizer prescription products
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Please note that Pfizer Inc lists active and most inactive ingredients in the package inserts or on the product containers. Inactive ingredients present in trace amounts (e.g., imprint ink) may not be listed. The accuracy of our statements is based upon the final product composition formula only and cannot guarantee that minute amounts of substances are not contained in raw materials obtained from various suppliers for our manufacturing process.

Gluten is a mixture of two proteins, gliadin and glutenin, that are present in wheat flour and to a lesser extent in barley, oats, and rye.1

The Pfizer U.S. pharmaceutical products in Table 1 below do not list wheat, barley, oats, and/or rye as ingredients. Please note that Table 1 does not contain a complete listing of all Pfizer pharmaceutical products

Table 1. Pfizer U.S. Pharmaceutical Products That Do NOT list Wheat, Barley, Oats, and/or Rye as Ingredients

Accupril® (quinapril HCl) Tablets2
Aldactone® (spironolactone) Tablets2
Aldactazide® (spironolactone/hydrochlorothiazide) Tablets2
Aricept® (donepezil HCl) Tablets2
Aricept® ODT (donepezil HCl, orally disintegrating) Tablets2
Aromasin® (exemestane) Tablets2
Arthrotec® (diclofenac sodium/misoprostol) Tablets2
Azulfidine® (sulfasalazine) Tablets2
Azulfidine EN-tabs® (sulfasalazine, delayed release) Tablets2
Cardura®XL (doxazosin mesylate, extended release) Tablets2
Celebrex® (celecoxib) Capsules2
Chantix® (varenicline) Tablets2
Colestid® (colestipol HCl) Tablets, Granules2
Cleocin® (clindamycin hydrochloride) Capsules2
Cortef® (hydrocortisone) Tablets2
Detrol® (tolterodine) Tablets2
Detrol®LA (tolterodine, extended release) Capsules2
Diflucan® (fluconazole) Tablets, Oral Suspension2
Dilantin® (phenytoin) Infatabs, Kapseals, Oral Suspension2
Dostinex® (cabergoline) Tablets2
Estring® (estradiol) Vaginal Ring2
Exubera® (insulin human [rDNA origin]) Inhalation Powder2
Geodon® (ziprasidone HCl) Capsules2
Glucotrol® (glipizide) Tablets2
Glucotrol XL® (glipizide, extended release) Tablets2
Glyset® (miglitol) Tablets2
Inspra® (eplerenone) Tablets2
Lipitor® (atorvastatin calcium) Tablets2
Lomotil® (diphenoxylate hydrochloride/atropine sulfate) Tablets, Liquid2
Lyrica® (pregabalin) Capsules2
Medrol® (methylprednisolone) Tablets2
Micronase® (glyburide) Tablets2
Minizide® (prazosin hydrochloride/polythiazide) Capsules2
Nardil® (phenelzine sulfate) Tablets2
Neurontin® (gabapentin) Capsules, Tablets, Oral Solution2
Norvasc® (amlodipine besylate) Tablets2
Relpax® (eletriptan hydrobromide) Tablets2
Revatio (sildenafil citrate) Tablets2
Sutent® (sunitinib malate) Capsules2
Vantin® (cefpodoxime proxetil) Tablets, Oral Suspension2
Vfend® (voriconazole) Tablets and Oral Suspension2
Viagra® (sildenafil citrate) Tablets2
Vibramycin® (doxycycline calcium) Oral Syrup2
Vibramycin® (doxycycline hyclate) Capsules2
Vibramycin® (doxycycline monohydrate) Oral Suspension2
Vibra-Tabs® (doxycycline hyclate) Film Coated Tablets2
Zithromax® (azithromycin) Tablets and Oral Suspension (all strengths)2,>3
Zmax® (azithromycin, extended release) Oral Suspension2
Zoloft® (sertraline HCl) Tablets, Oral Concentrate2
Zyvox® (linezolid) Tablets, Oral Suspension2

The Pfizer U.S. pharmaceutical products in Table 2 below contain gluten as an ingredient. Please note that Table 2 does not contain a complete listing of all Pfizer pharmaceutical products.

Table 2. Pfizer U.S. Pharmaceutical Products That Contain Gluten as an Ingredient

Halcion® (triazolam) Tablets2
Xanax® (alprazolam) Tablets2
Xanax XR® (alprazolam, extended release) Tablets2

1. Sweetman SC. Martindale: The Complete Drug Reference. 33rd ed. London, UK: Pharmaceutical Press, 2002.
2. Data on file (35) - Pfizer Inc.
3. Data on file (38) - Pfizer Inc.
4. Data on file (36) - Pfizer Inc.


Zmax Safety Information
 

Important Safety Information

Zmax is indicated for mild to moderate Acute Bacterial Sinusitis in adults due to Haemophilus influenzae, Moraxella catarrhalis, or Streptococcus pneumoniae, and is also indicated for community-acquired pneumonia due to Chlamydophila pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae, or Streptococcus pneumoniae in adults and pediatrics aged 6 months and over deemed appropriate for oral therapy.

Zmax is contraindicated in patients with known hypersensitivity to azithromycin, erythromycin, or any macrolide or ketolide antibiotic. If an allergic reaction occurs, appropriate therapy should be instituted. Physicians should be aware that reappearance of the allergic symptoms may occur when symptomatic therapy is discontinued.

In the 27 mg/mL currently approved oral suspension (n=61), the most common side effects of Zmax are vomiting (3.3%), diarrhea (1.6%), abdominal pain (1.6%), rash (1.6%), dermatitis (1.6%), fungal rash (1.6%), and constipation (1.6%).

In clinical trials using the 60 mg/mL premarketing oral concentration (n=846), the most common side effects of Zmax are vomiting (11.9%), diarrhea (8%), loose stools (5.6%), abdominal pain (3%), rash (2.8%), nausea (1.7%), and anorexia (1.2%).

Clostridium difficile associated diarrhea (CDAD) has been reported with use of nearly all antibacterial agents, including azithromycin, and may range in severity from mild diarrhea to fatal colitis. CDAD must be considered in all patients who present with diarrhea following antibiotic use. Careful medical history is necessary since CDAD has been reported to occur over two months after the administration of antibacterial agents. If CDAD is suspected or confirmed, ongoing antibiotic use not directed against C. difficile may need to be discontinued, and appropriate management and treatment of C. difficile should be instituted as clinically indicated.

Exacerbation of symptoms of myasthenia gravis and new onset of myasthenic syndrome have been reported in patients receiving azithromycin therapy.

 

Please see full prescribing information.

Zmax® (azithromycin extended release)

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